Manor Field Surgery

Updated 2 February 2018

Manor Field Surgery is situated within a purpose built surgery in a building known as Maltby Services Centre in Maltby, Rotherham. This was purpose built in 2008 and provides a joint service centre comprising of Local Authority offices, leisure facilities and NHS services. The surgery operates over two floors with all the patient facilities are on the ground floor.

The practice provides Personal Medical Services (PMS) for 6,400 patients in the NHS Rotherham Clinical Commissioning Group (CCG) area.

There are three GP partners, two male and one female. The nursing team comprises one nurse practitioner, two practice nurses and two health care assistants. The administration team comprises a practice manager, assistant practice manager and a team of administration and receptionist staff.

The practice reception hours are 8am to 6.30pm Monday to Friday. Surgery times are 8.30am to 11.45am and 3pm to 5.30pm Monday, Tuesday and Thursday and 8 am to 11.45am and 3pm to 5.30pm Wednesday and Friday.

Updated 2 February 2018

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Manor Field Surgery on 29 October 2015 and an announced focused inspection on 24 January 2017. After the January 2017 inspection we received concerns in relation to medicines management in the practice. As a result we undertook a focused inspection to look into those concerns on 5 December 2017. This report only covers our findings in relation to this topic. You can read the reports from our last inspections by selecting the ‘all reports’ link for Manor Field Surgery on our website at www.cqc.org.uk.

Our key findings were as follows:

• The provider had responded to concerns raised with them about medicines management. All systems relating to medicines management had been reviewed and improved in response to the concerns raised.

• The practice had reliable systems for appropriate and safe handling of medicines.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 24 December 2015

The practice is rated as good for the care of people with long-term conditions.

• A GP and the nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
• Performance for diabetes related indicators was 89.1% similar to the CCG, 87.7%, and national, 90.1%, average.
• Longer appointments and home visits were available when needed.
• Patients were reviewed four monthly either face to face or via a telephone appointment.
• A senior GP was the lead for prescribing. The practice proactively used review dates to ensure patients were regularly reviewed. Patients with a long term condition had six monthly medication reviews either in a face to face or telephone consultation.
• The practice had a high prevalence of patients with respiratory conditions. A practice nurse had been recruited with skills in asthma and chronic obstructive pulmonary disease (COPD) to address lengthy waiting times for patients to see a respiratory nurse at secondary care services. Nursing hours had been extended to provide more late afternoon and evening surgeries over five days per week to give patients more choice of appointment time and to reduce the waiting time to see a nurse for respiratory reviews. ‘Flare up Plans’ were in place for patients with COPD which included prescribing of anticipatory medication to support patients when their condition deteriorated.

Updated 24 December 2015

The practice is rated as good for the care of families, children and young people.

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of accident and emergency attendances. Immunisation rates were high for all standard childhood immunisations.
• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.
• The practice uptake for the cervical screening programme 2014/15 was 80.8%, which was above the CCG average of 78.8 % and the national average of 76.7%.
• Appointments were available outside of school hours and the premises were suitable for children and babies. Patients told us that access to appointments was easy and the urgent appointment service for children was very good.
• We saw good examples of joint working with midwives, health visitors and school nurses.

Updated 24 December 2015

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its population.
• It was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• All assessments for patients 75 years were seen during a 20 minute appointment to allow sufficient time to discuss any concerns from the patient.
• The practice proactively used review dates to ensure patients were regularly reviewed. For example, older patients had six monthly medication reviews either in a face to face or telephone consultation.
• The practice maintained a list of housebound patients, mostly older patients, who could telephone the practice to request their repeat prescription.
• The practice operated an annual flu campaign, inviting patients to a dedicated Saturday flu clinic. The flu vaccination rate for the over 65s was 80.8%, which was above national the average.

Updated 24 December 2015

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. Telephone consultations were available for those who found it difficult to access the practice during working hours.
• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.

Updated 24 December 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• The dementia diagnosis rate was 97%, above the CCG average of 68%.
• 80% of people diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months.
• Performance for mental health related indicators was 93.4%, above the CCG, 91.7%, and national, 90.4%, average.
• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those living with dementia.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• It had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.
• Staff had a good understanding of how to support people with mental health needs and dementia.
• Patients newly diagnosed with depression were reviewed every three months.

Updated 24 December 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including those with a learning disability.
• It offered longer appointments for people with a learning disability.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.
• It had told vulnerable patients about how to access various support groups and voluntary organisations.
• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.