The Care Quality Commission
  • Doctor
  • GP practice

Castleton Health Centre

Overall: Good read more about inspection ratings

2 Elizabeth Street, Castleton, Rochdale, Lancashire, OL11 3HY (01706) 658905

Provided and run by:
Castleton Health Centre

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Castleton Health Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Castleton Health Centre, you can give feedback on this service.

8 August 2019

During an annual regulatory review

We reviewed the information available to us about Castleton Health Centre on 8 August 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

11 January 2017

During an inspection looking at part of the service

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

3 February 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Castleton Health Centre on 3 February 2015.Overall the practice is rated as good.

Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services. It required improvement for providing safe services.

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

  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents.
  • Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff stated they had received training appropriate to their roles.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Patients said they found it easy to make an emergency appointment with a GP and that there was continuity of care, with urgent appointments available the same day.
  • The practice had a dedicated telephone number for residential and nursing homes to use to help prevent emergency admissions to hospital.
  • The practice had worked with the patient participation group (PPG) and held a carers’ open day. This was to identify carers, engage with them and offer support.

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

Importantly the provider must:

  • Ensure there are systems in place to safeguard patients from abuse. This includes having policies and procedures in place for staff to follow and providing training for all staff in safeguarding children and vulnerable adults.
  • Ensure they operate an effective recruitment system by obtaining the information required under Schedule 3 of the Health & Social Care Act 2008 (Regulated Activities) Regulations 2010 and ensuring staff are of good character.
  • Provide health and safety training for staff, update health and safety risk assessments and ensure all appropriate safety checks are carried out at appropriate intervals.

Also the provider should:

  • Formalise meetings held between clinicians and other staff and keep a record of these meetings.
  • Ensure that electrical testing of portable appliances is up to date.
  • Keep a record of the training staff have completed to ensure it is updated at the correct intervals.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice