• Doctor
  • GP practice

Mount Road Surgery

Overall: Good read more about inspection ratings

110 Mount Road, Gorton, Manchester, Greater Manchester, M18 7BQ (0161) 231 4997

Provided and run by:
Mount Road Surgery

All Inspections

During an assessment under our new approach

Date of Assessment: 29 July 26. Mount Road Surgery is a GP practice and delivers services to approximately 7,917 people under a contract held with NHS England. According to the latest available data, the ethnic make-up of the service area is approximately 42.8% White, 25.1% Asian, 5.5% Mixed, 22.2% Black and 4.3% Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the service population group is in the 1st decile (1 of 10). The lower the decile, the more deprived the service population is relative to others.

This was a focused assessment. We undertook this assessment due to the length of time since our last assessment. We assessed 10 quality statements from across all 5 key questions. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.

Staff kept facilities clean and maintained equipment appropriately to ensure people were kept safe. They assessed and managed the risk of infection well and took steps to control the risk of it spreading. There were enough staff with the right skills, qualifications and experience.

Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes.

Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity.

People could access care, treatment and support when they needed it. Leaders and staff were alert to discrimination and inequality that could disadvantage groups of people who used the service and sought ways to address any barriers.

The service had a clear vision and strategy, which considered the needs of the people who used their service and the wider community. Staff understood their individual roles and responsibilities. Leaders accounted for the actions, behaviours and performance of staff through clear and effective governance processes.

24th October 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Mount Road Surgery on 23 June 2016. The overall rating for the practice was good, with a requires improvement rating for the key question of safe and we issued a requirement notice for breaches of Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (Fit and proper Persons employed). The full comprehensive report on the June 2016 inspection can be found by selecting the ‘all reports’ link for Mount Road Surgery on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 24 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach identified in the requirement notice.

Overall the practice is now rated as good, with the previous rating of requires improvement for the key question of safe updated to a rating of good.

Our key findings were as follows:

  • All clinical staff and those who carried out chaperone duties had DBS checks in place, and the practice’s recruitment policy had been updated to reflect this was part of its recruitment procedure (DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable).

  • Staff had annual appraisals to support them in performing their duties.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

23 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection on 23 June 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 generally 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.
  • 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.

There were areas of practice where the provider must make improvements:

  • Ensure documented evidence of staff appraisals and training is available.
  • Ensure the recruitment of all staff includes all the necessary employment checks and records are kept of these.
  • Ensure all relevant staff have a Disclosure and Barring Service check.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice