Bradley Street

Independent Healthcare Org · North West

Overall Rating
Requires Improvement Last inspected 15 February 2023
Domain Ratings
Safe
Requires Improvement
Effective
Not Yet Rated
Caring
Good
Responsive
Good
Well-led
Requires Improvement

View Full CQC Report

5 must-do actions
2 should-do actions

Must-Do Actions (5)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Safe
The providermustensurethatequipmentismaintainedandservicedinaccordancewithmanufacturer’sguidelines.
Regulation 12 (1)(2)(d) HSCA (RA) Regulations 2014 (Safe care and treatment)
Theproviderdidnotensureequipmentwasmaintainedandservicedinaccordancewithmanufacturer’sguidelines.
Must Do
Well-led
The providermustensurethattheirauditandgovernancesystemsremaineffective.
Regulation 17 HSCA (RA) Regulations 2014 (Good governance)
Theproviderdidnotensurethattheirauditandgovernancesystemswereeffective.
Must Do
Well-led
The servicemustreviewtheirpoliciesforrelevancetotheservicecontextandensurereviewdatesareappropriatelyidentified.
Regulation 17 (1)(a) HSCA (RA) Regulations 2014 (Good governance)
Theservicedidnotreviewtheirpoliciesforrelevancetotheservicecontextandensurereviewdatesareappropriatelyidentified.
Must Do
Well-led
The servicemusthavearobustprocessforthesafestorage,retentionanddisposalofrecords.
Regulation 17 (2)(d) HSCA (RA) Regulations 2014 (Good governance)
Theservicedidnothavearobustprocessforthesafe storage,retentionanddisposalofrecords.
Must Do
Well-led
The providermusthaveprocessesinplacetoensurethatstaffaresuitablyqualified,competent,skilledandexperiencedtoprovideasafeservice.
Regulation 17 (1) HSCA (RA) Regulations 2014 (Good governance)
Theproviderdidnothaveprocessesinplacetoensurethatstaffaresuitablyqualified,competent,skilledandexperiencedtoprovideasafeservice.

Should-Do Actions (2)

Recommended improvements to enhance service quality.

Should Do
Safe
The serviceshouldconsiderimprovinghandwashingfacilitiesforclinicalstaff.
Should Do
Responsive
The service’scomplaintspolicyshouldprovideserviceuserswithinformationtoescalatetheircomplaintshouldtheybeunhappywiththeinternalresponse.
Location Details
CQC ID: 1-10561025728
Local Authority: Manchester
Region: North West
Inspection Report
Type: Comprehensive inspection
Date: 15 February 2023
Rating: Requires improvement
Actions: 5 must-do , 2 should-do
AI-extracted 17 Feb 2026