- GP practice
Holbrooks Health Team
Assessment report published 19 June 2026
Contents
Ratings
Our view of the service
Date of Assessment: 26 May 2026 to 10 June 2026. Holbrooks Health Team is a GP practice and delivers service to 12,565 patients under a contract held with NHS England. The National General Practice Profiles states that the ethnic make-up of the practice population is 65% White, 20% Asian, 7% Black, 4% Other and 4% Mixed. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the third decile (3 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 positive learning culture and people could raise concerns. Managers investigated incidents thoroughly. People were protected and kept safe. Staff understood and managed risks. There were enough staff with the right skills, qualifications and experience. The facilities and equipment met the needs of people, were clean and well-maintained and any risks mitigated. However, we found insufficient systems in place to provide assurance that cleaning is undertaken consistently and that appropriate standards were maintained. In addition, our review of the clinical system identified gaps in the monitoring of medicines, including high‑risk medicines requiring regular blood tests.
EFFECTIVE:
People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. 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. Staff involved those important to people took decisions in people’s best interests where they did not have capacity. However, care was not always based on latest evidence and good practice as our review of clinical searches found shortfalls in the follow up of patients when this was required.
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 accessible via various routes and worked to eliminate discrimination. People received fair and equal care and treatment. The service worked to reduce health and care inequalities through training and feedback. People were involved in planning their care and understood options around choosing to withdraw or not receive care. We found the provider had implemented changes to improve access which was reflected in the National GP Patient Survey.
WELL-LED:
Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment.
However, we identified gaps in governance systems, including the oversight of high‑risk medicine prescribing and monitoring, assurance of cleaning standards, and the management of staff records. Although the provider had begun to take action to address these issues, governance arrangements were not operating effectively to provide sufficient assurance or support continuous improvement.
We found a breach of regulation in relation to Regulation 17: good governance. We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
People were mainly positive about the quality of their care and treatment. Recent survey results, including from the National GP Patient Survey and the NHS Friends and Family Test, showed people were satisfied with services. There was an active patient participation group (PPG) who represented the views of people using the service. Representatives from the PPG described how managers made positive changes because of feedback, such as availability of doctors and increasing diabetes clinics.