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Review carried out on 8 July 2021

During a monthly review of our data

We carried out a review of the data available to us about Maybury Surgery on 8 July 2021. 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 Maybury Surgery, you can give feedback on this service.

Review carried out on 29 February 2020

During an annual regulatory review

We reviewed the information available to us about Maybury Surgery on 29 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.

Inspection carried out on 16 October 2018

During a routine inspection

This practice is rated as Good overall.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Maybury Surgery on 16 October 2018. This inspection was carried out as part of our inspection programme. The provider of the service changed in November 2017 and this was the first inspection of the service since the new provider had been registered to provide the service. The service was placed into special measures under the previous provider.

At this inspection we found:

  • The new provider had made a number of changes to the delivery of the service. However, it is too early to evaluate the impact of many of these changes.
  • Staff and patients were positive about the changes that had been made in the service.
  • The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
  • There was a focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

  • Develop a system for maintaining oversight of patient safety alerts and the actions taken in respect of these.
  • Improve recording of health and safety actions and the shared learning from incidents and significant events.
  • Develop a system to ensure that the practice follows its own recruitment policy.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.