This practice is rated as Good overall. (Previous inspection June 2015 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Manor House Surgery on 28 February 2018 as part of our inspection programme.

At this inspection we found:

• The practice had clear 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 routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.

• Staff involved and treated patients with compassion, kindness, dignity and respect.

• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

• There was a strong focus on continuous learning and improvement at all levels of the organisation.

We saw two areas of outstanding practice:

• The senior practice nurse had supported a patient with learning disabilities to access support regarding hair styles and make up to support their lifestyle choices. They had also referred to them to a specialist health professional. We saw evidence from three local care homes thanking the practice for the care and support they provided for patients with learning disabilities. This included home visits and dedicated clinics so patients were seen promptly.

• Changes to the in house diabetes service had resulted in an increase in identifying patients with pre-diabetes and improved control for patients already diagnosed. The practice had identified 1127 patients with pre-diabetes. All the HbA1c diabetes blood test results were reviewed by the lead nurse before they were filed. This meant that if patients had deteriorating diabetes control or if had improved it was being picked up much quicker and enabling staff to make plans to adjust treatment and/or plan the next follow-up in response. The diabetes consultant from the local hospital had visited the practice in February 2018. They reviewed the process and felt it was something that could be shared with other practice teams as not only did it seem to improve patients’ diabetic control but was also more efficient.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice