• Doctor
  • GP practice

Drs Charles, Mok, Read, Mannion, Shapiro, Prabhu & Hewson Also known as The Manor Surgery

Overall: Outstanding read more about inspection ratings

Middle Street, Beeston, Nottingham, Nottinghamshire, NG9 1GA (0115) 907 6960

Provided and run by:
Drs Charles, Mok, Read, Mannion, Shapiro, Prabhu & Hewson

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Background to this inspection

Updated 23 April 2018

Drs Charles Mok Read Easson Mannion Shapiro & Prabhu, also known as The Manor Surgery, provides primary medical services to approximately 11,400 patients in the Beeston and Chilwell areas of Nottingham. The registered address with Care Quality Commission (CQC) is Middle Street, Beeston, Nottingham NG9 1GA.

The practice provides primary care medical services via a Primary Medical Services (PMS) contract commissioned by NHS England and Nottingham West Clinical Commissioning Group (CCG).

Dr David Charles is the Registered Manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The clinical team comprises of seven GP partners (five male and two female), four practice nurses and a healthcare assistant. They are supported by a practice business manager and a team of administrative staff. It is a teaching practice for university medical students and a training practice for qualified doctors who were registrars training to become GPs. Work experience placements are also offered to sixth form students.

Public Health England data shows the area served by the practice is in the third least deprived decile, meaning their deprivation levels are below the practice average across England. Income deprivation affecting children is less than the national average.

The practice is open from 8am to 6.30pm weekdays with the exception of a Thursday when the surgery closes from 1pm and reopens at 3pm. Patients are able to access the practice at this time by telephone, and an on-call doctor was available. Extended opening hours are offered on Monday evenings from 6.30pm to 8pm, and on Tuesday and Friday mornings from 7am to 8am. GP consultation times start at 8.30am until 5.50pm. The practice has opted out of providing out-of-hours services to their own patients. When the practice is closed, patients are advised to dial NHS 111 and they will be put through to the out of hours service which is provided by Nottingham Emergency Medical Services (NEMS) provider.

Overall inspection


Updated 23 April 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Outstanding overall. (Previous inspection 26/01/2016 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Outstanding

Are services caring? – Outstanding

Are services responsive? – Outstanding

Are services well-led? - Outstanding

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Outstanding

People with long-term conditions – Outstanding

Families, children and young people – Outstanding

Working age people (including those recently retired and students – Outstanding

People whose circumstances may make them vulnerable – Outstanding

People experiencing poor mental health (including people with dementia) – Outstanding

We carried out an announced inspection at The Manor Surgery on 27 November 2017 as part of our inspection programme.

At this inspection we found:

  • The practice had clear 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.

  • The practice used information about care and treatment to make improvements.

  • Staff involved and treated patients with compassion, kindness, dignity and respect.

  • Staff had the skills, knowledge and experience to carry out their roles. Lead roles were shared amongst all GPs in the practice.

  • The practice understood the needs of its population and tailored services in response to those needs. Patients were able to access care and treatment from the practice within an acceptable timescale for their needs through a variety of methods.

  • There was a strong focus on continuous learning and improvement at all levels of the organisation. This included the sharing of policies, significant events and clinical audits with other practices within the CCG using the shared eHealthscope system and practice group meetings. As a result, some practices implemented the audits and adopted the same approach to improving the quality of care across the whole CCG.

We saw some areas of outstanding practice:

  • The practice was proactive in identifying and supporting with long term conditions. This included carrying out opportunistic pulse rhythm checks on people aged 65 years old and over to identify who have atrial fibrillation, increased screening for diabetes and improving bowel cancer screening. We found evidence of improved outcomes for some patients who received treatment.

  • Leaders used their skills and capabilities to promote continuous improvement and innovations. For example, they created alerts and templates on their IT clinical system to support GPs; promoting referrals to national diabetes prevention programmes and to psychotherapy services. All of these have been shared across the CCGs in Nottinghamshire.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice