Archived: Dr Davis's Medical Practice Also known as Leicester Road Medical Centre

Updated 17 September 2015

The practice is located within a row of commercial shop premises at 53 Leicester Road, Salford. The practice is due to move to new purpose built premises later this year.

The practice provides a service for 3400 patients. Over 90% of the patient population group are Orthodox Jews and this creates an atypical demographic for the practice.

As well as the registered provider Dr Davis (who works full time), the practice has two other GPs who work on a part time basis. One of these GPs is male and salaried and works three days each week, and the other is a female locum who works a regular day each week. The practice also has a health care assistant (HCA) and several part time reception and administration staff.

The Practice is open from 8:00am to 7:30pm on Monday and to 6:30pm Tuesday to Thursday. Due to religious reasons the practice is closed on Friday afternoons, opening 8:00am to 3:00pm. Cover is provided by a nearby health centre should patients require appointments during this time. Out of hours services are also available to patients.

Updated 17 September 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at the practice of Dr Wayne Sefton Davis on 7th July 2015. Overall the practice is rated as requires improvement.

Specifically, we found the practice to be good for providing safe, responsive and caring services. It still required improvement for providing effective and well led services.

We found that many improvements had been made since the previous inspection of October 2014 when the practice had been rated as Inadequate. We also found areas where improvement was still required. The provider was aware of the further work that needed to be completed.

Our key findings across all the areas we inspected were as follows:

• Improvements had been secured since the previous inspection.
• Policies and procedures had been developed and reviewed and made available to staff.
• Infection control was more effectively managed.
• Staff recruitment procedures were more robust.
• Medicines were more effectively managed.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.

• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• Staff were aware of their responsibilities to raise concerns and felt confident to do this.

However there were areas of practice where the provider must still make improvements.

Importantly the provider must

• Ensure that staff receive training appropriate to their roles and responsibilities..
• Ensure that governance systems are further developed in order to improve outcomes for patients.

The provider also should

• Develop a more focused Business Continuity Plan.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 17 September 2015

The practice is rated as requires improvement for the care of people with long-term conditions. The improvements required to how effective and well led the practice is impacts across all population groups. Patients at risk of hospital admission were identified as a priority and supported. Longer appointments and home visits were available when needed. 

Updated 17 September 2015

The practice is rated as requires improvement for the care of families, children and young people. The improvements required to how effective and well led the practice is impacts across all population groups. There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk. For example, children and young people who had a high number of A&E attendances. Immunisation rates for the standard childhood immunisations were mixed and required a strategy for improvement. Patients told us that children and young people were treated in an age-appropriate way. Appointments were available outside of school hours.

Updated 17 September 2015

The practice is rated as requires improvement for the care of older people. The improvements required to how effective and well led the practice is impacts across all population groups.Longer appointments and home visits were available for older people when needed, and this was acknowledged positively in feedback from patients. Patients commented that they benefitted from a continuity of care. The leadership of the practice engaged with this patient group to look at further options to improve services for them.

Updated 17 September 2015

The practice is rated as requires improvement for the care of working-age people (including those recently retired and students). Improvements required to how effective and well led the practice is impacts across all population groups. The practice offered extended opening hours for appointments on Mondays till 7:30pm and was open till 6:30pm on Tuesdays, Wednesdays and Thursdays to allow patients to access the service. Health promotion advice was offered and there was health promotion material available through the practice.

Updated 17 September 2015

The practice is rated as requires improvement for the care of people experiencing poor mental health (including people with dementia). Improvements required to how effective and well led the practice is impacts across all population groups. Data indicated that the practice needed to improve the reviews of patients in this category.

The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations including MIND. We were told that most patients were reluctant to access support services out the Orthodox Jewish community. The practice had a system in place to follow up patients who had attended accident and emergency (A&E) where they may have been experiencing poor mental health. Staff required training on the Mental Capacity Act 2005 .

Updated 17 September 2015

The practice is rated as requires improvement for the care of people whose circumstances may make them vulnerable. The improvements required to how effective and well led the practice is impacts across all population groups

The practice worked with multi-disciplinary teams in the case management of vulnerable people. It had told vulnerable patients about how to access various support groups and voluntary organisations. Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.