This practice is rated as Good overall. The current practice had formed in 2017 after the merger of two previously individual services The Almshouse Surgery and The Grove Surgery. These had been inspected on 8 September 2015 and 15 September 2015 respectively and had been both rated as Good overall. There was continuity of staffing between the previous providers and the current provider.
The key questions 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 Trinity Medical Centre on 8 August 2018 as part of our inspection programme for newly registered providers.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw one area of outstanding practice:
- The practice had worked at both Federation and Confederation level to develop a telephone triage service. This was used to assess requests for same day appointments and home visits. We saw evidence that these developments had made significant workforce efficiency savings and prioritised services according to assessed need.
The areas where the provider
should
make improvements are:
- Review and improve assurance that medication reviews were being undertaken in line with the practice service policy.
- Review and improve assurance in respect to confirming the immunity status of appropriate staff in relation to measles, mumps and rubella, and chickenpox.
- Review and improve the fixing cords to window blinds securely to prevent entanglement.
- Review and improve patient confidentiality at the reception desk at the main Trinity Medical Centre site.
- Review and improve the identification and recording of patients who acted as carers for others.
- Review and improve the appraisal process to ensure staff receive these on a regular basis.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice