The Care Quality Commission
  • Doctor
  • GP practice

Manchester Road Surgery

Overall: Good read more about inspection ratings

484 Manchester Road, Sheffield, South Yorkshire, S10 5PN (0114) 266 8265

Provided and run by:
Manchester Road Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Manchester Road Surgery 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 Manchester Road Surgery, you can give feedback on this service.

11 July 2019

During an annual regulatory review

We reviewed the information available to us about Manchester Road Surgery on 11 July 2019. 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.

4 July 2016 desk top review

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 17 November 2015. A breach of legal requirement was found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet this legal requirement in relation to the regulatory breach of the Health and Social Care Act 2008 (Regulated Activities) 2014, Regulation 19 Fit and proper persons employed.

We undertook this focused desk top review on 4 July 2016 to check that they had followed their plan and to confirm they now met the legal requirement. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Manchester Road Surgery on our website www.cqc.org.uk.

Overall the practice is rated Good. Specifically, following the focused inspection we found the practice to be good for providing safe services.

Our key findings across all the areas we inspected were as follows:

  • The practice had completed Disclosure and Barring Service (DBS) checks for staff who performed chaperone duties in December 2015 and January 2016 (DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable).
  • A fire evacuation drill was completed on 28 January 2016 and the practice have updated their Health and Safety risk assessment to include the requirement to complete a fire drill at least annually.
  • The practice provided evidence that a log sheet had been implemented to record the checks carried out on the emergency medical equipment.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

17 November 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Manchester Road Surgery on 17 November 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

We saw areas of outstanding practice:

The practice provided a listening service for patients facing difficult life choices, ill health, loneliness or bereavement and also offered patients an appointment with a chaplain who volunteered at the practice offering confidential support and signposting to resources and local support groups if appropriate.

The areas where the registered provider must make improvements are:

  • Ensure DBS checks are in place or a risk assessment for all staff undertaking chaperoning duties.

The areas where the registered provider should make improvements are:

  • Fire drills should be undertaken to ensure staff are aware of the fire evacuation procedure.

  • The practice should maintain records of emergency equipment checks.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice