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Inspection Summary


Overall summary & rating

Good

Updated 11 March 2019

We carried out an announced follow up inspection at The Manor Clinic on 29 January 2019 as part of our inspection programme.

At the last inspection in July 2018 we rated the practice as requires improvement for providing safe and well-led services because:

  • The practice did not have a good track record on safety in all areas of the practice.
  • The practice did not have an effective system for making improvements when things went wrong.
  • The practice ensured that care and treatment was delivered according to evidence-based guidelines. However, not all clinical audits were repeated in a timely way.
  • There were no specific guidelines, training or red flags for reception staff in the management of patients with sepsis symptoms.

At this inspection, we found that the provider had satisfactorily addressed these areas.

We based our judgement of the quality of care at this service is 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 safe services because:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Services were tailored to meet the needs of individual patients. They were delivered in a flexible way that ensured choice and continuity of care.

We rated the practice as good for providing well-led services because:

  • The practice had identified areas where there were gaps in provision locally and had taken steps to address them.
  • The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care.

These good areas benefitted all population groups and so we rated all population groups as good.

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

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Inspection areas
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good