• Doctor
  • GP practice

Archived: Little Lever Health Centre-2

Overall: Inadequate read more about inspection ratings

63 Market Street, Little Lever, Bolton, BL3 1HH (01204) 462988

Provided and run by:
Dr Thiruppathy Subramanian

Important:

We served a warning notice on Dr Thiruppathy Subramanian on 20/12/2024 for failing to meet the regulations related to safe care and treatment, good governance and fit and proper persons employed at Little Lever Health Centre & Little Lever Library.

Assessment report published 23 May 2025

On this page

Effective

Inadequate

16 April 2025

We did not assess all quality statements in this key question. We only assessed the parts of the quality statements that were included in the warning notices we issued to the provider on 19 December 2024.

Patients prescribed some high risk medicines did not receive the required monitoring of their health.

At our last assessment this key question was rated as Inadequate. This assessment was carried out to check if the provider had complied with the warning notices issued to them as an outcome of the last assessment. The rating awarded at this assessment remains Inadequate.

This service scored 33 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Assessing needs

Score: 1

The assessment of November 2024 found systems and processes to keep clinicians up to date with current evidence-based practice were not effective, so people’s ongoing needs were not always met. A number of set clinical record searches were undertaken by a CQC GP specialist advisor without visiting the practice. Several issues were highlighted during these searches.

At this assessment we found some improvements had been made but there were still issues. People prescribed anti-coagulant medicines had not had all the required monitoring. The people we looked at in detail were not up to date with the required monitoring of their health. In addition, we found older people prescribed non-steroidal anti-inflammatory drugs (NSAIDs) who were not also prescribed proton pump inhibitors (PPIs) to decrease stomach acid which can result from taking NSAIDs. These issues had also been highlighted at the previous assessment.

In addition, we found that medicine reviews usually consisted of a code entered onto the clinical records, with no explanation of what had been considered or reviewed.

Delivering evidence-based care and treatment

Score: 1

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

How staff, teams and services work together

Score: 1

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

Supporting people to live healthier lives

Score: 3

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

Monitoring and improving outcomes

Score: 1

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.