Archived: Marysville Medical Practice

We carried out an announced comprehensive inspection at Marysville Medical Practice on 22 January 2020 following a change in the Provider’s legal entity from a Partnership to Individual on 1 October 2018. Due to a change in legal entity prior to April 2019, continuing regulated history does not apply and therefore the location was inspected as a new registration.

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 previously carried out an announced comprehensive inspection at Maryville Medical Practice on 24 June 2015. The overall rating was Outstanding. The practice was rated outstanding for providing effective, caring and responsive services and good for providing safe and well-led services. The report on the June 2015 inspection can be found by selecting the ‘all reports’ link for Marysville Medical Practice on our website at www.cqc.org.uk

We have rated this practice good overall and good for all the population groups.

We found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• There was an effective system in place for reporting, investigating and sharing learning from significant events.
• Patients received effective care and treatment that met their needs and was planned and delivered according to evidence-based guidelines.
• The practice had a comprehensive programme of quality improvement and used information about care and treatment to make improvements.
• The practice understood the needs of its population and tailored services in response to those needs.
• Patients were highly satisfied with the with the service they received from the practice.
• Staff felt valued and supported in their work and in the development of their roles.
• There were clear responsibilities, roles and systems of accountability to support good governance and management.
• There was an open and transparent culture within the practice.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
• Leaders demonstrated that they had the capacity and skills to deliver high quality sustainable care. They were aware of their strengths and challenges and had acted to address any shortfalls.
• The practice had a clear vision and credible strategy to provide high quality sustainable care.
• The two good practice recommendations identified at our previous inspection had been appropriately addressed.

The areas where the provider should make improvements are:

• Continue to promote childhood immunisation uptake.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of General Practice