Dr Trzcinski and Partners

Updated 15 June 2016

Dr Trzcinski and Partners is a GP practice situated in the village of Markfield in Leicestershire. The practice is situated in a purpose built building and provides general medical services to approximately 6871 patients. Markfield has a retirement village and two warden controlled complexes. The practice covers Markfield, Thornton, Stanton-under-Bardon and parts of Newtown Linford, Groby, Copt Oak and Ulverscroft There is car parking with disabled car parking and the practice is fully accessible to people with limited mobility or those that use a wheelchair.

• The practice has three GP partners and two salaried GPs (3 female and two male). The practice employs four practice nurses and two healthcare assistants (HCA’s). The practice employs a practice manager who works alongside two office co-ordinators and are assisted by 10 administration and reception staff.

• The practice is a training practice for GP Registrars. GP Registrars are qualified doctors who undertake additional training to gain experience and higher qualifications in general practice and family medicine

• The practice is open between 8am and 6.30pm Monday to Friday. Appointments are available between 8am and 5.30pm. Appointments can be made on the day or booked up to two weeks in advance.

  • Out of hours care can be accessed by calling the surgery telephone number or by calling the NHS111 service.

• The practice has a higher than average elderly population.

• The practice lies within the NHS West Leicestershire Clinical Commissioning Group (CCG). A CCG is an organisation that brings together local GPs and experienced health professionals to take on commissioning responsibilities for local health services.

The practice is registered to provide; diagnostic and screening procedures, maternity and midwifery services, surgical procedures and the treatment of disease, disorder or injury and family planning at Dr Trzcinski and Partners, 24 Chitterman Way, Markfield, Leicestershire, LE67 9WU.

Dr Trzcinski and Partners has not been inspected previously by the Care Quality Commission.

Updated 15 June 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Trzcinski and Partners

on 13 January 2016. Overall the practice is rated as good.

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

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

• Risks to patients were assessed and well managed.

• 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.

• Patients said they were treated with kindness, dignity and respect and they were involved in decisions about their care and treatment.

• Information about services and how to complain was available and easy to understand.

• Patients 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 however two of the comment cards said that it was difficult to get an appointment.

• The practice had good facilities and was well equipped to treat patients and meet their needs.

• There was a clear leadership structure and staff felt supported by management.

• The provider was aware of the requirements of the Duty of Candour.

• The practice had an active patient participation group in place.

• All staff had completed MCA training and staff were able to demonstrate an understanding of the act and could relate it to their roles.

• The practice had a number of policies and procedures to govern activity which were reviewed annually.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 15 June 2016

The practice is rated as good for the care of people with long-term conditions.

• Community specialist nursing service provided support and education for patients.

• The GPs and nurse team had the knowledge, skills and competency to respond to the needs of patients with long term conditions such as COPD (Chronic obstructive pulmonary disease is the name for a collection of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways disease).

• Performance for diabetes related indicators was 99% which was better compared to the CCG and national average (93% CCG and 89% national average).

• Practice nurses have attended training and upskilling events in relation to Diabetes.

• Longer appointments and home visits were available when needed.

• Patients with long term conditions such as Heart Failure, Asthma and COPD that have an unplanned admission to hospital are seen within two weeks by a GP for review.

Updated 15 June 2016

The practice is rated as good for the care of families, children and young people.

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, the practice then flagged these patients onto the clinical system so that all staff were aware.

• 83% of patients diagnosed with asthma, on the register, had an asthma review in the last 12 months which was above the national average of 75%.

• The practice’s uptake for the cervical screening programme was 84%, which was similar to the CCG average of 83% and the national average of 82%.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

Updated 15 June 2016

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its population.

• The practice was responsive to the needs of older people and offered home visits and urgent appointments for those with enhanced needs.

• The practice systematically identified older patients and coordinated the multi-disciplinary team (MDT) for the planning and delivery of palliative care for people approaching the end of life.

• Practice nurses carry out home visits for housebound patients to complete annual reviews and vaccinations.

• Patients that were admitted to hospital were assessed to look at ways to prevent future deterioration or admission.

Updated 15 June 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

• The practice offered telephone consultations.

• There was a range of appointments between 8am and 5.30pm every weekday

• Extended hours were not available and the practice had assessed that it was not required when analysing patient satisfaction surveys.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.

Updated 15 June 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• Quality data demonstrated the monitoring of people experiencing poor mental health (including people with dementia) was better when compared to local and national averages. For example:

• 97% of people experiencing poor mental health had a comprehensive, agreed care plan documented in their medical record, which was higher when compared to the local average (94%) and national average (88%).

• The practice carried out advance care planning for patients with dementia. For example, 82% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months, which was similar when compared to the local average (86%) and national average (84%).

• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.

• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

• All staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 15 June 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice offered longer appointments or home visits for patients with a learning disability.

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.

• The practice conducted annual checks for patients with a learning disability.

• The GPs regularly worked with multi-disciplinary teams in the case management of vulnerable people.

• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.