11 February 2020, 28 February 2020
During a routine inspection
We carried out an announced comprehensive inspection at Trinity Medical Centre on 11 February 2020 and 28 February 2020 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 and good for all population groups except for Working age people (including those recently retired and students) which is rated as requires improvement.
We rated the practice as good for providing safe services because:
- There were appropriate processes in place to keep patients safe.
- Policies and procedures were monitored, reviewed and updated.
We rated the practice as good for providing effective services because:
- Patients’ needs were assessed, and care and treatment were delivered in line with current legislation, standards and evidence-based guidance.
- There was evidence of quality improvement activity.
We rated the practice as good for providing caring services because:
- The practice respected patients’ privacy and dignity.
- Patient feedback from the GP patient survey results were in line with local and national averages.
We rated the practice as good for responsive services because:
- Complaints were managed in a timely fashion and detailed responses were provided.
- Feedback from the patient survey indicated that respondents’ ease of access care and treatment was in line with local area and national averages.
We rated the practice as good for providing well-led services because:
- There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
- There were clear responsibilities, roles and systems of accountability to support good governance and management.
The areas where the provider should make improvements are:
- Develop safeguarding training staff undertake to assure it is the appropriate level.
- Improve the recording and monitoring of non-clinical staff immunisation status.
- Continue to monitor and review children attending childhood immunisation and patients’ uptake for screening.
- Implement support given to bereaved patients and carers.
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 Primary Medical Services and Integrated Care