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Inspection Summary


Overall summary & rating

Good

Updated 19 December 2018

This practice is rated as Good overall. (Previous rating July 2018 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

We carried out an announced focused inspection at Trinity Court Surgery on 15 November 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 22 February 2018. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

At this inspection we found:

  • Effective systems and processes had been established to ensure good governance in accordance with the fundamental standards of care. In particular, the system for receiving, actioning and tracking all alerts and updates had improved and was embedded.
  • A written protocol for specialist drug prescribing had been introduced since the previous inspection.
  • Arrangements for managing clinical waste had been strengthened and clinical waste collection was monitored.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Inspection areas

Safe

Good

Updated 19 December 2018

At our previous inspection on 22 February 2018, we rated the practice as requires improvement for providing safe services as the arrangements in respect of receiving, actioning and tracking all alerts from the Medicines and Healthcare products Regulatory Agency (MHRA) were not adequate. Issues were also identified with clinical waste and there was not a written protocol for high risk medicines.

These arrangements had significantly improved when we undertook a follow up inspection on 15 November 2018.

The practice is now rated as good for providing safe services.

Safety systems and processes

The practice had clear systems to keep people safe and safeguarded from abuse.

  • Arrangements for managing clinical waste kept people safe.

Appropriate and safe use of medicines

The practice had reliable systems for appropriate and safe handling of medicines.

  • The practice acted on and learned from external safety events as well as patient and medicine safety alerts.
  • There was a written protocol (specialist drug prescribing) for the management of patients on high risk medicines.

Please refer to the evidence table for further information.

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good