Drs Charles, Mok, Read, Mannion, Shapiro, Prabhu & Hewson Also known as The Manor Surgery

This practice is rated as Outstanding overall. (Previous inspection 26/01/2016 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Outstanding

Are services caring? – Outstanding

Are services responsive? – Outstanding

Are services well-led? - Outstanding

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 – Outstanding

People with long-term conditions – Outstanding

Families, children and young people – Outstanding

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

People whose circumstances may make them vulnerable – Outstanding

People experiencing poor mental health (including people with dementia) – Outstanding

We carried out an announced inspection at The Manor Surgery on 27 November 2017 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.

• The practice used information about care and treatment to make improvements.

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

• Staff had the skills, knowledge and experience to carry out their roles. Lead roles were shared amongst all GPs in the practice.

• The practice understood the needs of its population and tailored services in response to those needs. Patients were able to access care and treatment from the practice within an acceptable timescale for their needs through a variety of methods.

• There was a strong focus on continuous learning and improvement at all levels of the organisation. This included the sharing of policies, significant events and clinical audits with other practices within the CCG using the shared eHealthscope system and practice group meetings. As a result, some practices implemented the audits and adopted the same approach to improving the quality of care across the whole CCG.

We saw some areas of outstanding practice:

• The practice was proactive in identifying and supporting with long term conditions. This included carrying out opportunistic pulse rhythm checks on people aged 65 years old and over to identify who have atrial fibrillation, increased screening for diabetes and improving bowel cancer screening. We found evidence of improved outcomes for some patients who received treatment.

• Leaders used their skills and capabilities to promote continuous improvement and innovations. For example, they created alerts and templates on their IT clinical system to support GPs; promoting referrals to national diabetes prevention programmes and to psychotherapy services. All of these have been shared across the CCGs in Nottinghamshire.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice