Manor Way Surgery - Care Quality Commission

Background to this inspection

Updated 10 July 2017

Manor Way Surgery is located at Suite B, Lee On The Solent, Hampshire PO13 9JG. The practice is based on the edge of the seaside town of Lee on the Solent and is situated in a health centre managed by NHS property services. The building is shared with other NHS community services and one other GP practice.

The Manor Way Surgery provides general medical services (GMS) to around 4,800 patients. There are two female GP partners (1.75 whole time equivalent). There are three female practice nurses, one of which is a nurse practitioner, which is equivalent to 2.9 full time nurses).There is a reception administration team made up of full and part time staff of eight and a practice manager.

There is a large car park behind the health centre, with dropped kerbs and disabled parking spaces. An automatic door leads to a small reception waiting area. There is a small desk and an automatic check-in system available.

There are three consulting rooms and two treatment rooms, one of which is used for minor surgery. Manor Way Surgery is a teaching practice that supports medical students and student nurses.

Public Health England National General Practice profiles states the ethnic mix of patients can be described as 1.2% mixed, 1.1% Asian, with the majority of patients identifying themselves as White British. The practice is located in one of the least deprived areas in England.

The practice is open between 8am and 6.30pm Monday to Friday. Appointments are from 8.30am to 5.40pm daily. Extended hours appointments are offered on one Saturday per month from 9am until12pm.

We inspected the only location:

Manor Way Surgery

Suite B,

Lee on the Solent Health Centre

Lee On The Solent,

Hampshire

PO13 9JG

Overall inspection

Good

Updated 10 July 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Manor Way Surgery on 20 July 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Manor Way Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 6 June 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 20 July 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

The practice had suitable governance arrangements and systems for assessing and monitoring risks and the quality of the service provision. This included management of high risk medicines; prescriptions; and clinical audits.
There was a clear leadership structure and staff felt supported by management. The practice had a number of policies and procedures to govern activity and held regular governance meetings.
There was an effective system in place for reporting and recording significant events.
Training had been provided to ensure all staff were trained to the appropriate level for their role.
Care plans were reviewed on a regular basis and contained relevant and current information.
All patients with a learning disability were offered and had had appropriate health assessments.
Arrangements for translation purposes had been reviewed to minimise the use of family or friends as translators, unless this was the patients’ wishes.
The patient participation group was active and further ways of reaching out to patients had been put into place to gather feedback.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice