- GP practice
Triangle Group Practice
Report from 12 May 2025 assessment
Contents
Ratings
Our view of the service
We carried out an inspection of Triangle Group Practice on 16 and 17 June 2025. We carried out remote clinical searches on the practice’s clinical record system on 16 June 2025. We carried out a site visit on 17 June 2025.
Triangle Group Practice is a GP practice and delivers services to approximately 6626 patients under a contract held with NHS England. Triangle Group Practice is located at 2 Morley Road, Lewisham, London, SE13 6DQ.
The National General Practice Profiles states that the ethnic make-up of the practice area is 51.13% White, 25.54% Black, 10.40% Asian, 8.22% Mixed and 4.71% Other.
Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 3rd decile (3 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
SAFE: There were enough staff with the right skills, qualifications and experience; however, there was not always evidence of immunisation status in both clinical and non-clinical staff personnel files. Managers made sure staff received training and regular appraisals to maintain high-quality care. The service had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. People were protected and kept safe. Staff understood and managed risks. The facilities and equipment met the needs of people, were clean and well-maintained and any risks mitigated. Staff managed medicines well and involved people in planning any changes.
EFFECTIVE: Not all patients who were prescribed medicines which required monitoring were up to date with the required monitoring. People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff involved those important to people took decisions in people’s best interests where they did not have capacity.
WELL-LED: Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities. Managers worked with the local community to deliver the best possible care and were receptive to new ideas. There was a culture of continuous improvement with staff given time and resources to try new ideas.
We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
We collected patient feedback from a variety of sources, including comments shared directly with CQC, reviews on the NHS website and the National GP Patient Survey.
Patients reported improvements to the way they access appointments, including to the ways they were able to contact the practice and a reduction in the waiting time for appointments.
Out of 91 patients who contacted CQC about their experience with the practice within the past 12 months, 76 comments were positive in nature, and 15 negative. The positive comments referred to the staff being professional, compassionate and knowledgeable. The negative reviews highlighted issues with certain staff members being unhelpful, the practice not always calling back within the timeframe they specified and difficulties using the online appointment booking system.
The National GP Patient Survey showed satisfaction to be lower than the national average when patients were asked about their overall experience of the practice.
There was an active Patient Participation Group (PPG) who represented the views of people using the service. Representatives from the PPG described how managers made positive changes because of feedback, such as offering in-house physiotherapist appointments and addressing staffing issues.