The Care Quality Commission
  • Doctor
  • GP practice

Archived: Dr T Mackenzie and Partners

Overall: Good read more about inspection ratings

Haslingden Health Centre,, Manchester Road, Haslingden,, Rossendale, Lancashire, BB4 5SL (01706) 212518

Provided and run by:
Dr T Mackenzie and Partners

Important: The provider of this service changed. See new profile

All Inspections

21 February 2020

During an annual regulatory review

We reviewed the information available to us about Dr T Mackenzie and Partners on 21 February 2020. 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.

27 April 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr T Mackenzie and Partners on 3 February 2016. The overall rating for the practice was requires improvement, with ratings of requires improvement for the key questions of safety and leadership, and ratings of good for effective, caring and responsive. The full comprehensive report on the February 2016 inspection can be found by selecting the ‘all reports’ link for Dr T Mackenzie and Partners on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection on 27 April 2017 and was undertaken in order to assess the improvements that the practice had told us they had implemented. Overall the practice is now rated as good.

Our key findings were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • The practice had clearly defined and embedded systems to minimise risks to patient safety. We saw that when risks were identified, mitigating actions were completed in a timely manner and reviewed for effectiveness.
  • Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients we spoke with said they found it easy to make an appointment with a 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 management responsibilities around key lead roles within the practice had been clarified. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

There were two areas where the provider should make improvements:

  • Documentation relating to complaints received should be sufficiently detailed to demonstrate compliance with practice policy.

  • Reviews of practice policy documents should be sufficiently thorough to ensure all are practice specific and contain up to date information and reference to external organisations.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

3 February 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr T Mackenzie and Partners on 3 February 2016. Overall the practice is rated as requires improvement.

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. However, associated records were not sufficiently detailed to support effective communication or demonstrate learning within the practice.
  • Risks to patients were assessed and well managed, with the exception of those relating to infection control and prevention.
  • Practice training records were not maintained effectively and did not detail sufficient information to demonstrate staff had received core and role-specific training.
  • There was a lack of clarity in relation roles and responsibilities for the management of safeguarding activity and reporting within and external to the practice.
  • Patients said they were treated with compassion, dignity and respect.
  • Urgent appointments were usually available on the day they were requested.
  • The practice had a number of policies and procedures to govern activity, but key information had been omitted from those relating to safeguarding and review activity for others had not been completed effectively.
  • The practice had proactively sought feedback from patients and had an active patient participation group.

The areas where the provider must make improvements are:

  • Undertake effective infection control and prevention risk assessments for all areas of the practice and take action to mitigate identified risks in a timely manner.

  • Ensure staff undertake training, learning and development to enable them to fulfil the requirements of their role.

  • Clearly define individual safeguarding lead roles and responsibilities to enable the effective oversight and scrutiny of safeguarding activity.

  • Ensure staff records include all information relevant to their role.

In addition the provider should:

  • Review and update policies, procedures and guidance to ensure the documents include all relevant and required information.
  • Create and make available effective records to support effective communication of decisions and learning opportunities within the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice