• Doctor
  • GP practice

Trowbridge Health Centre

Overall: Good read more about inspection ratings

Prospect Place, Trowbridge, Wiltshire, BA14 8QA (01225) 435757

Provided and run by:
Trowbridge Health Centre

Latest inspection summary

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Background to this inspection

Updated 1 October 2018

Trowbridge Health Centre (THC) is located in Trowbridge. It is one of 47 practices within the Wiltshire Clinical Commissioning Group (CCG) area and has around 30,500 patients. In 2017, THC changed its name from Adcroft Surgery following a merger with two other local practices,

known as Bradford Road Medical Centre and Widbrook Medical Practice. The Bradford Road site has since been decommissioned. Widbrook surgery is now known as Winfield Road Surgery and operates as a branch surgery. In November 2017, THC moved into a new purpose built practice building adjoining their old surgery.

Trowbridge Health Centre has 34 consulting and treatment rooms and one minor operations room. Most treatment and consulting rooms are on the ground floor. The cardiology unit was on the first floor which was accessible by lift. There are automatic front doors, a self-check-in appointments system and a toilet with access for people with disabilities.

Data available shows the practice area is in the fourth less deprived decile nationally, and the practice area is in the mid-range for deprivation scores nationally. The area the practice serves has relatively low numbers of patients from different cultural backgrounds. Average male and female life expectancy for the area is 79 and 84 years, which is broadly in line with the national average of 79 and 83 years respectively.

The practice provides a number of services and clinics for its patients including childhood immunisations, family planning, minor surgery and a range of health lifestyle management and advice including asthma management, diabetes, heart disease and high blood pressure management.

There are seven GP partners and eight salaried GPs. Some were part-time making a full-time equivalent of 11 GPs. They are supported by a nursing team of 22 nurses, two healthcare assistants and an administrative team of 23 staff led by the practice manager.

The practice is a teaching and training practice. (Teaching practices take medical students and training practices have GP trainees, usually called registrars). The practice was also involved in training student nurses.

The practice is open between 8am and 6.30pm Monday to Friday. GP appointments are available between 8.30am and 12.35pm every morning and 2.30pm to 6.10pm every afternoon. Extended hours appointments are offered from 7am to 8am on Wednesday and Friday, and 6.30pm to

7.30pm Monday, Tuesday and Thursday. Appointments can be booked over the telephone or in person at the surgery. When the practice is closed, the practice’s website advises patients to call the out of hours services which can be accessed by calling NHS 111.

The practice has a Personal Medical Services contract to deliver health care services. This contract acts as the basis for arrangements between NHS England and providers of general medical services in England.

The practice provides services from the following sites:

  • Trowbridge Health Centre, Prospect Place, Trowbridge, Wiltshire, BA14 8QA.
  • Winfield Road Surgery, 72 Wingfield Road, Trowbridge, BA14 9EN.

Overall inspection

Good

Updated 1 October 2018

This practice is rated as Good overall.

The key questions at this inspection are rated as:

  • Are services effective? – Good

When we visited Trowbridge Health Centre on 22 and 23 February 2018, to carry out a comprehensive inspection, we found the practice was not compliant with the regulation relating to staffing. Overall the practice was rated as Good. They were rated as good for providing safe, caring, responsive and well-led services, and as requires improvement for providing effective services. The full report on the February 2018, inspection can be found by selecting the ‘all reports’ link for Trowbridge Health Centre on our website at www.cqc.org.uk.

This report covers the announced follow up focused inspection we carried out at Trowbridge Health Centre on 15 August 2018, to review the actions taken by the practice to improve the quality of care and to confirm that the practice was meeting legal requirements.

At this inspection we found:

  • New ways of working were becoming embedded in the practice culture. At our last inspection the practice was coming out of a significant period of change which including merging with two other local practices and moving into a new main surgery building that had not been completed on time. The practice told us the disruption caused by these changes was now behind them. The evidence we saw and our conversations with staff during this inspection confirmed this.
  • The practice had a clear system for staff records which had been reviewed since our last inspection in February 2018.
  • Since our last inspection the practice had reviewed the mandatory training requirements for all staff. There was a clear system for monitoring all mandatory and non-mandatory training.

Trowbridge Health Centre is now rated as good overall and in all key questions.

  • Are services safe? – Good
  • Are services effective? – Good
  • Are services caring? – Good
  • Are services responsive? –Good
  • Are services well-led? - Good

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.