- GP practice
Archived: Triangle Surgery
All Inspections
20 February 2017
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Triangle Surgery on 26 August 2016. The overall rating for the practice was good, with the rating for providing safe services requires improvement. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Triangle Surgery on our website at www.cqc.org.uk.
This inspection was a desk-based review carried out on 20 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 26 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as Good, with the rating for providing safe services now Good.
Our key findings were as follows:
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The provider had purchased and installed an automatic external defibrillator (AED).
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Staff at the practice had been trained in the use of the AED.
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The provider had reviewed how patients with caring responsibilities were identified and recorded on the clinical system. The provider introduced a carer’s policy which defined the role of the carer, how to identify carers, including young carers, and what support should be offered. Support for carers included written information and signposting to relevant local services, priority and flexibility in appointment length and time, and an annual health and social care review and support under the local clinical commissioning group scheme. The provider had now identified 65 patients as carers which was 1.3% of the practice population, compared to 33 patients (0.7%) at our last inspection.
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The provider had introduced a range of information leaflets, DVDs and posters for patients in languages and subjects appropriate to the practice population. The subjects included diabetes, fasting during Ramadan, smoking cessation and health screening, and leaflets were printed in Urdu, Arabic, Spanish, Gujarati, Hindi, Tamil, Punjabi, Somali and Polish.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
19 April 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Triangle Surgery on 19 April 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Risks to patients were assessed and well managed, with the exception of risks related to medical emergencies.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
- Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
- The provider was aware of and complied with the requirements of the duty of candour.
The areas where the provider must make improvement are:
- Ensure the practice is equipped to deal with a range of medical emergencies including those when patients require defibrillation for their heart to return to an effective pumping rhythm.
The areas where the provider should make improvement are:
- Review how patients with caring responsibilities are identified and recorded on the clinical system to ensure information, advice and support is made available to them.
- Consider having information in languages other than English available in reception.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice