This practice is rated as Good overall.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Maybury Surgery on 16 October 2018. This inspection was carried out as part of our inspection programme. The provider of the service changed in November 2017 and this was the first inspection of the service since the new provider had been registered to provide the service. The service was placed into special measures under the previous provider.

At this inspection we found:

• The new provider had made a number of changes to the delivery of the service. However, it is too early to evaluate the impact of many of these changes.
• Staff and patients were positive about the changes that had been made in the service.
• The practice had 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 focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Develop a system for maintaining oversight of patient safety alerts and the actions taken in respect of these.
• Improve recording of health and safety actions and the shared learning from incidents and significant events.
• Develop a system to ensure that the practice follows its own recruitment policy.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.