Trent View Medical Practice

We carried out an announced focused inspection at Trent View Medical Practice on 22 and 25 May 2023. Overall, the practice is rated as requires improvement.

Safe - requires improvement.

Effective - requires improvement.

Caring - not inspected, rating of good carried forward from previous inspection.

Responsive – good.

Well-led –requires improvement.

Following our previous inspection on 25 and 31 August 2022 the practice was rated requires improvement overall and for providing effective and well led services but inadequate for providing safe services and good for caring and responsive services.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Trent View Medical Practice on our website at www.cqc.org.uk

Why we carried out this inspection.

We carried out this inspection to follow up breaches of regulation from a previous inspection.

How we carried out the inspection.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

• Conducting staff interviews using video conferencing.
• Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
• Reviewing patient records to identify issues and clarify actions taken by the provider.
• Requesting evidence from the provider.
• A short site visit.

Our findings

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 found that:

The provider had made improvements to keep people safe from harm in the following areas:

• Recruitment processes.
• Standards of cleanliness and hygiene.
• Management of health and safety.
• Management of information to deliver safe care and treatment.
• Medicines management and systems in the dispensaries.
• Systems to learn and make improvements when things went wrong.

However, the provider had not always provided care in a way that kept patients safe and protected them from avoidable harm because:

• Systems practices and processes to keep people safe and safeguarded from abuse were not adequately monitored.
• Systems to monitor patients prescribed high risk medicines were not always effectively implemented.
• Safety alerts were not always acted upon.

The provider had made improvements to provide effective care in the following areas:

• Management of pathology results and documents received from secondary care.
• Access to nurse appointments.
• Staff training.

However, patients had not always received effective care and treatment that met their needs because:

• Patients with long term conditions had not always received effective care and treatment that met their needs.
• Staff training and competency had not been effectively monitored.

The provider had continued to take action to try to improve access by restructuring the service and provide new telephony equipment. Patients could mostly access care and treatment in a timely way.

Whilst the provider had made significant improvements in many areas the way the practice was led and managed did not always promote the delivery of safe, effective, high-quality, person-centred care.

We found breaches of regulations. The provider must:

• Ensure care and treatment is provided in a safe way to patients.

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The provider should:

• Take action to improve the uptake of cervical screening by patients to achieve the 80% target.

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

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care