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  • GP practice

Archived: The Mannamead Surgery

Overall: Good read more about inspection ratings

22 Eggbuckland Road, Mannamead, Plymouth, Devon, PL3 5HE (01752) 223652

Provided and run by:
The Mannamead Surgery

Latest inspection summary

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Background to this inspection

Updated 14 December 2018

Mannamead Surgery was inspected on 7 November 2018. This was a comprehensive inspection of the registered location. The practice is located at:

22 Eggbuckland Road

Mannamead

Plymouth

PL3 5HE

The practice provides primary medical services to 9150 patients of a diverse age group. The practice population is in the eighth deprivation decile for deprivation. In a score of one to ten the lower the decile the more deprived an area is. The practice area covers a mixed socio-economic demographic. The practice consists of 2136 patients over the age of 65 years (24%) compared to the national average of 17% and 4% of over 85 years compared to the national average of 2%. The practice provides a service to 12 care homes in the area. There is a practice age distribution of male and female patient’s equivalent to national average figures. Average life expectancy for the area is similar to national figures with males living to an average age of 79 years and females to 84 years.

The partnership at the practice comprises of three GP Partners - two Female and one Male, and three salaried GPs, all female.  The team are supported by an advanced nurse practitioner, two paramedics, two nurse prescribers, a practice nurse, two health care professionals, two phlebotomists, a practice manager, financial manager, and supporting administrative and reception staff.

The practice are registered to provide the following regulated activities:

  • Diagnostic and screening procedures
  • Family planning
  • Maternity and midwifery services
  • Surgical procedures and
  • Treatment of disease, disorder or injury

Mannamead Surgery is an approved training practice for first and fifth year medical students. At the time of the inspection two of the GPs were undertaking training to provide vocational training for GP trainees.

Patients using the practice also have access to community nurses, mental health teams and health visitors off site. Midwives visit the practice on a weekly basis.

The practice is open between 8am and 6pm Tuesday to Friday and between 8am and 8pm on Mondays. Additional appointments were available each Monday evening between 6.30pm - 8pm, (Bank holidays excluded). Outside of these times patients are directed to contact the out of hour's service by using the NHS 111 number.

Flu clinics are held on Saturdays throughout the Autumn and Winter as advertised on the practice website and in waiting rooms. Patients were invited to these by text message or letter.

Overall inspection

Good

Updated 14 December 2018

This practice is rated as Good overall. (Previous rating July 2015 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Mannamead Surgery on 6 and 7 November 2018.

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 GPs had started to hand over the management of long term conditions to the nursing staff 18 months ago. The nursing team were able to prescribe medicines associated with long term conditions. The practice had seen an increase in performance target scores in the last year alongside improved patient outcomes.
  • Communication was effective at the practice and was facilitated by a routine programme of daily, weekly and monthly meetings. Communication was open, transparent and included all members of the team.
  • Staff involved and treated patients with compassion, kindness, dignity and respect. Patient feedback about care and treatment was consistently positive.
  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it. Changes to the appointment system had been made following patient feedback.
  • Patients could be referred or self-refer to a pilot scheme which offered a bereavement and listening service provided by the local hospice. Patients could also access a local voluntary service providing social activities to reduce social isolation.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.
  • GPs and the leadership team understood the challenges, had reported any concerns to external organisations and were addressing them. For example, gaps in clinical cover due to a reduced GP workforce.

We saw one outstanding area of practice:

The practice staff and the patient participation group had become the first GP practice in Plymouth to become ‘dementia friendly’. Staff had introduced dementia friendly memory boxes and picture books in the waiting rooms to trigger the memory of patients and ensured the practice had dementia friendly signage. Staff and PPG members had been trained to be Dementia champions to increase awareness with all staff.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.