The Care Quality Commission
  • Doctor
  • GP practice

Mayfield Surgery

Overall: Good read more about inspection ratings

Weston Favell Centre, Northampton, NN3 8DW (01604) 415157

Provided and run by:
Maple Access Partnership

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Mayfield Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Mayfield Surgery, you can give feedback on this service.

During an assessment under our new approach

Mayfield Surgery is a GP practice providing primary medical services to residents of Northampton. We carried out an announced assessment of one quality statement, Equity of Access, under the key question responsive at Mayfield Surgery on the 8 March 2024. The practice is rated as good overall and the key question responsive continues to be rated as good. We carried out the assessment as part of our work to understand how practices are working to try to meet peoples demands for access and to better understand the experiences of people who use services and providers. We recognise the work that GP practices have been engaged in to continue to provide safe, quality care to the people they serve. We know staff are carrying this out whilst the demand for general practice remains exceptionally high, with more appointments being provided than ever. However, this challenging context, access to Mayfield Surgery remains a concern for people. Our strategy makes a commitment to deliver regulation driven by people’s needs and experiences of care. The assessment of the quality statement Equity of Access includes looking at what practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement.

14 & 15 June 2022

During a routine inspection

We carried out an announced inspection at Mayfield Surgery on 14 and 15 June 2022. Overall, the practice is rated as Good.

Set out the ratings for each key question

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

Why we carried out this inspection

This inspection was a comprehensive inspection as the practice had not been inspected since registering with the CQC in October 2019.

How we carried out the inspection

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
  • 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.
  • There was evidence of effective systems and processes to support safe medicines management.
  • Patients received effective care and treatment that met their needs.
  • Clinical staff received regular updates and training and took steps to ensure they were familiar with the most recent clinical guidelines.
  • There was a programme of quality improvement, including clinical audit.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice adjusted how it delivered services to meet the needs of patients during the National COVID-19 pandemic. Patients could access care and treatment in a timely way.
  • There was a clear leadership structure and staff felt supported by management. The practice sought feedback from staff and patients, which it acted on.
  • The practice operated effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
  • The practice team demonstrated a commitment to learning and improvement at all levels of the organisation.

Whilst we found no breaches of regulations, the provider should:

  • Continue to follow up on patients with a Do Not Attempt Cardio Pulmonary Resuscitation (DNACPR) decision in place, to ensure records are accessible to all involved in the patients care.
  • Continue with efforts to encourage patient uptake of the cervical cancer screening programme.

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