The Care Quality Commission
  • Doctor
  • GP practice

Manor Park Medical Practice

Overall: Good read more about inspection ratings

573 Melton Road, Thurmaston, Leicester, LE4 8EA (0116) 269 6765

Provided and run by:
Highfield Surgery

All Inspections

During an assessment under our new approach

Manor Park Medical Practice is located in Leicester at 577 Melton Road, Thurmaston, Leicestershire, LE4 8EA. The practice has a branch surgery at 122 Parker Drive, Leicester, Leicestershire, LE4 0JF. The practice delivers general medical services to a patient population of around 14,000. Manor Park Medical Practice is registered with the Care Quality Commission under the Health and Social Care Act 2008 to provide the following regulated activities; diagnostic and screening procedures, treatment of disease, disorder or injury, surgical procedures and family planning. Patients can access these services at both the main practice and branch surgery. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the third lowest decile (three of 10). The lower the decile, the more deprived the practice population is relative to others. According to the latest available data from 2024, the ethnic make-up of the practice area is 46.10% White, 39.25% Asian, 7.11% Black, 3.48% Mixed and 4.06% Other. There is a team of four GP partners, seven salaried GP's. At the time of the inspection, there was no nurse practitioner. However, this absent role was supported by locum nurses, phlebotomists and diabetes and respiratory specialists. The practice also had three clinical pharmacists reviewing patient’s medicines. The GP’s are supported at the practice by a team of reception and administration staff. The practice manager and assistant practice manager are also available at both locations to provide managerial oversight. We conducted our on-site assessment on 29 August 2024. We reviewed all key questions; safe, effective, caring, responsive and well-led. During our assessment, we found systems and processes in place to support safe care and treatment to the practice population. However, there was a breach in governance as summarising notes for existing patients were not completed.

17 November 2022

During a routine inspection

The provider took over the contract for the practice at Manor Park Medical Practice on 25 January 2022.

We carried out an announced comprehensive inspection at Manor Park Medical Practice on 17 November 2022 to review their progress since taking over the contract at the practice. Overall, the practice is rated as requires improvement.

Safe - good

Effective - requires improvement,

Caring – inspected but not rated

Responsive – inspected but not rated

Well-led - good

We found that the provider had made significant improvements and addressed most areas of concern found at the previous inspection, when the services were being provided by previous providers.

Due to GP patient survey data being collected during the transitional period of the two providers, the key questions of caring and responsive have not been rated. Additionally the current provider took over the running of the practice at short notice and has focussed on addressing immediate patient risk.

The full reports for previous provider inspections can be found on our website at www.cqc.org.uk.

Why we carried out this inspection

We carried out this inspection as it is a new provider of a practice which was previously in special measures. We reviewed all key questions as part of the inspection.

How we carried out the inspection

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

  • Conducting staff interviews using video conferencing.
  • Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider.
  • A short site visit.

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We found that:

  • The provider had implemented systems and processes in order to ensure patients were treated safely.
  • A significant backlog of work had been reviewed and assessed to ensure patients were receiving safe care and treatment.
  • The practice had recruited and trained staff to become competent to carry out appointments effectively.
  • The provider was open and honest about work which had been completed and work which remained outstanding. They had prioritised patients based on risks to them.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • Patients could access care and treatment in a timely way.
  • The practice had implemented governance systems to ensure care and treatment provided was appropriate and effective for their patients.
  • A new management structure and lead roles were implemented to support staff through the transitioning phase. The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Improve documentation in relation to reviewing patients on the safeguarding register.
  • Take steps to reduce the number of patient records which require summarising.
  • Continue to review patients whose reviews are outstanding for example those with asthma and chronic kidney diesease.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

I am taking this service out of special measures. This recognises the significant improvements that have been made to the quality of care provided by this service.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services