The Care Quality Commission
  • Doctor
  • GP practice

Bradford Street Surgery

Overall: Good read more about inspection ratings

65 Bradford Street, Haulgh, Bolton, Lancashire, BL2 1HT (01204) 521061

Provided and run by:
Bradford Street Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Bradford Street Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Bradford Street Surgery, you can give feedback on this service.

12 July 2021

During an inspection looking at part of the service

We carried out a focused desktop review of Bradford Street Surgery on 12 July 2021. Overall, the practice is now rated good for providing ’effective’ services and remains rated ‘good’ overall.

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

Following our previous inspection on 28 January 2020, the practice was rated Good overall and for key questions safe, caring, responsive and well-led. Whilst there were no breaches of regulations the practice was rated Requires Improvement for providing effective services.

We rated the patient population groups of older people, vulnerable people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia) as good. However, we rated people with long-term conditions, families, children and young people and working age people (including those recently retired and students) as requires improvement.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Bradford Street Surgery on our website at www.cqc.org.uk

Why we carried out this review

This inspection was a focused desk top review carried out on 12 July 2021 to confirm that the practice had carried out its plan to meet the requirements in relation to those identified in our previous inspection on 28 January 2020. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.

How we carried out the review

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections and reviews differently.

This review was carried out in a way which enabled us to analyse information without spending time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included

  • Requesting evidence from the provider

Our findings

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

  • information from our ongoing monitoring of data about services and
  • information from the provider.

We have rated this practice as Good overall with the key question effective now rated as Good.

We found that:

  • A locum pack has been developed
  • Staffing levels and responsibilities have been reviewed following staff turnover
  • The practice provided unvalidated data to show improvements in cervical screening and childhood immunisations uptake
  • Reviews of patients with long term conditions was paused during the pandemic therefore the practice were unable to demonstrate improvements in those areas of care. A catch up programme was now in place

Whilst there continues to be no breaches the practice should

  • Continue to improve the data and follow up on areas of care that fall below the local and national average

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

During an inspection looking at part of the service

We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection focused on the following key questions:

Are services effective?

Are services well-led?

We based our judgement of 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 and
  • information from the provider, patients, the public and other organisations.

Because of the assurance received from our review of information we carried forward the ratings for the following key questions:

Are services safe? – Good

Are services responsive? – Good

We have rated this practice as good overall and requires improvement for providing effective services. We rated the patient population groups of older people, vulnerable people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia) as good. However, we rated people with long-term conditions; families, children and young people and working age people (including those recently retired and students) as requires improvement.

At this inspection we found:

  • The service 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.
  • Leaders demonstrated that they understood the challenges to quality and sustainability. The practice had a vision and strategy to provide good quality sustainable care.

Whilst we found no breaches of regulations, the provider should:

  • Develop the GP locum induction pack.
  • Review the administration staffing levels.
  • Improve the data for reviewing and following up on areas of care that fall below the local and national average.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

18 December 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection of Bradford Street Surgery on 18 December 2014. We found that the practice was performing at a level which led to a ratings judgement of Good.

Our key findings were as follows:

  • Staff reported incidents and learning took place. The practice had enough staff to deliver the service. The premises were clean and equipment was available for staff to undertake their duties.
  • Services were delivered using evidence based practice. There were systems in place to ensure best practice was followed and that people’s care, treatment and support achieved good outcomes.
  • Patients were treated with kindness and respect by staff. Communication with them and their families, and access to the service and to the GP was reported as good.
  • The practice took into account any comments, concerns or complaints to improve the practice. The practice reviewed the needs of their local population and engaged with the NHS Local Area Team (LAT) and Clinical Commissioning Group (CCG) to secure service improvements where these were identified.
  • The practice had an accessible and visible management team. Quality was high on the practice agenda. Staff felt supported and all reported that patients were at the heart of the practice. This included the promotion of good health. Staff had received training appropriate to their roles. The practice had an effective appraisal system in place for all staff. Multidisciplinary working was evidenced.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice