We carried out a review of the data available to us about Manor Park Medical 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 Manor Park Medical Centre, you can give feedback on this service.
We carried out an announced comprehensive inspection at Manor Park Medical Centre on 12 January 2017. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The areas where the provider should make improvements are:
Take steps to reduce exception reporting rates in quality and outcomes framework in areas where they are higher than average. For example, for patients with poor mental health and patients with dementia.
Increase the percentage of women aged 25 to 64 whose notes record that a cervical screening test has been performed in the preceding five years.
Ensure safety alerts are actioned appropriately.
Ensure all electrical equipment is stored securely and safely.
Improve tracking for the use of prescription stationery.
Continue to improve patients’ satisfaction with access to the practice by phone.
Build on the work undertaken so far to identify carers within the practice in order to increase the number of carers known to the practice and help ensure they receive appropriate support.
Chief Inspector of General Practice
We asked the provider to send us an action plan outlining the steps they planned to take in order to meet the regulations. This was received on 20 February 2014.
During this inspection we spoke with the practice manager and the lead practice nurse for infection control. We reviewed the practice's documentation in relation to infection control. We also looked at staff training and recruitment records.
We found that the practice had an up to date infection control policy in place and arrangements in place to ensure that it was implemented. We also saw evidence that all staff had up to date training in this area.
We found that the practice had arrangements in place to ensure that the information required for workers engaged in a regulated activity as set out in Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 was obtained prior to employment.
We found that patients were involved in their care and the running of the surgery. A patient said, 'The doctor does listen. They explain things very clearly. What the first steps are going to be and the steps after that.' The practice runs a web-based patient participation group. A patient told us, 'They are definitely trying through the email to improve communication and getting views about the practice.'
We saw that patients' records supported safe and effective clinical care. There were systems for managing patients' medicines safely and for ensuring investigation results were followed up. Patients expressed confidence in their care with one commenting, 'I have never needed to chase my doctor, I have always been able to get medical care and attention when required, and I know that my family is fully supported.'
We found that patients were seen and treated in a clean and hygienic environment. However, patients were not fully protected from the risk of infection as not all government guidance had been followed.
We found that not all appropriate checks were carried before people started work to ensure they were of good character.
There were arrangements in place to assess and monitor the quality of service provided. We found changes were made in light of complaints and critical incidents.