The Care Quality Commission
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  • GP practice

Castle Healthcare Practice

Overall: Outstanding read more about inspection ratings

50 - 60 Wilford Lane, West Bridgford, Nottingham, Nottinghamshire, NG2 7SD (0115) 883 2626

Provided and run by:
Castle Healthcare Practice

All Inspections

During an assessment under our new approach

Date of Assessment: 24 November 2025 to 26 November 2025. Castle Healthcare Practice is a GP practice and delivers service to 17,627 under a contract held with NHS England. The National General Practice Profiles states that the ethnicity of the practice population was 79.87% White, 11.81% Asian, 2.48% Black, 3.84% Mixed and 2.01% other ethnicity. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 10th decile (1 to 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.

The service was previously rated Good and after this assessment the rating of this service has changed to Outstanding.

The service had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. People were protected and kept safe. The facilities and equipment met the needs of people, were clean and well-maintained and any risks mitigated. There were enough staff with the right skills, qualifications and experience.

People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs.

People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. The service supported staff wellbeing and promoted development.

People were involved in decisions about their care. The service provided information people could understand. People knew how to give feedback and were confident the service took it seriously and acted on it.

Leaders and staff had a shared vision and culture based on listening, learning and trust. Staff felt supported to give feedback. There was a culture of continuous improvement with staff given time and resources to try new ideas.

8 September 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Castle Healthcare Practice on 22 September 2015. Overall the practice is rated as good.

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

  • We inspected the practice within 11 months of being registered with the Care Quality Commission and found significant achievements had been made within a short time to provide a responsive and patient focused service.
  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events. All opportunities for learning from internal and external incidents were maximised.
  • 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.

  • The practice used proactive methods to improve patient outcomes, working with other local providers to share best practice. For example, they had a robust and patient focussed approach to reviewing the health needs of older people, patients on high risk medicines and people experiencing poor mental health.

  • The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they meet people’s needs.

  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Urgent appointments were usually available on the day they were requested. However, patient feedback was mixed in respect of telephone access, availability of routine appointments and waiting times.
  • The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the patient participation group.
  • The practice had excellent facilities and was well equipped to treat patients and meet their needs.
  • Information about how to complain was available and easy to understand.
  • The practice had a clear vision which had quality and safety as its top priority. The strategy and business plans to deliver this vision were regularly reviewed and discussed with staff.
  • There was a clear leadership structure and staff felt supported by management. High standards were promoted across all roles.

An area of outstanding practice:

  • The patient participation group promoted short walks on most Tuesdays leaving the surgery waiting area at 10.30am and again at 11.30am. This was aimed at promoting activity for people who may not otherwise go out for a walk alone and to create friendship opportunities.

However there were areas where the provider should make improvements:

  • Improve multi-disciplinary working and communication to ensure patients receive timely and well-coordinated care.
  • Improve processes for making appointments including the availability of non-urgent appointments and reducing waiting times.

  • Take steps to improve the number of annual health checks undertaken for people with learning disabilities.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice