• Doctor
  • GP practice

The Northolme Practice

Overall: Good read more about inspection ratings

Kos Clinic, 4 Roydlands Street, Hipperholme, Halifax, West Yorkshire, HX3 8AF (01422) 205154

Provided and run by:
The Northolme Practice

All Inspections

During an assessment under our new approach

Date of Assessment: 8 April 2026. The Northolme Practice is a GP service which operates from 4 Roydlands Street, Hipperholme, Halifax, HX3 8AP, and delivers services to approximately 16,500 people under a contract managed by NHS West Yorkshire Integrated Care Board. The service also operates a branch site, Northowram Surgery, located at Northowram Green, Northowram, Halifax, HX3 7JE which is around 2 miles from the main practice. According to the latest available data, the ethnic make-up of the service area is approximately 95% White, 2% Asian, 2% Mixed, 0.5% Black and 0.5% Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the service population group is in the 9th decile (9 of 10). The lower the decile, the more deprived the service population is relative to others.

This was a focused assessment. We undertook this assessment due to the length of time since our last assessment. We assessed 10 quality statements from across all 5 key questions. 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.

Staff kept facilities clean and managed the risk of infection. There were enough staff with the right skills, qualifications and experience. However, we found that some health and safety checks and assessments were not up to date, and that there was only limited organisational assurance regarding staff vaccination and immunisation status. Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes. Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity. People could access care, treatment and support when they needed it. We saw that demands on capacity were being effectively managed. Leaders and staff were alert to discrimination and inequality that could disadvantage groups of people who used the service and sought ways to address any barriers. The service had a clear vision and strategy, which considered the needs of the people who used their service and the wider community. Staff understood their individual roles and responsibilities. Whilst governance processes were generally in place and well embedded, we identified concerns regarding the oversight of key work areas such as the CQC registration status of the organisation, health and safety management, and staff vaccinations and immunisation status.

8 January 2019

During an inspection looking at part of the service

We carried out an announced comprehensive inspection at The Northolme Practice on 9 January 2019. The overall rating for the practice was good, with requires improvement for providing safe services.

The full comprehensive report on the January 2019 inspection can be found by selecting the ‘all reports’ link for The Northolme Practice on our website at .

This inspection was an announced focused inspection, carried out on 8 January 2020 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified at our previous inspection on 9 January 2019.

This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good. The key question of are services safe is now also rated as good.

At our previous inspection on 9 January 2019 we rated the practice as requires improvement for providing safe services as disclosure and barring service (DBS) checks had not been carried out for staff performing chaperone duties, and risk assessments to this effect had not been completed. In addition, infection prevention and control processes were not sufficiently thorough; actions from premises risk assessments had not been carried out and window blind cords were not secured in line with safety regulations in all cases. We also found that systems for logging and tracking blank prescriptions were not sufficiently thorough, and staff vaccination status was not reviewed in line with department of health guidelines.

At this inspection we found that these issues had been addressed, and additional improvements had also been implemented.

Our key findings were as follows:

  • The provider had reviewed their approach to DBS checks. These were completed for all staff, including those undertaking chaperone duties.
  • Infection prevention and control processes were thoroughly implemented and understood by all.
  • Actions from premises risk assessments had been completed.
  • Systems for logging and tracking blank prescriptions had been improved.
  • Window blind cord loops were appropriately secured in line with legal requirements.
  • Staff vaccination status had been reviewed and staff signposted to receive any outstanding immunisations.
  • Appraisals for all staff, including non-clinical staff had been scheduled within timescales.
  • Systems for dissemination of clinical updates were improved and embedded.
  • Systems for identifying vulnerable adults on clinical records had been developed and were being rolled out.

The areas where the provider should make improvements are:

  • Update their recruitment policy to accurately reflect the decisions made in relation to staff DBS checks.
  • Develop formal written guidance to assist non-clinical staff in identifying and appropriately signposting patients with urgent or less urgent needs.

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

17 March 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Northolme Practice on 17 March 2015. Overall the practice is rated as good.

Specifically we rated the practice as good in providing safe, effective, caring, responsive and well-led care for all of the population groups it serves.

Our key findings were as follows:

  • Patients said they found it easy to make an appointment with a preferred GP, there was continuity of care and urgent appointments were available the same day.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • Patients said they were treated with compassion, dignity and respect and were involved in care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Complaints were addressed in a timely manner and the practice endeavoured to resolve complaints to a satisfactory conclusion.
  • 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.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.

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

The provider should:

  • Ensure that records are available to show what training staff had and when, so to enable the practice as to monitor the training needs of staff in general

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice