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Inspection Summary

Overall summary & rating


Updated 9 April 2020

We carried out an announced comprehensive inspection at OHP-The Manor Practice on 19 February 2020 as part of our inspection programme.

The practice was previously inspected on the 14 January 2019 and received a rating of requires improvement overall. At this inspection we followed up on breaches of regulations identified at the previous inspection.

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.

We rated the practice as good for providing safe, caring, responsive and well-led services and for the older people; families, children and young people; vulnerable people and people experiencing poor mental health population groups because:

  • The practice had made significant improvements in response to our previous inspection in January 2019. In particular, improvements in the management of medicines, incidents and complaints, and sharing of information and learning.
  • 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.
  • 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. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

We rated the practice as requires improvement for providing effective services and for the people with long-term conditions and working age population groups because:

  • The practice had areas of high exception reporting and was unable to demonstrate that action taken had led to improvement.
  • Uptake of cervical screening was not meeting national targets.

Whilst we found no breaches of regulations, the provider should:

  • Improve arrangements for the management of fire drills, to provide staff with skills and knowledge to enable them to respond appropriately in the event of a fire.
  • Continue to review and improve the management of exception reporting.
  • Review action taken to improve uptake of cervical screening and identify ways this may be further improved.

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 areas




Requires improvement






Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people


Older people


Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable