Background to this inspection
Updated
12 December 2018
Sullivan Way Surgery is the registered provider and provides primary care services to its registered list of 7599 patients. The practice delivers commissioned services under the Personal Medical Services (PMS) contract and is a member of NHS Wigan Borough Clinical Commissioning Group (CCG).
The PMS contract is the contract between general practices and NHS England for delivering primary care services to local communities. The practice is registered with the Care Quality Commission (CQC) to provide the regulated activities of diagnostic and screening procedures; family planning; maternity and midwifery services; surgical procedures, and treatment of disease, disorder and injury.
Regulated activities are delivered to the patient population from the following address:
Sullivan Way
Scholes
Wigan
Greater Manchester
WN1 3TB
The practice has a website that contains information about what they do to support their patient population and the in house and online services offered:
There are six GPs (three female and three male) and they are supported by five practice nurses and a healthcare assistant. There is also a practice manager and supporting administration staff. The practice is a training practice for GPs.
The average life expectancy and age profile of the practice population is broadly in line with the CCG and national averages. Information taken from Public Health England placed the area in which the practice is located in the third more deprived decile (from a possible range of between 1 and 10). In general, people living in more deprived areas tend to have greater need for health services.
Patients requiring a GP outside of normal working hours are advised to contact the surgery and they will be directed to the local out of hours service which is provided by Bridgewater NHS Foundation Trust –through NHS 111. Additionally, patients can access GP services in the evening and on Saturdays and Sundays through the Wigan GP access alliance at locations across Wigan Borough.
Updated
12 December 2018
This practice is rated as Good overall. (Previous rating November 2014 – Good)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Sullivan Way Surgery on 15 November 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they could access care when they needed it.
- Patient feedback on the care and treatment delivered by all staff was consistently positive.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw areas of outstanding practice:
- A confidential sexual health clinic was offered for the whole community and not just patients of the practice for the screening and treatment of all sexually transmitted infections. The practice had received an excellence in primary care award from the clinical commissioning group for this piece of work.
The areas where the provider should make improvements are:
- Take action to consistently monitor the practice global inbox to ensure letters and test results, (whilst it was recognised these had been actioned and recorded on the patient records), were annotated as filed on the system.
- Review the processes for repeat prescribing, and the system for reviewing uncollected prescriptions.
- Review and monitor the system in place to follow up on patients who had failed to attend for an appointment including children.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Working age people (including those recently retired and students)
Updated
12 December 2018
People experiencing poor mental health (including people with dementia)
Updated
12 December 2018
People whose circumstances may make them vulnerable
Updated
12 December 2018