Manor Health Centre - Dr S. Taylor

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection January 2015 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

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 – Good

People with long-term conditions – Good

Families, children and young people – Good

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

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Manor Health Centre - Dr S. Taylor on 13 February 2018 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.

• There were systems in place to mitigate safety risks including health and safety, infection control and dealing with safeguarding.
• 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 patients and treated them 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.
• 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 sought patient views about improvements that could be made to the service; including having an active patient participation group (PPG) and acted, where possible, on feedback.

• Staff worked well together as a team, knew their patients well and all felt supported to carry out their roles.

• There was a strong focus on continuous learning and improvement at all levels of the organisation.

• The provider was aware of the requirements of the duty of candour.

The areas where the provider should make improvements are:

• Review the practice’s safeguarding policy to include reference or links to recent related legislation and guidance.

• Review the infection prevention and control policies and procedures to localise and ensure they are specific to the practice.

• Review the system for responding to safety alerts to ensure full documentation of actions taken.

• Review the systems in place in order to proactively identify patients who are also carers, in order to provide effective care for them.

• Review the storage of historic paper medical records to ensure it complies with relevant legislation and guidance and that they are safe from environmental damage.

• Review audit planning to include full cycle audits that are based on local and national priorities

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice