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CQC inspectors place Buckinghamshire GP practice into special measures

29 June 2017
The Mandeville Practice
  • Media,
  • GP and GP out-of-hours services

England’s Chief Inspector of General Practice has placed The Mandeville Practice in Aylesbury, Buckinghamshire into Special Measures following an inspection by the Care Quality Commission in April 2017.

Inspectors rated the service as Inadequate for being effective and well-led, and Requires Improvement for being safe, caring, and responsive to people’s needs.

A full report of this inspection has been published on our website today.

Ruth Rankine, Deputy Chief Inspector of General Practice CQC’s South region, said:

“The leadership structure, governance and culture did not assure us that the practice was able to deliver high quality care. This put people using the service at risk of not receiving the care, which everyone is entitled to receive from their GP practice."

“As a result of these and other areas of concern we are placing the practice into special measures, so the practice can receive the support it needs to improve."

“We will continue to monitor this practice and will inspect again in six months to check whether improvements have been made. If we find that the service remains inadequate, we will consider taking further enforcement action.”

Louise Patten, Chief Officer of Aylesbury Vale Clinical Commissioning Group said:

“Patient safety is always our top priority and Mandeville Practice has been quick to begin implementing an action plan to ensure the needs of its patients are being met. It is widely recognised that GPs and their staff are now dealing with increasing demand, expectation and complexity in their workload, all of which creates a challenging environment to operate in."

“We have also recently been working with patients at Mandeville and seeking their views to help us shape and tailor the services offered there for the community it serves. A new contract for provision of GP services at the practice is expected to be finalised over the summer, and this work will help us ensure the local population is getting access to the services it needs."

“Aylesbury Vale CCG fully supports Mandeville Practice and has confidence in its ability to make the necessary improvements as set out by the CQC in order to ensure the delivery of safe, high quality care to all its patients.” 

Key findings of CQC’s inspection included:

  • An open and transparent system was in place to report and record significant events; however there was no evidence of learning and sharing of this information with staff.
  • There was a new leadership structure in place; however communication between the provider and practice could be improved and the vision and mission statement was also not adequately supported by and effective leadership and governance structure.
  • Blank prescriptions forms and pads were not securely stored during opening hours. Black prescription forms were stores in printers and unlocked consulting room.
  • Records for care and treatment provided to patients must be kept securely.
  • The practice must seek and act on feedback to continually evaluate and improve the services.
Last updated:
29 June 2017

Notes to editors

Under CQC’s new programme of inspections led by Professor Steve Field, Chief Inspector of General Practice, all of England’s GP practices are being inspected and given a rating.

To get to the heart of people’s experiences of care, we always ask the following five questions of services.

  • Are they safe?
  • Are they effective?
  • Are they caring?
  • Are they responsive to people’s needs?
  • Are they well-led?

For every NHS GP practice and out-of-hours service, we will look at the quality of care for the following six population groups: Older people, People with long-term conditions, Families, children and young people, Working age people (including those recently retired and students),People whose circumstances may make them vulnerable, People experiencing poor mental health (including people with dementia). 

Providers are required to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.