The Care Quality Commission
  • Doctor
  • GP practice

Healey Surgery

Overall: Good read more about inspection ratings

Whitworth Road, Rochdale, Lancashire, OL12 0SN (01706) 868468

Provided and run by:
Healey 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 Healey 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 Healey Surgery, you can give feedback on this service.

24 May 2022

During an inspection looking at part of the service

We carried out an announced focused inspection at Healey Surgery on 24 May 2022. Overall, the practice is rated as Good.

The ratings for each key question are

Safe - Not inspected

Effective - Not inspected

Caring - Not inspected

Responsive - Good

Well-led - Not inspected

The practice was previously inspected on 22 December 2016 and was rated Good overall and for all key questions.

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

Why we carried out this inspection

This inspection was a focused inspection as part of our monitoring process where it was identified that the practice scored poorly in the national GP survey January to March 2021:

How we carried out the inspection

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 differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of 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 and
  • A short site visit

Our findings

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.

We have rated this practice as Good overall

We found that:

  • Staff dealt with patients with kindness and respect and involved them in decisions about their care. Staff were able to speak to some patients in a language of their choice and in a calm and friendly manner.
  • The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
  • The practice developed the cultural competence of staff to address the needs of their diverse population. For example, ensuring timely completion of documentation following patient deaths to facilitate religious burial timeframes.

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

  • Continue to obtain, monitor and improve patient satisfaction

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

7 December 2016

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

This is a focused follow-up inspection of Healey Surgery for one area within the key question safe. We found the practice to be good in providing safe services. Overall the practice is rated as good.

The practice was previously inspected on 20 October 2015. The inspection was a comprehensive inspection under the Health and Social Care Act 2008. At that inspection the practice was rated good overall. However, within the key question safe, areas were identified as requiring improvement because the practice was not meeting the legislation at that time:

Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Safe care and treatment.

  • The provider was not operating within its own repeat prescribing policy and procedure or good practice guidance when taking repeat prescription requests over the telephone or issuing repeat prescriptions.

Regulation 19 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Fit and proper persons employed.

  • Not all appropriate recruitment checks had been undertaken prior to employment. For example, not all staff had proof of identification, references, qualifications, registration with the appropriate professional body and the appropriate checks through the Disclosure and Barring Service.
  • Not all members of staff acting as chaperones had received a DBS check or had received appropriate training

The practice provided us with an action plan detailing how they were going to make the required

improvements. During the inspection on 7 December 2016 the practice showed us evidence which demonstrated they are now meeting the requirements of Regulation 12 and Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

20 October 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Healey Surgery on 20 October 2015. Overall the practice is rated as good.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks. Not all appropriate staff had undergone a check with the Disclosure and Barring Service. (DBS)
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance with the exception of the telephone prescription ordering system
  • 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 difficult to contact the practice using the telephone system however when they did get through they said they found it easy to make an appointment with a GP and that there was continuity of care. Urgent appointments were available the same day but not always with a named GP.
  • 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.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider must

  • Ensure recruitment arrangements include all necessary employment checks for all staff
  • Ensure staff have received full training appropriate to their role
  • Ensure there is a clear policy with regard to repeat prescribing and to operate within own repeat prescribing policy.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice