• Doctor
  • GP practice

Leatside Health Centre

Overall: Good read more about inspection ratings

The Manor Surgery, Forth Noweth, Redruth, Cornwall, TR15 1AU (01209) 313313

Provided and run by:
Manor Surgery

All Inspections

During an assessment under our new approach

Date of Assessment: 21 January 2026 to 4 February 2026. Leatside Health Centre is a GP practice and delivers service to approximately 16,700 people under a contract held with NHS England. The National General Practice Profiles states the ethnic makeup of the service is approximately 97% White, 2% Asian, Black, and mixed and 1% other. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 4th decile (4 of 10). The lower the decile, the more deprived the practice population is relative to others. 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.
The service had a good learning culture. People could raise concerns and managers investigated incidents thoroughly. People were protected and kept safe. Staff understood and managed risks well. Referrals were managed in a timely way. Urgent appointments were available when required. However, people faced longer waits for routine appointments. The facilities and equipment were safe. Infection prevention and control processes were in place. There were enough staff with the right skills, qualifications, and experience. Staff managed medicines well and involved people in planning any changes.
People were involved in assessments of their needs. Care was based on latest evidence and good practice. Staff could refer people with social needs to wider support such as care coordinators and health coaches. Staff used recognised tools such as comprehensive geriatric assessments and frailty scoring. The practice had effective systems to act on safety alerts and undertook clinical record searches to support quality oversight. Staff made sure people understood their care and treatment to enable them to give informed consent.
People were treated with kindness and compassion and protected their privacy and dignity. People were treated as individuals, and staff understood and responded to cultural, social, religious and communication needs. Personalised care plans reflected people’s preferences. People had choice in their care and treatment. The service supported staff wellbeing. The National survey GP Patient Survey results reflected positive experiences, including confidence and trust in clinicians. Staff acted as chaperones when needed.
People were involved in decisions about their care and personalised plans reflected their physical, mental, emotional, and social needs. The service provided accessible information in a range of formats and used interpreter services when required. The service promoted equity in access, offering multiple ways to contact the practice and supporting people who faced barriers to attending or registering. People were involved in planning their future care.
Leaders and staff had a shared vision and culture. Leaders were visible, knowledgeable, and supportive, helping staff develop in their roles. Staff consistently reported feeling supported and able to raise concerns without fear, and Freedom to Speak Up arrangements were in place. Governance processes were established, with effective oversight. There was a focus on learning and improvement, supported by innovative tools such as the multi-disciplinary team dashboard, and use of artificial intelligence to understand population needs. The service participated in research studies and is developing its integrated neighbourhood team.
 

1 March 2022

During an inspection looking at part of the service

We carried out an announced inspection of Leatside Health Centre on 1 March 2022. Overall, the practice is rated as Good.

The key questions at this inspection are rated as:

Safe - Requires Improvement

Effective - Good

Well-led - Good

Leatside Health Centre is a newly registered practice following a merger in July 2021 of the Clinton Road Surgery and Manor Surgery. Our previous inspections of these two locations were carried out as follows;

Clinton Road Surgery November 2019 - rated Good

The Manor Surgery June 2016 - rated Good.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Clinton Road Surgery and Manor Surgery on our website at www.cqc.org.uk

Why we carried out this inspection

We undertook this inspection at the same time as CQC inspected a range of urgent and emergency care services in Cornwall. To understand the experience of GP Providers and people who use GP services, we asked a range of questions in relation to urgent and emergency care. The responses we received have been used to inform and support system wide feedback.

How we carried out the inspection/review

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting staff interviews using video conferencing facilities
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider
  • Reviewing patient records to identify issues and clarify actions taken by the provider
  • Requesting evidence from the provider
  • A short site visit

Our findings

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

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm, however we couldn't be assured this was maintained at all times as some annual reviews had not been completed.
  • The practice systems for reviewing safety alerts was not always carried out effectively.
  • All staff had undertaken mandatory training appropriate to their role.
  • Recruitment files contained all relevant information.
  • Prescription stationery was stored securely in line with NHS guidelines.
  • The practice had made adjustments associated with the COVID-19 pandemic to ensure that patients were kept safe and protected from avoidable harm.
  • The practice was able to demonstrate staff had the skills, knowledge and experience to carry out their roles. Staff members were appraised annually and received appropriate supervision and training.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care. The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • Staff we spoke with told us they felt supported by the management team and if they raised concerns these would be listened to and acted upon.
  • The practice had an open and supportive culture, where there was a focus on improvement.

We found breach of Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment. The provider must make sure they are following up to date guidance and have processes in place and follow them to:

  • Ensure care and treatment is provided in a safe way to patients.

Also the provider should

  • Continue to improve the service’s cervical screening uptake rates.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

7 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Manor Surgery on 7 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 assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with 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. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • 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.
  • The provider was aware of and complied with the requirements of the duty of candour.

We saw one area of outstanding practice:

  • The practice was SAVVY Kernow (SAVVY Kernow is a name of a scheme in Cornwall which helps young people access health services easily) accredited to level two (one of only 20 services to achieve this level, ensuring their provision is young person friendly in every aspect of service delivery).

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice