Haslingden Healthcare

We carried out an announced comprehensive inspection at Haslingden Healthcare on 5 and 6 December 2022. Overall, the practice is rated as good.

Each key question is rated as follows:

Safe - requires improvement

Effective - good

Caring - good

Responsive - good

Well-led - good

Why we carried out this inspection

We carried out this inspection in line with our inspection priorities. This was the first inspection of this GP practice under this registered provider.

This inspection was a comprehensive rating inspection where we reviewed all five key questions; Safe, Effective, Caring, Responsive and Well led.

How we carried out the inspection

Our inspection included:

• Conducting staff interviews using video conferencing, as well as face to face.
• Reviewing feedback received by the CQC regarding the service.
• Completing clinical searches on the practice’s patient records system remotely; (this was with consent from the provider and in line with all data protection and information governance requirements).
• Reviewing patient records to identify issues and clarify actions taken by the provider.
• Requesting evidence from the provider.
• Reviewing data available in the public domain.
• A site visit.
• Speaking with patients on the telephone the day after our visit.

Our findings

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We found that:

• Some clinical monitoring checks had not been undertaken and some medication reviews were not recorded to a consistent safe standard. The practice acknowledged this and was taking immediate action to address these issues.
• There was strong effective leadership supported by systems and processes to identify vulnerable patients, keep people safe and to safeguard patients from abuse.
• Systems were in place to respond to incidents and complaints and where learning was identified this was cascaded so improvements could be made when necessary.
• Infection prevention and control was appropriately managed.
• There were processes in place to manage the flow of patients and to coordinate, monitor and respond to the presenting clinical needs of patients.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• Patient feedback received the day after the inspection was wholly positive, with patients providing specific examples of how the practice had supported them.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

We found one breach of regulations. The provider must:

Ensure care and treatment is provided in a safe way to patients.

In addition the provider should:

• Formalise and record the support provided to staff working in advance clinical positions.
• Record an overarching action plan for all the improvement activity being implemented to assist evaluation of achievement in meeting practice objectives.
• Implement planned data cleanse of the carers register.
• Explore ways of involving patients in how the service is delivered and continue to canvas patients to restart a Patient Participation Group (PPG).
• Enlarge the practice Mission/ Value pictogram on the practice website.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services