Updated 28 November 2025
Date of Assessment: 20 March 2026 to 27 March 2026. Hollins Grove Surgery is a GP practice that delivers services to approximately 2560 patients under a contract held with NHS England. The National General Practice Profiles states that 76% of patients are White, 21% Asian, and 3% Black, Mixed or Other. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 2nd decile (2 of 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.
SAFE - The service had a good learning culture and people could raise concerns. Managers investigated incidents. People were protected and kept safe. Staff understood and managed risks. The facilities and equipment usually 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. Managers made sure staff received training and regular appraisals to maintain high-quality care. Staff managed medicines well and involved people in planning any changes.
EFFECTIVE - People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff made sure people understood their care and treatment to enable them to give informed consent. The service did not meet their national targets relating to childhood immunisations or cervical screening.
CARING - People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and treatment. The service supported staff wellbeing.
RESPONSIVE - 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. The service was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. People were involved in planning their care and understood options around choosing to withdraw or not receive care.
WELL-LED - Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Managers worked with the local community to deliver the best possible care and were receptive to new ideas. The service was developing a culture of continuous improvement following it being identified that governance changes were required. Ongoing improvements included staff understanding their role at the service and policies being in place for this specific service.