Background to this inspection
Updated
12 December 2018
Trentham Mews Medical Centre changed its legal identity from a single-handed GP practice to a partnership provider in August 2018. It is located in Trentham, Stoke-on-Trent. The practice provides care and treatment to approximately 3,551 patients of all ages and holds a General Medical Services (GMS) contract. A GMS contract is a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract. It delivers services from one location which we visited during our inspection:
- Trentham Mews Medical Centre, Eastwick Crescent, Trentham, Stoke-on-Trent, Staffordshire, ST4 8XP
The practice is in an area of low deprivation. Demographically 17.2% of the practice population is under 18 years old which is lower than the national average of 20.8% and 25.5% are aged over 65 years which is above the national average of 17.1%. The practice population is predominately white British. The percentage of patients with a long-standing health condition is 59.2% which is higher than the national average of 53.7%. The practice is a training practice for recently qualified doctors.
The practice staffing comprises of:
- Two GP partners (one male and one female).
- A female salaried GP
- A recently qualified doctor
- Two female practice nurses.
- An elderly care facilitator
- A practice manager.
- Five members of administrative staff working a range of hours.
GP telephone consultations are available for patients who are unable to attend the practice within normal opening hours. During the out-of-hours period services are provided by Staffordshire Doctors Urgent Care, patients access this service by calling NHS 111.
The practice offers a range of services for example, management of long-term conditions such as asthma, ear syringing, spirometry, cervical smears, childhood immunisations, health checks and new patient checks. Further details can be found by accessing the practice’s website at www.trenthammewssurgery.nhs.uk
Updated
12 December 2018
This practice is rated as requires improvement overall.
The key questions at this inspection are rated as:
Are services safe? – Requires improvement
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Requires improvement
We carried out an announced comprehensive inspection at Trentham Mews Medical Centre on 16 November 2018 as part of our inspection programme.
At this inspection we found:
- When incidents happened, the practice learned from them and improved their processes.
- Appropriate risk assessments had not always been completed.
- Fire drills had not been carried out at the practice.
- 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.
- Some staff had not completed training appropriate to their role.
- The practice had not carried out appropriate checks for all staff at the time of recruitment.
- Systems for receiving Medicines and Healthcare products Regulatory Agency alerts into the practice were in place but not always up to date.
- Staff involved and treated patients with compassion, kindness, dignity and respect. There was high patient satisfaction throughout the practice.
- The practice was pro-active in working with the local community to improve the health of its practice population.
- Patients found the appointment system very easy to use and reported that they were able to access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
- There was a clear practice vision and strong set of values.
- Governance arrangements did not support the identification of potential risks or take action to mitigate them.
We saw two areas of outstanding practice:
- Data from the GP National Survey was above local and national averages in all indicators. One hundred per cent of respondents were positive about the overall experience of their GP practice.
- Since 1999 the practice had been active in promoting community engagement to improve health by creating supportive environments and strengthening community action. Current projects included the community book lending service and the establishment of a trust that supports the education and health care of children in a very deprived community in Uganda.
The areas where the provider must make improvements are:
- Ensure care and treatment is provided in a safe way to patients.
- Ensure specified information is available regarding each person employed.
Please refer to the requirement notice at the end of this report for more detail.
The areas where the provider should make improvements are:
- Update policies to ensure they reflect current guidance. For example, policies for safeguarding vulnerable adults and recruitment.
- Provide reception staff with training to identify the rapidly deteriorating patient.
- Implement and monitor changes required as identified in the infection control audit.
- Improve government arrangements and risk management processes so that they operate effectively.
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.