We carried out an announced comprehensive inspection at

The Mayflower Medical Practice on 19 February 2019 as part of our inspection programme.

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 have rated this practice as good overall.

We found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.

• Patients received effective care and treatment that met their needs.

• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
• 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:

• The practice should review the governance arrangements for the dispensary service to ensure the lead GP for dispensing is assured of the safety and quality of the service provided.

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

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced inspection visit on 15 January 2015. The overall rating for the practice is good. Specifically, we found the practice was good in providing: safe, responsive and effective care for all of the population groups it serves.

Our key findings were as follows:

• Where incidents had been identified relating to safety, staff had been made aware of the outcome and action was taken where appropriate, to keep people safe.
• All areas of the practice were visibly clean and where issues had been identified relating to infection control, action had been taken.
• Patients received care according to professional best practice clinical guidelines. The practice had regular information updates, which informed staff about new guidance to ensure they were up to date with best practice.
• The service ensured patients received accessible, individual care, whilst respecting their needs and wishes.
• We found there were positive working relationships between staff and other healthcare professionals involved in the delivery of service.
• Evidence we reviewed demonstrated patients were satisfied with how they were treated and this was with compassion, dignity and respect. It also demonstrated the clinicians were good at listening to patients and gave them enough time.
• The practice had an open culture that was effective and encouraged staff to share their views through staff meetings and significant event meetings.
• Appointment length is need specific so GPs arrange longer appointments when they think this is necessary. Longer appointments are offered to some patients for example those with substance misuse issues or complex needs.
• The practice had systems to monitor babies and children; for instance there were always two members of the nursing team present when they administered the vaccinations. This was to minimise any errors that could occur due to the complexity of babies and children vaccinations

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

This inspection was undertaken by a compliance inspector and a specialist advisor. The Mayflower Medical Practice provides services at two sites; Bawtry and Finningley. References to 'the practice' refer to both sites unless otherwise stated. Throughout we refer to general practitioners as ‘GPs’.

One person we spoke with told us that; “I think they listen to patients as individuals and if you’ve found some information on the internet they’ll listen to what you’ve found. You can talk to them.” We found that people's views and experiences were taken into account in the way the service was provided and delivered in relation to their care.

The people we spoke with were complimentary about the treatment they received. One person told us; “I think this is a lovely practice. I’ve been here 30 years. They know what they’re doing and they’re all very kind.” We found that care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare.

People who used the service told us they thought the practice was clean. We found that overall people were cared for in a clean and hygienic environment.

People we spoke with told us they were satisfied with the standard of care provided by the staff. We found that staff received appropriate professional development and training.

A person who used the service told us; “I could talk to the doctor or manager if I needed to say anything about the surgery." We found that there was an effective system in place to assess and monitor the quality of care provided.