Cornerstone Surgery

Updated 2 August 2018

Cornerstone Surgery provides general medical services to 4037 patients within the Bolton Clinical Commissioning Group area. Services are provided from 469-471 Chorley Old Road, Bolton, Lancashire BL1 6AH

The practice has a website that contains comprehensive information about what they do to support their patient population and the in house and online services offered: www.cornerstonesurgery.nhs.uk

Information taken from Public Health England placed the area in which the practice is located as number four on the deprivation scale of one to ten. (The lower the number the higher the deprivation). In general, people living in more deprived areas tend to have greater need for health services.

The practice offers services that include the national screening programmes for cervical screening, breast screening, bowel screening and abdominal aortic aneurysm screening.

The patient population comprises of:

White: 84.5%

Mixed race: 2%

Asian: 11.4%

Black: 1.6%

Other race: 0.6%

There are five female GPs working at the practice. Two are partners, two are salaried GPs and one is a long term locum GP. The GPs work between one and five sessions per week. There are two advance nurse practitioners, a practice nurse and health care assistant. There is a practice manager and a team of administration/reception staff. All of these staff are female and work part-time.

The practice’s regulated activities are:

Surgical procedures

Treatment of disease, disorder or injury

Family planning

Diagnostic and screening procedures

Maternity and midwifery services

Updated 2 August 2018

This practice is rated as Good overall.

We carried out an announced comprehensive inspection at Cornerstone Surgery on 26 June 2018 as part of our inspection programme.

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

At this inspection we found:

• Overall, 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.
• Most patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• The practice should consider obtaining a defibrillator in case of an emergency at the practice.
• A copy of the Medicine and Healthcare products Regulatory Agency alerts should be kept with the pharmacist so they can monitor this information
• Clear records should be maintained of prescription pads that are ordered, received, distributed and issued. This will allow a full audit trail in the event of any security incident.
• The system for gathering information for a home visit should be developed to include questions to determine whether a patient should call an ambulance rather than wait for a home visit. A question about sepsis should be included to assist staff in assessing the level of urgency.
• The procedure for when following up on children who do not attend a hospital appointment should be developed to record actions taken.

Updated 2 August 2018

Updated 2 August 2018

Updated 2 August 2018

Updated 2 August 2018

Updated 2 August 2018

Updated 2 August 2018