The Care Quality Commission
  • Doctor
  • GP practice

Archived: Shepley Health Centre

Overall: Good read more about inspection ratings

25 Jos Lane, Shepley, Huddersfield, West Yorkshire, HD8 8DJ (01484) 602001

Provided and run by:
Shepley Health Centre

Important: The provider of this service changed. See new profile

All Inspections

22 August 2019 to 22 August 2019

During an inspection looking at part of the service

We carried out an announced focused inspection at Shepley Health Centre on 22 August 2019. The practice was previously inspected by the Care Quality Commission in August 2015, when it received a rating of Good overall, with a rating of outstanding for providing caring services.

We decided to undertake an inspection of this service following our annual review of the information available to us, and due to the length of time since the last inspection. This inspection looked at the following key questions; are services effective and are services well-led.

We based our judgement on the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups.

We found that:

  • 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. Learning from incidents was shared with others to prevent recurrence.
  • The practice closely monitored performance, and we saw that the practice had shown improvements in areas such as antibiotic prescribing.
  • 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.
  • There was a focus on continuous learning and improvement at all levels of the organisation.
  • Services had been developed to meet the specific needs of their population.
  • The practice worked with others at a locality level to plan and develop services.
  • Staff told us they felt supported and valued by the leadership team at the practice.
  • The Patient Participation Group was active and worked closely with the practice management team.

We saw the following area of outstanding practice:

  • The practice had a strong community focus and actively reached out to the local population both to gather feedback, share their resources and improve community health and awareness.

Details of our findings and the evidence supporting our ratings are set out in the evidence table.

Dr Rosie Benneyworth BM BS MDedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

26 August 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Shepley Health Centre on 26 August 2015. Overall the practice is rated as good for providing safe, effective, responsive and well-led services. We also found it to be outstanding for providing caring services.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • 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 very easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs. The practice had an in-house audiology suite and provided a cardiac clinic within the surgery. This was of benefit to local people and reduced the need to travel to a hospital for some aspects of their care.
  • There was a clear and supportive leadership structure amongst the three partners and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the Duty of Candour (a legal requirement to be open and honest with patients when things go wrong).

We saw one area of outstanding practice:

  • Results from the national GP patient survey and feedback from patients during the inspection were of the highest level and demonstrated the caring culture evident across the practice. This included access to services, convenience, being seen promptly, feeling listened to and confidence in the clinician they saw.

The areas where the provider should make improvement are:

  • Ensure that all clinical audits are repeated to drive improvements across the practice.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice