The Care Quality Commission
  • Doctor
  • GP practice

Victoria & Mapperley Practice

Overall: Good read more about inspection ratings

Victoria Health Centre, Glasshouse Street, Nottingham, Nottinghamshire, NG1 3LW (0115) 883 9080

Provided and run by:
Victoria & Mapperley Practice

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Victoria & Mapperley Practice on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Victoria & Mapperley Practice, you can give feedback on this service.

5 March 2020

During an annual regulatory review

We reviewed the information available to us about Victoria & Mapperley Practice on 5 March 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

24 November 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

This practice is rated as good overall. (Previous inspection 30 November 2014 – 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 Victoria and Mapperley Practice on 24 November 2017 as part of our inspection programme.

At this inspection we found:

  • The practice had strengthened their systems and arrangements since our last inspection in relation to staff records, training and infection control.
  • Patients’ received care in line with evidence based guidelines and their individual needs were fully assessed. This included their clinical needs and their mental and physical well being.
  • Staff were courteous and respectful to patients. They involved patients in making decisions about their care and treatment.
  • There was a consistent approach to quality and improvement within the practice.

We found areas where improvements were needed and the provider should take action ;

  • Review the use of alerts on patient records to ensure they fully reflect patient’s individual circumstances and highlight any potential risk.
  • Improving the recording of actions taken in response to all safety alerts.
  • Continue to develop support offered to carers, including strengthening processes for appropriately identifying all carers.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

03 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We inspected this practice on 03 November 2014, as part of our new comprehensive inspection programme. The practice had not previously been inspected.

The overall rating for this service is good.

Our key findings were as follows:

  • The staff team were committed to meeting patients’ diverse needs and placed their best interests at the centre of everything they did.  
  • Patients expressed high levels of satisfaction with the care and service they received.
  • Patients received effective care and treatment. They were also treated with kindness, dignity and respect.
  • Systems were in place to keep patients safe and to protect them from harm. However, robust procedures were not always followed in practice in respect of staff recruitment, infection control and chaperone duties.  Following the inspection, we received written assurances that these issues had been addressed.
  • The practice responded to patients’ needs . The appointment system was flexible and enabled patients to access care and treatment when they needed it.
  • Staff felt valued, well supported, and involved in decisions about the practice. There was strong teamwork and a commitment to improving the quality of care and services for patients.
  • T he practice had undergone considerable changes in the last 18 months, which had affected the ability to drive improvements and oversee the quality of services provided.

However, there were also areas of practice where the provider needs to make improvements. 

The provider should:

  • Ensure that the learning and improvements from significant events are shared with all relevant staff.
  • Review the recruitment policy to ensure that information required by law is obtained prior to staff commencing employment at the practice.  
  • Keep essential records to show that all nurses and GPs are registered to practice with the relevant professional body prior to their employment, and remain registered and fit to practice.
  • Keep essential records to show that all relevant staff are protected from Hepatitis B infection.
  • Provide a designated person to lead on infection control. Ensure systems are in place to monitor the prevention and control of infection and that policies are being followed appropriately.
  • Ensure all staff receive sufficient training to enable them to undertake their specific roles.
  • Ensure that arrangements are in place to enable people whose first language is not English, to access information about services.

Professor Steve Field (CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice