You are here

This service was previously registered at a different address - see old profile

Reports


Inspection carried out on 13 December to 13 December

During an inspection to make sure that the improvements required had been made

We carried out a focused inspection of Mann Cottage Surgery on 13 December 2019 as part of our inspection programme. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions:

  • Are services Effective?
  • Are services Well-led?

Due to assurances we received from our review of information, we carried forward the ratings for the Safe, Caring and Responsive domain areas from our last inspection in May 2016.

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 have rated this practice as good overall and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs. Services had been tailored to meet the needs of the different population groups.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs.
  • Clinical staff received regular updates and training and took steps to ensure they were familiar with the most recent clinical guidelines.
  • There was a clear leadership structure and staff felt supported by management. The practice sought feedback from staff and patients, which it acted on.
  • The practice team demonstrated a commitment to learning and improvement at all levels of the organisation.

We saw several areas of outstanding practice:

The practice used innovative ways to improve patient outcomes, including group consultations for Diabetes management, open evenings to increase awareness of long term conditions, hospital avoidance testing and using technology to improve patient care. The practice also shared learning from the implementation to other practices locally.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection carried out on 19 May 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Mann Cottage Surgery on 19 May 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.
  • Risks to patients were assessed and well managed.

  • Staff assessed patients’ needs and delivered care in line with current evidence-based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • 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 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.
  • When there were unintended or unexpected safety incidents, patients received reasonable support, truthful information, a verbal and written apology and were told about any actions to improve processes to prevent the same thing happening again.

The area where the provider should make improvement is:

Review how it communicates the benefits of childhood immunisations to patients to improve performance in this area. 

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice