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  • GP practice

Padiham Group Practice

Overall: Good read more about inspection ratings

Padiham Medical Centre, Burnley, Lancashire, BB12 8BP (01282) 731333

Provided and run by:
Padiham Group Practice

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Padiham Group Practice 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 Padiham Group Practice, you can give feedback on this service.

4 December 2019

During an annual regulatory review

We reviewed the information available to us about Padiham Group Practice on 4 December 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

14 March 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Padiham Group Practice on 13 September 2016.

At the inspection in September 2016 the overall rating for the practice was good, although the key question Safe was rated requires improvement. The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for Padiham Group Practice on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on the 14 March 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in one regulation that we identified in our previous inspection on 13 September 2016. This report covers our findings in relation to that requirement.

Overall the practice is rated as good

Our key findings were as follows:

At our previous inspection in September 2016 we found that;

  • Not all potential risks to patients and staff had been adequately assessed and appropriate systems were not in place to address risks including: a legionella risk assessment and checks that cleaning had been carried out.
  • A member of non-clinical staff checked vaccine storage fridge temperatures each day, although records were not complete and there was no guidance on meeting regulations for vaccine storage.
  • During the inspection, evidence showed that a number of staff and GPs did not have up to date training to the required level for safeguarding vulnerable children and adults. The practice was unable to provide a safeguarding register during the inspection.
  • Training records did not provide assurance that all staff had completed mandatory and role specific training.

We requested information for this desk top review about any progress the practice may have undertaken in responding to the areas we identified previously where the provider should take action. At this review we saw evidence that all staff had been registered with an online training provider. The practice manager had been tasked with maintaining the training records for all staff to ensure that all records were current and up to date. A Legionella risk assessment had been carried out. The practice manager had submitted evidence to show that staff were following guidance on vaccine storage. Evidence to demonstrate that clinical staff had attended safeguarding training to the appropriate level was submitted by the practice.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice


13 September 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Padiham Group Practice on 13 September 2016. Overall the practice is rated as good.

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

  • The practice used innovative and proactive methods to improve patient outcomes, this included developing a community interest company project which ran from 2011 to 2015 called the Green Dreams Project which provided local, community-based solutions in East Lancashire to unemployment, isolation and reduced quality of life.

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

  • Many risks to patients were assessed and managed. However we found systems and processes to fully support risk management were not consistently in place.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. There were gaps in training records which did not consistently ensure all staff had 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. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • Despite ongoing building work, the practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure 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.

We saw one area of outstanding practice in the development of a local community interest company:

The practice, in particular the lead GP, had led and developed the community interest company the Green Dreams Project to improve support for patient wellbeing. This recognised that some health issues are affected by social situations and set in place support to help people identify their strengths and overcome problems including social isolation, employment and community engagement. Between 2011 and 2015, this service received funding from East Lancashire Primary Care Trust, later East Lancashire Clinical Commissioning Group (CCG) and the University of Central Lancashire undertook an evaluation of the impact of the project. The success led to the service being rolled out throughout East Lancashire to 20 GP surgeries in seven towns. The service received 1,000 referrals annually for wellbeing support.

Although the funding for the Green Dreams Project ended in December 2015 when a new well-being service was commissioned by Lancashire County Council, the practice remained committed to developing a social prescribing model for the local area and also working with partners to develop new local services for patients.

The Green Dreams Project also developed the local community nursing team which provided advanced practitioner nursing for 17 practices in the Burnley locality and took the lead in the development of the local integrated neighbourhood team which bought together health and social care professionals to ensure the most complex patients were given appropriate health and social care support. This advanced practitioner nursing team continued to provide services with funding from the CCG.

The areas where the provider must make improvement are:

  • The practice must ensure that all potential risks to patients and staff are adequately assessed and appropriate systems put in place to manage risks.

  • The practice must ensure that vaccine storage fridge temperatures are checked and recorded on a daily basis and that staff checking fridges are adequately trained and aware of the regulations for vaccine storage.

  • The practice must complete actions to ensure safeguarding is prioritised to include standardising coding for safeguarding concerns, maintaining accurate safeguarding registers, regular liaison with health visitors and appropriate safeguarding training for all staff.

  • Improve the recording and monitoring of staff training to demonstrate that all staff are in date with mandatory training and specialist skills training.   

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice