Manston Surgery in Cross Gates, Leeds, has been rated inadequate by the Care Quality Commission (CQC) and placed in special measures to protect people, following an inspection carried out in January.
This inspection was carried out as part of CQC’s continual checks on the safety and quality of healthcare services, and to follow up concerns reported to us.
Following this inspection, as well as the service’s overall rating dropping from good to inadequate as have its ratings for being safe and well-led. Its ratings for being effective and responsive have also declined, from good to requires improvement. It was again rated good for being caring.
The service has been placed in special measures, which means it will be kept under close review by CQC to keep people safe whilst it makes the rapid and widespread improvements CQC expects to see. If CQC doesn’t see these improvements, further action will be taken.
Sheila Grant, CQC deputy director of operations in the north, said:
“When we inspected Manston Surgery, it was concerning to see a lack of strong leadership displayed by the provider which had created a culture that didn’t support staff to provide high-quality care and treatment to the 8,220 people using the service.
“When we spoke to leaders, they told us a change within the management team and turnover of experienced staff over the last few years had impacted their ability to provide good care. We found they had relied solely on recruitment into these roles to solve the issues, instead of also focusing on covering the gaps they had left while recruiting. Staff told us managers weren’t approachable and that they didn’t feel supported to do their jobs.
“We found that not all staff had the skills, knowledge and experience to carry out their roles. We saw that many members of staff weren’t up to date with training and a lot of training that had been completed, was only carried out after the inspection had been announced.
“We found the provider didn’t have systems and processes in place to keep people safe from abuse. Staff weren’t up to date on their safeguarding training and we were told there weren’t regular safeguarding meetings with other health care professionals. After the inspection, the practice told us they planned to make improvements.
"We have told Manston Surgery where we expect to see rapid and widespread improvements and will continue to monitor them closely to keep people safe while this happens. We will return to check on their progress and won’t hesitate to take further action if people are not receiving the care they have a right to expect.”
Inspectors found:
- The practice did not have effective systems and processes in place to demonstrate good management
- The culture of the practice did not enable staff to raise concerns
- The practice did not always carry out all the relevant recruitment checks, including Disclosure and Barring Service (DBS) checks
- Staff vaccination was not maintained in line with current UK Health and Security Agency (UKHSA) guidance
- Significant events and associated learning were not shared effectively with the wider team.
However:
- People using the service received effective care and treatment that met their needs
- Staff treated people with kindness and respect and involved them in decisions about their care.