The Care Quality Commission
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Archived: Tyldesley Health Centre Also known as IntraHealth Limited

Overall: Good read more about inspection ratings

Tyldesley Health Centre, Poplar Street, Tyldesley, Manchester, Lancashire, M29 8AX (01942) 481680

Provided and run by:
IntraHealth Limited

All Inspections

19 October 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Tyldesley Health Centre on 18 August 2016. The overall rating for the practice was good however there were improvements required in the key question safe. The full comprehensive report on the 18 August 2016 inspection can be found by selecting the ‘all reports’ link for Tyldesley Health Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 19 October 2017 to confirm the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspections. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice remains rated as good and the rating for the key question of ‘safe’ is now good.

Our key findings at this inspection were as follows:

  • We spoke with staff and reviewed a range of documents which demonstrated they were now meeting the requirements of Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Safe Care and Treatment.
  • The practice had systems in place to ensure emergency medication and consumables were in date and fit for purpose.
  • There was a robust system in place to ensure chaperoning was undertaken in accordance with good practice guidelines.
  • Plans were in place to replace carpets in treatment rooms.
  • There was an effective system in place for appraisals for all staff.
  • The practice included the contact details of organisations in complaints responses that patients can go to should they not be satisfied with the response provided by the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

18/8/16

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Tyldesley Health Centre on 18 August 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • 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.
  • Risks to patients were assessed and well managed, including those relating to recruitment checks.
  • 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.
  • Data showed patient outcomes were in line with those locally and nationally.
  • Feedback from patients about their care was consistently and strongly positive,
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • The practice implemented suggestions for improvements and made changes to the way it delivered services as a result of feedback from patients.
  • Information about services and how to complain was available and easy to understand.
  • Patient feedback in realtion to accessing appointments and continuity of care was mixed compared to local and national averages. However urgent appointments were available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

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

Importantly, the provider must:

  • Have systems in place to ensure emergency medication and equipment is in date and working order.

In addition the provider should:

  • Consider a consistent approach to chaperoning.
  • Consider rooms used for treatment have appropriate flooring and impervious furniture in line with good practice.
  • Consider responses to complaints include the contact details of organisations patients can go to should they not be satisfied with the response provided by the practice.
  • Consider all staff have access to appraisals.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice