Updated 21 August 2025
Date of Assessment: 23 to 24 September 2025. Chapelthorpe Medical Centre is located on Standbridge Lane, Wakefield, West Yorkshire. The practice is located in purpose-built premises. The building has 2 floors and is accessible for those with a disability. There is on-site parking available for patients, and an independent pharmacy is located next to the practice.
The practice serves a patient population of approximately 14,000 and is a member of NHS West Yorkshire Integrated Care Board. The practice provides services under the terms of the Personal Medical Services (PMS) contract. The practice is part of the West Wakefield Primary Care Network (PCN).
The provider is registered with the Care Quality Commission (CQC) to deliver the Regulated Activities: diagnostic and screening procedures; family planning; maternity and midwifery services; surgical procedures and treatment of disease, disorder or injury.
Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the seventh decile (7 of 10). The lower the decile, the more deprived the practice population is relative to others. According to the latest available data, the ethnic make-up of the practice area is 95% White and 2% Asian with the remaining 3% being Black, Mixed and other non-white backgrounds. This assessment considered the demographics of the people using the service, the context the practice was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
We carried out this announced, comprehensive assessment due to the length of time since the previous inspection in June 2016 and following information of concern we received via our Give Feedback on Care form on the CQC website. At this assessment we found:
Safe: The service had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. There were systems in place to ensure people were safe and safeguarded from abuse. The facilities and equipment met the needs of people, were clean and well-maintained, however we found that risks identified were not always acted upon within a timely manner.
There were enough clinical staff with the right skills, qualifications and experience. However, at the time of our assessment the practice was recruiting additional administerial staff to support the existing workforce. Managers made sure staff received training to maintain high-quality care. Staff managed medicines well and involved people in planning any changes.
Effective: We looked for evidence that staff involved people in decisions about their care and treatment and provided them advice and support. Staff regularly reviewed people’s care and worked with other services to achieve this. People were involved in assessments of their 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 between services. Staff made sure people understood their care and treatment to enable them to give informed consent.
Caring: We looked for evidence that the service involved people and treated them with compassion, kindness, dignity and respect. 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 practice supported staff wellbeing.
Responsive: We looked for evidence that the service met people’s needs, and that staff treated people equally and without discrimination. People were involved in decisions about their care. The practice provided information people could understand. People knew how to give feedback and were confident the practice took it seriously and acted on it. The practice was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. The practice worked to reduce health and care inequalities through training and feedback.
Well-Led: We looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.
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.
Staff understood their roles and responsibilities. However, we found some issues with governance arrangements across some areas.
Managers worked with the local community to deliver the best possible care and were receptive to new ideas.
We have rated this service good overall and good for all the key questions.