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Inspection Summary

Overall summary & rating


Updated 29 May 2019

We carried out an announced comprehensive inspection at the Manor Practice on 5 April 2019 as part of our inspection programme.

We based our judgement of the quality of care at this service 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 good overall for providing safe, effective, caring, responsive and well led services. All the population groups have been rated as good.

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

  • The practice had 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 had good facilities and was well equipped to treat patients and meet their needs. The premises were clean and hygienic.
  • Staff treated patients with compassion, kindness, dignity and respect.
  • The practice sought feedback from patients, which it acted on.
  • Patient satisfaction was mostly higher than the local and England average in the national GP patient survey.
  • Staff enjoyed working for the practice and felt well supported. They had the training they needed to carry out their roles effectively.
  • The practice monitored the quality of care it provided and could demonstrate improved outcomes for patients.
  • Leaders were visible and approachable.
  • There was a clear vision to provide high quality care to patients.

The areas where the provider should make improvements are:

  • Look at ways to improve the uptake of cervical screening for eligible patients.
  • Review areas in the quality and outcomes framework where exception reporting is higher than average.
  • Undertake regular formal reviews of clinical decision making and non-medical prescribing by staff employed in advanced roles.
  • Provide feedback to patients about action taken in response to suggestions posted in the comments box.
  • Consider undertaking the practice’s own survey of patient views.

Dr Rosie Bennyworth BS BMedSci MRCGP

Chief Inspector of General Practice

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

Inspection areas










Checks on specific services

People with long term conditions


Families, children and young people


Older people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable