• Doctor
  • GP practice

Archived: Stonydelph Health Centre

Overall: Good read more about inspection ratings

Ellerbeck, Stoney Delph, Tamworth, B77 4JA (01827) 897484

Provided and run by:
Trinity Surgery

Important: The provider of this service changed - see old profile

All Inspections

12 November 2019

During a routine inspection

We carried out this announced inspection at Stonydelph Health Centre on 12 November 2019 as part of our inspection programme.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice had reviewed and re-organised the way in which services were delivered to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

We rated the practice as requires improvement for providing safe services because:

  • There were gaps found in the recruitment records for some staff including their vaccination and immunity histories.
  • The practice training matrix demonstrated some gaps in staff training, including equality and diversity, mental capacity act, infection prevention and control and safeguarding.
  • There were areas noted for improvement for infection prevention and control.
  • There was no documented risk assessment for one of the suggested emergency medicines not held at the Wilnecote branch site.
  • There was a lack of contingency planning for practice nurse hours.

We rated the population groups as good with the exception of families, children and young people which we rated as requires improvement. The practice needed to improve the uptake of childhood immunisation programmes and cervical cytology screening.

The areas where the provider must make improvements as they are in breach of regulations are:

  • Ensure specified information is available regarding each person employed.
  • Ensure risks are mitigated, including staff training updates, infection prevention and control and risk assessments are completed for suggested emergency medicines not held at the branch site.

The areas where the provider should make improvements are:

  • Introduce systems that confirm that key environment and health and safety risk assessments have been completed by the landlord and these are available for the practice to review including any derived action plans.
  • Continue to review and improve the uptake of cervical cytology screening and the childhood immunisation programmes.
  • Implement a documented system for clinical supervision.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care