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Reports


Inspection carried out on 6 December 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Trent Valley Surgery on 6 December 2016. Overall the practice is rated as good. The purpose of this inspection was to ensure that sufficient improvement had been made following the practice being placed in to special measures as a result of the findings at our inspection in June 2015. At a further inspection in March 2016, some improvements were found, following which the practice was rated as requires improvement overall but remained in special measures.

Following the most recent inspection we found that overall the practice was now rated as good and significant improvements had been made and specifically, the ratings for providing a safe service had improved from inadequate to good. The rating for providing a caring service had improved from good to outstanding.

Our key findings across all the areas we inspected were as follows:

  • The practice had made further significant improvements since our last inspection and the new staffing structure was working effectively.

  • The most recent results from the national GP patient survey published in July 2016 ranked the practice seventh in England.

  • Feedback we received from patients reflected positively about the staff and said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

  • We found many positive examples to demonstrate how patient’s choices and preferences were valued and acted on.

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. The new system which had been introduced at our previous inspection was now embedded and we saw that learning was disseminated and identified actions were implemented.
  • The practice had a number of policies and procedures to govern activity, all of which had been reviewed.
  • The practice had sought feedback from patients and the recently formed patient participation group was developing.
  • Risks to patients were assessed and well managed (with the exception of legionella).

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients expressed high satisfaction with the appointment system and said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • The leadership structure had strengthened further and staff felt supported by management.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

The areas where the provider should make improvements are:

  • To ensure that daily resets of vaccination fridges are recorded.
  • To review arrangements for mitigating the risk of legionella.

  • To formalise supervision arrangements relating to the nurse prescriber.

I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 1 March 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Trent Valley Surgery on 6 December 2016. Overall the practice is rated as good. The purpose of this inspection was to ensure that sufficient improvement had been made following the practice being placed in to special measures as a result of the findings at our inspection in June 2015. At a further inspection in March 2016, some improvements were found, following which the practice was rated as requires improvement overall but remained in special measures.

Following the most recent inspection we found that overall the practice was now rated as good and significant improvements had been made and specifically, the ratings for providing a safe service had improved from inadequate to good. The rating for providing a caring service had improved from good to outstanding.

Our key findings across all the areas we inspected were as follows:

  • The practice had made further significant improvements since our last inspection and the new staffing structure was working effectively.

  • The most recent results from the national GP patient survey published in July 2016 ranked the practice seventh in England.

  • Feedback we received from patients reflected positively about the staff and said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

  • We found many positive examples to demonstrate how patient’s choices and preferences were valued and acted on.

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. The new system which had been introduced at our previous inspection was now embedded and we saw that learning was disseminated and identified actions were implemented.
  • The practice had a number of policies and procedures to govern activity, all of which had been reviewed.
  • The practice had sought feedback from patients and the recently formed patient participation group was developing.
  • Risks to patients were assessed and well managed (with the exception of legionella).

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients expressed high satisfaction with the appointment system and said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • The leadership structure had strengthened further and staff felt supported by management.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

The areas where the provider should make improvements are:

  • To ensure that daily resets of vaccination fridges are recorded.
  • To review arrangements for mitigating the risk of legionella.

  • To formalise supervision arrangements relating to the nurse prescriber.

I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

CQC Insight

These reports bring together existing national data from a range of indicators that allow us to identify and monitor changes in the quality of care outside of our inspections. The data within the reports do not constitute a judgement on performance, but inform our inspection teams. Our judgements on quality and safety continue to come only after inspection and we will not make judgements on data alone. The evidence tables published alongside our inspection reports from April 2018 onwards replace the information contained in these files.