Triangle Surgery

We carried out an announced inspection at Triangle Surgery on 27 April 2022. Overall, the practice is rated as Requires Improvement.

Ratings for each key question:

Safe - Requires Improvement

Effective - Requires Improvement

Caring - Good

Responsive - Good

Well-led - Requires Improvement

Following our previous inspection on 20 February 2017, the practice was rated Good overall and for all key questions.

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

Why we carried out this inspection

This inspection was a comprehensive inspection due to a change in the provider’s registration.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection/review was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

• Conducting staff interviews using video conferencing
• Completing clinical searches on the practice’s patient records system and discussing findings with the provider
• 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 have rated this practice as Requires Improvement overall

We found that:

• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
• The way the practice was led and managed promoted the delivery of person-centre care.

We found a breach of regulation. The provider must:

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

(Please see the specific details on action required at the end of this report).

We also found that the provider should:

• Consider ways to log significant events and complaints to allow for themes to be identified and learning to be shared effectively.
• Continue to take action to improve uptake of childhood immunisations and cervical screening.
• Consider ways to identify more carers so their needs can be met.

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