The Care Quality Commission
  • Doctor
  • GP practice

Maryport Group Practice

Overall: Outstanding read more about inspection ratings

Alneburgh House, Ewanrigg Road, Maryport, Cumbria, CA15 8EL (01900) 815544

Provided and run by:
Maryport Group Practice

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Maryport Group Practice 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 Maryport Group Practice, you can give feedback on this service.

14 January 2020

During an annual regulatory review

We reviewed the information available to us about Maryport Group Practice on 14 January 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.

12 Feb 2019

During a routine inspection

We carried out an announced comprehensive inspection at Maryport Group Practice on 12 February 2019 as part of our inspection programme.

At the last inspection in August 2015 we rated the practice as outstanding overall.

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 outstanding overall.

We rated the practice as outstanding for providing caring services because:

  • Feedback from people who used the service, those who were close to them, and stakeholders was continually positive about the was staff treated people.
  • Staff recognised and respected the totality of people’s needs. They always took people’s personal, cultural, social and religious needs into account.

We rated the practice as outstanding for providing responsive services because:

  • Services were tailored to meet the needs of individual patients. They were delivered in a flexible way that ensured choice and continuity of care.
  • The practice had identified areas where there were gaps in provision locally and had taken steps to address them, particularly with regard to people whose circumstances may make them and people experiencing poor mental health.

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

  • The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care. The practice had faced significant challenges since the last inspection, but the innovative way in which they had faced these had not only meant that the practice had maintained good standards of care but had improved some services for patients.

We also rated the practice as good for providing safe and effective services because:

  • 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 treated patients with kindness and respect and involved them in decisions about their care.

We saw several areas of outstanding practice including:

  • The involvement of other organisations and the local community was integral to how services were planned. For example, the practice worked closely with a project run by the local secondary care trust and with a social enterprise group to support vulnerable patients and help reduce the number of repeat attenders at the practice. Data showed by working with the social enterprise group in particular, the practice had reduced the number of GP attendances from this repeat attenders from an average of 19 appointments per week to four, the approximate equivalent of one GP session.
  • The leadership, governance and culture were used to drive and improve the delivery of high-quality, person-centred care. In response to a number of challenges since the last inspection, the practice had recruited new staff to a diverse range of clinical roles, such as a learning disabilities and dementia nurse and a care coordinator, and had made changes to their governance structure to retain and promote staff from within. These changes had a demonstrable positive impact on patients, such a 5% increase in the number of carers identified since the care coordinator joined the practice, and positive outcomes for patients with a learning disability.

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

27 August 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Maryport Group Practice on 27 August 2015. Overall the practice is rated as outstanding.

Specifically, we found the practice to be good for providing safe, caring, effective and well-led services. It was also good for providing services for the following population groups: People with long-term conditions; Families, children and young people; Working age people; People experiencing poor mental health (including people with dementia); people whose services may make them vulnerable. We found the practice to be outstanding for providing responsive services as well as for services for older people.

Our key findings across all the areas we inspected were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients, staff and visitors to the practice were assessed and well managed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • 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.
  • The majority of patients said they found it easy to make an appointment with a GP and that there was continuity of care, with urgent appointments available the same day.
  • The practice offered pre-bookable telephone consultations which improved access for patients who worked full time or were unable to attend the surgery.
  • 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.

We saw several areas of outstanding practice:

  • The practice held ‘daily lunch bite’ meetings which gave all staff groups a daily opportunity during protected time to discuss concerns and for feedback from training, significant events, complaints and clinical audits to be shared
  • The practice had developed a consultant-led frail and elderly clinic which had reduced unplanned admissions to hospital for patients in that group
  • The practice had empowered its patients with atrial fibrillation and those at risk of stroke and taking Warfarin to remotely monitor and self-manage their conditions.
  • The practice was an active member of the Maryport Health Assets Group. This was a multi-agency partnership group, which included local resident groups which looked at the causes of ill-health, prevention and self-management
  • The practice employed two paediatric nurses who were also trained in dealing with minor injuries and delivered a minor injuries service. The practice also hosted a consultant-led weekly paediatric outpatient clinic which was run by a consultant paediatrician in conjunction with the paediatric nurses.
  • The practice was the only practice in Cumbria hosting a Local Area Co-ordinator employed by Cumbria Councty Council. The role of the Local Area Co-ordinator involved targeting early intervention services at people at risk of reaching crisis point and in supporting them to fulfil their vision of a good life.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice