Mandalay Medical Centre

Background to this inspection

Updated 12 January 2018

Mandalay Medical Centre is located on a main road in a converted extended house in the Sharples area of Bolton. It is a two storey building and all patient consulting areas are on the ground floor. There is a car park at the back of the practice.

There are four GP partners (three male and one female) and two salaried GPs (both female). There are three practice nurses and a phlebotomist. They are supported by a practice manager, and administrative and reception staff.

The practice is usually open from 8am until 6.30pm. There is extended opening until 8pm on Mondays and Wednesdays and from 7.30am on Fridays. Surgeries are usually from opening time until 12 noon and from 2.30pm until closing time. However, there is flexibility within these times to suit the needs of patients.

The practice has an above average percentage of patients in the 49 to 69 age group and below average in the 0 to 14 and 20 to 39 age groups.

Life expectancy is above the clinical commissioning group (CCG) and national average. Life expectancy for males is 81 years (CCG average 77 years, national average 79 years), and for females it is 83 years (CCG average 81 years, national average 83 years).

The practice is in one of the least deprived areas of Bolton. The percentage of patients who are unemployed or have a long term health condition is slightly below the CCG and national average.

At the time of our inspection approximately 9500 patients were registered with the practice. It is a member of Bolton CCG and has a Personal Medical Services (PMS) contract with NHS England.

Overall inspection

Good

Updated 12 January 2018

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Mandalay Medical Centre on 4 November 2016. The overall rating for the practice was good, with a rating of requires improvement in the safe domain. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Mandalay Medical Centre on our website at www.cqc.org.uk.

We then carried out an announced focused inspection 10 August 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 4 November 2016. In this inspection we found that some improvements had been made but we identified areas that needed further improvement. The full comprehensive report on the August 2017 inspection can be found by selecting the ‘all reports’ link for Mandalay Medical Centre on our website at www.cqc.org.uk.

This inspection was a desk based review to confirm the practice had made the required improvements from the previous inspection.

Overall the practice is now rated as good in all domains.

Our key findings were as follows:

Legionella checks were carried out on water outlets set out in the legionella risk assessment. The practice had taken action to ensure themselves that the temperatures recorded were acceptable.
Fire drills were now being carried out by the practice and documented. All staff had received fire safety awareness training.

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

This rating was given following the comprehensive inspection 4 November 2016. A copy of the full report following this inspection is available on our website. http://www.cqc.org.uk/search/services/doctors-gps

Latest inspection summary

On this page

Background to this inspection

Overall inspection

Letter from the Chief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP)

People with long term conditions

Families, children and young people

Older people

Working age people (including those recently retired and students)

People experiencing poor mental health (including people with dementia)

People whose circumstances may make them vulnerable