Castleton Health Centre

Updated 14 February 2017

Castleton Health Centre is a purpose built two storeys building in the Castleton area of Rochdale.

There are six partners at the practice, four male and two female and a part time salaried GP. There are also three practice nurses, a locum nurse, a primary care technician, a practice and office manager and reception and administrative staff. They are also a GP training practice and there was a junior GP at the time of our inspection who was able to see patients under the guidance of one of the partners.

The practice opening hours are as follows :

Monday  08:30 - 12:00  13:30 - 18:00 

Tuesday  08:30 - 12:00  13:30 - 18:00 

Wednesday  09:00 - 12:00  13:30 - 18:00

Thursday  08:30 - 12:00  13:30 - 18:00

Friday  08:30 - 12:00  13:30 - 18:00

Saturday  Closed  Sunday  Closed

The practice offer evening appointments one night a week to help patients who struggle to get in in usual hours due to commitments such as work. Between 8am – 8:30 am and 6pm – 6:30pm, Monday to Friday the out of hours services were available.

Services are commissioned under a General Medical Services (GMS) contract and at the time of our inspection 9731 patients were registered with the practice.

The practice had a higher than average number of older patients.

Castleton Health Centre have opted out of providing out-of-hours services to their patients. This service is provided by a registered out of hours provider.

Updated 14 February 2017

Letter from the Chief Inspector of General Practice

We carried out our first announced comprehensive inspection at Castleton Health Centre on 3 February 2015. The overall rating for the practice was Good. The full comprehensive report following the inspection on 3 February 2015 can be found by selecting the ‘all reports’ link for Castleton Health Centre on our website at www.cqc.org.uk.

At that time our key findings were as follows:

Within the key question safe, recruitment and safeguarding were identified as requiring improvement, as the practice was not meeting the legislation at that time. The areas where the practice was told they must make improvement were as follows :

• Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 which corresponds to Regulation 10 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014. The registered person did not assess the risks to people’s health and safety and could not evidence that all staff had the qualifications, competence, skills and experience to keep people safe.
• Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010, which corresponds to regulation 11 (1)(a) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. No policies were in place for the safeguarding of children or vulnerable adults. There was no record of safeguarding training for any staff although clinical staff stated they had been trained in safeguarding children. Non-clinical staff had not been told how to escalate safeguarding concerns.
• Regulation 19 (1)(a)(b)(2)(3) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010, which corresponds to regulation 21(a)(i)(ii)(b) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The registered person did not operate robust recruitment procedures to ensure they only employed fit and proper staff.

This most recent inspection was an announced focused inspection carried out on 11 January 2017 to confirm that 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 inspection on 3 February 2015. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

The overall rating for the practice remains as good.

Our key findings were as follows:

• There was a health and safety representative and we saw evidence of risk assessments of the practice undertaken every three months. All staff had received health and safety training including fire safety. All gas and electrical equipment had been checked to ensure it was safe.
• The practice had introduced up to date policies for the safeguarding of children and vulnerable adults. All staff had received level 3 safeguarding training and they understood how to escalate safeguarding concerns to the safeguarding lead and directly to the safeguarding community team if appropriate.
• The provider’s recruitment policy included a requirement for the check of professional registration and qualifications, and consideration of a Disclosure and Barring Service (DBS) check. We saw that checks that staff were of good character had been obtained and other evidence, such as a check of a staff member’s identity, and DBS checks for all staff were kept on the personnel files.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 14 February 2017

The practice is rated as good for the care of people with long-term conditions

This rating was given following the comprehensive inspection 3 February 2015. The full comprehensive report following the inspection on 3 February 2015 can be found by selecting the ‘all reports’ link for Castleton Health Centre on our website at www.cqc.org.uk.

Updated 14 February 2017

The practice is rated as good for the care of families, children and young people

This rating was given following the comprehensive inspection 3 February 2015. The full comprehensive report following the inspection on 3 February 2015 can be found by selecting the ‘all reports’ link for Castleton Health Centre on our website at www.cqc.org.uk.

Updated 14 February 2017

The practice is rated as good for the care of older people.

This rating was given following the comprehensive inspection 3 February 2015. The full comprehensive report following the inspection on 3 February 2015 can be found by selecting the ‘all reports’ link for Castleton Health Centre on our website at www.cqc.org.uk.

Updated 14 February 2017

The practice is rated as good for the care of working age people (including those recently retired and students)

This rating was given following the comprehensive inspection 3 February 2015. The full comprehensive report following the inspection on 3 February 2015 can be found by selecting the ‘all reports’ link for Castleton Health Centre on our website at www.cqc.org.uk.

Updated 14 February 2017

The practice is rated as good for the care of working age people experiencing poor mental health (including people with dementia)

This rating was given following the comprehensive inspection 3 February 2015. The full comprehensive report following the inspection on 3 February 2015 can be found by selecting the ‘all reports’ link for Castleton Health Centre on our website at www.cqc.org.uk.

Updated 14 February 2017

The practice is rated as good for the care of working age people whose circumstances may make them vulnerable

This rating was given following the comprehensive inspection 3 February 2015. The full comprehensive report following the inspection on 3 February 2015 can be found by selecting the ‘all reports’ link for Castleton Health Centre on our website at www.cqc.org.uk.