This practice is rated as Good overall.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at The Mandeville Practice in Aylesbury, Buckinghamshire on 25 October 2018. This inspection was completed following changes in the registration of this practice to a new provider of care and treatment.

At this inspection we found:

• It was evident the practice had gone through a period of transition. Improvements had been made, systems implemented to manage and monitor risks and patient feedback was improving. Staff we spoke with recognised the endeavours of the new leadership team and were keen to be part of the new developments.

• There was a safe track record and staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Our findings showed that systems were in place to ensure that all clinicians were up to date with both National Institute for Health and Care Excellence (NICE) guidelines and other locally agreed guidelines.
• Services at the practice were tailored to meet the needs of individual patients and were delivered to ensure flexibility, choice and continuity of care. In the first six months (since the new provider started) of the contract, the practice had reviewed the needs of its patient population and tailored services in response to those needs.
• The practice had a visible short term, medium term and long-term strategy and supporting business plans which reflected The Mandeville Practice values. The initial phase and short-term six month strategy was referred to as the ‘safety and stability’ plan. The six month strategy included a focus on embedding a new model of care, recruitment and clinical safety systems.
• The practice had clear and visible clinical and managerial leadership and supporting governance arrangements. There was a high level of constructive engagement with staff and all staff we spoke with told us they felt they were an integral part of the practice and they felt valued.

We saw an area of outstanding practice:

• Although only six months into the contract the leadership team drove continuous improvement and all staff were accountable for delivering safe change. We saw the practice team was committed to meeting the needs of its population. This was evidenced through specific areas of improvement, themed and targeted services, clinical audits and health promotion. This also included a range of initiatives to meet the different patient groups who accessed the practice.

Professor Steve Field

CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.