Updated 4 February 2026
Date of Assessment: 11 March to 17 March 2026. Mayfield Medical Centre is a GP practice and delivers services to approximately 9,100 people under a contract held with NHS England. The National General Practice Profiles states the demographic of the service is 74% White and 18% Asian. The remainder of people are made up of Black, Mixed and other ethnicities. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 5th decile 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. Since our last assessment the provider of the service has changed and this was the first assessment of the service under the new provider. The service had recruited a new practice manager in January 2026 and the service’s Registered Manager had also recently changed.
The service had a learning culture where people could raise concerns. Incidents were investigated and learning was identified to make improvements. Systems and processes to manage medicines requiring refrigeration were embedded. Staff knew how to protect people and keep them safe. The facilities and equipment met the needs of people and were maintained. However, risks regarding the premises were not always identified and mitigated. Staff did not always follow national guidance or best practice when managing care and treatment. Whilst there were enough staff, recruitment process were not in line with national legislation and the service did not maintain effective oversight regarding the completion of staff training. Systems to manage blank prescription stationery had not operated effectively.
People had choice in their care and treatment. The service supported staff wellbeing and recognised the value of equality and diversity. Staff supported people to live healthier lives and ensured people had capacity to consent to treatment. Staff considered people’s communication, personal, and health needs and the service adjusted to meet them. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. However, care was not always based on latest evidence and good practice although people were treated with kindness, compassion and respect. Staff protected their privacy and dignity. Staff treated people as individuals and supported their preferences.
People were involved in decisions about their care. The service provided information people could understand. People knew how to give feedback and the service took it seriously and acted on it. The service had made changes to make it easier to access the service, improve people’s experiences and ensure equity of access. The service worked to eliminate discrimination. People received fair and equal care and treatment. The service worked to reduce health and care inequalities through training and feedback and used data to identify the groups most at risk of facing inequalities. They acted in response to the findings. People were involved in planning their future, especially those nearing the end of their lives. They understood options around choosing to withdraw or not receive care.
There was a vision and strategy for the future of the service under its current provider. Leaders were visible and supportive. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Roles and responsibilities were clear. The service was receptive to new ideas and staff were given time to research and try them. However, leaders did not always have effective oversight of how the service was performing. Governance processes did not always operate consistently and risks were not always identified or managed although leaders and staff had a shared vision and culture based on listening, learning and trust.
We found 2 breaches of regulation in relation to safe care and treatment and good governance. We have asked the provider for an action plan in response to the concerns found at this assessment.