The Care Quality Commission
  • Doctor
  • GP practice

Halliwell Surgery 3 Also known as Drs Uddin & Anwar

Overall: Good read more about inspection ratings

The Halliwell Surgery, Lindfield Drive, Halliwell, Bolton, Lancashire, BL1 3RG (01204) 523716

Provided and run by:
Halliwell Surgery 3

All Inspections

24/07/23

During an inspection looking at part of the service

We carried out an announced focused inspection at Halliwell Surgery 3 (also known as Drs Uddin and Anwar) on 24 July 2023. Overall, the practice is rated as Good.

Safe - Good

Effective - not inspected, rating of good carried forward from previous inspection.

Caring - not inspected, rating of good carried forward from previous inspection.

Responsive - not inspected, rating of good carried forward from previous inspection.

Well-led - not inspected, rating of good carried forward from previous inspectio'.

Following our previous inspection on 23 September 2022 the practice was rated Good overall and for the key questions effective, caring, responsive and well led, but requires improvement for providing safe services.

The full reports for previous inspections can be found by selecting the 'all reports' link for Halliwell Surgery 3 on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection to follow up breaches of regulation from the previous inspection on 23 September 2022 and followed up only those areas of concern in the safe key question. We did not inspect the whole of the Safe key question. The concerns related to recruitment, infection control and safety alerts.

How we carried out the inspection/review

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site and included :-

  • A review of pre inspection information submitted by the practice,
  • A short site visit where we undertook an interview with the practice manager, looked at personnel files, training and supervisions, and observed the areas in the building where shortfalls had been found previously.

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:

  • The service had addressed all concerns identified at the previous inspection relating to the safe key question.
  • All staff including clinicians had up to date safeguarding and infection control training.
  • There was a system to ensure safety alerts were managed appropriately.
  • Sharps bins were wall mounted securely and were replaced within required times.
  • Oxygen cylinders were safely stored.
  • The practice was working towards improving the levels of cervical screening.
  • There was an improved system to monitor training, and learning needs were identified during staff appraisals.

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 Health Care

23 September 2022

During an inspection looking at part of the service

We carried out an announced inspection at Halliwell Surgery 3 (also known as Dr Uddin and Dr Anwar) on 23 September 2022. Overall, the practice is rated as good, with the following key question ratings:

Safe - requires improvement

Effective - good

Caring - not inspected, rating of good carried forward from previous inspection

Responsive - not inspected, rating of good carried forward from previous inspection

Well-led - good

Following our previous inspection on 10 November 2016, the practice was rated good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Halliwell Surgery 3 on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection in line with our inspection priorities. We inspected the key questions of safe, effective and well-led, and looked at access with the key question responsive.

How we carried out the inspection/review

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

  • Conducting staff interviews using video conferencing.
  • Completing clinical searches on the practice’s patient records system (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.
  • A short site 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 rated the practice requires improvement for providing safe services:

  • Training for safeguarding and infection prevention and control was not up to date for all staff.
  • Recruitment processes were not effective.
  • Sharps bins were not used in a safe way.
  • Oxygen cylinders were not stored in a safe way.
  • The system for managing safety alerts was not fully effective.

We rated the practice good for providing effective services:

  • Patients received effective care and treatment that met their needs.

We rated the practice good for providing well-led services:

  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

We found two breaches of regulations. The provider must:

  • Ensure care and treatment is provided in a safe way to patients.
  • Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.

In addition, the provider should:

  • Work towards improving levels of cervical screening.
  • Improve the system for monitoring training.
  • Undertake annual appraisals to identify learning for all staff?

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

20 September 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Halliwell 3 Surgery on 20 September 2016. Overall the practice is rated as good.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events and evidence of staff learning.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Staff were trained to recognise signs of abuse in vulnerable adults and children.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • The practice was “Domestic Violence Aware”. Staff were trained in domestic violence awareness.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients with dementia were invited for an annual health check. The assistant practitioner was trained in Contemporary Approaches to Dementia Care to further support patients with this diagnosis. 
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments 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.
  • The provider was aware of and complied with the requirements of the duty of candour.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice