The Three Spires Medical Practice, Infirmary Hill, Truro.

The Three Spires Medical Practice in Infirmary Hill, Truro is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 17th October 2017

The Three Spires Medical Practice is managed by The Three Spires Medical Practice.

Contact Details:

Address: The Three Spires Medical Practice Truro Health Park Infirmary Hill Truro TR1 2JA United Kingdom Telephone: 01872246888 Website: http://www.threespiresmedical.co.uk

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Ratings:

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Further Details:

Important Dates:

Last Inspection		2017-10-17
Last Published		2017-10-17

Local Authority:

Cornwall

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

12th September 2017 - During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a focussed inspection and on noting elements of notable practice extend the inspection at The Three Spires Medical Centre on 9 August 2017. 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 a system in place for reporting and recording significant events.
• The practice had clearly defined and embedded systems to minimise risks to patient safety.
• Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
• Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
• Eighty nine percent of the patients surveyed said they found it easy to make an appointment with a named GP and added there was continuity of care, with urgent appointments available the same day.
• Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
• The practice had good facilities and was well equipped to treat patients and meet their needs. For example, there was a fully equipped operating theatre for vasectomies and skin cancer surgery on site. The practice was clean, tidy and hygienic. We found suitable arrangements were in place that ensured the cleanliness of the practice was maintained to a high standard.
• 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 the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.
• The leadership, governance and culture of the practice put quality and safety as its top priority in delivering person centered care and treatment. We saw many examples of this throughout the inspection and noted strong leadership was a common thread seen in the areas of outstanding practice.

We saw areas of outstanding practice:

The practice understood its population profile and had used this understanding to meet the needs of its population. GP partners told us that a fundamental aim in developing services at the practice was to provide resilient, proactive and responsive services for patients there and county wide. We saw several examples demonstrating that patients experienced flexibility, choice and continuity of care. For example:

The practice held two no-scalpel vasectomy clinics each week; this includes giving pre and post-operative information. This service was available from two GPs through the choose and book system for all patients throughout the county. In the past twelve months 323 vasectomies had been performed with positive feedback from the patients.

The practice employed a specialist spinal physiotherapist and four physiotherapists and has a purpose built treatment room and shared gymnasium to deliver a physiotherapy service to their patients and county wide. This service was able to provide soft tissue work, and any qualified provider (AQP) service for patients with lower back and neck problems. In the past year over 689 patients were seen. This service received excellent feedback with a 96% satisfaction score of all patients stating they received an excellent service. There was also a muscular interface clinic (MSK) that provided an enhanced service for patients with hip, knee and shoulder problems, and also acupuncture and “back classes to empower the patients to self manage their pain and reduce the amount of pain relieving medicines needed

The practice worked in partnership with the Royal Cornwall Hospital Trust to provide two week wait skin cancer referrals in the practice, the first in the country. Working with two local dermatologists and a GP from the practice the Cornwall skin clinic, as it is known, offers both see and treat clinics for patients at the practice and county wide three times a week and have treated 2161 patients this year.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

18th March 2015 - During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a focussed inspection and on noting elements of notable practice extend the inspection at The Three Spires Medical Centre on 9 August 2017. 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 a system in place for reporting and recording significant events.
• The practice had clearly defined and embedded systems to minimise risks to patient safety.
• Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
• Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
• Eighty nine percent of the patients surveyed said they found it easy to make an appointment with a named GP and added there was continuity of care, with urgent appointments available the same day.
• Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
• The practice had good facilities and was well equipped to treat patients and meet their needs. For example, there was a fully equipped operating theatre for vasectomies and skin cancer surgery on site. The practice was clean, tidy and hygienic. We found suitable arrangements were in place that ensured the cleanliness of the practice was maintained to a high standard.
• 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 the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.
• The leadership, governance and culture of the practice put quality and safety as its top priority in delivering person centered care and treatment. We saw many examples of this throughout the inspection and noted strong leadership was a common thread seen in the areas of outstanding practice.

We saw areas of outstanding practice:

The practice understood its population profile and had used this understanding to meet the needs of its population. GP partners told us that a fundamental aim in developing services at the practice was to provide resilient, proactive and responsive services for patients there and county wide. We saw several examples demonstrating that patients experienced flexibility, choice and continuity of care. For example:

The practice held two no-scalpel vasectomy clinics each week; this includes giving pre and post-operative information. This service was available from two GPs through the choose and book system for all patients throughout the county. In the past twelve months 323 vasectomies had been performed with positive feedback from the patients.

The practice employed a specialist spinal physiotherapist and four physiotherapists and has a purpose built treatment room and shared gymnasium to deliver a physiotherapy service to their patients and county wide. This service was able to provide soft tissue work, and any qualified provider (AQP) service for patients with lower back and neck problems. In the past year over 689 patients were seen. This service received excellent feedback with a 96% satisfaction score of all patients stating they received an excellent service. There was also a muscular interface clinic (MSK) that provided an enhanced service for patients with hip, knee and shoulder problems, and also acupuncture and “back classes to empower the patients to self manage their pain and reduce the amount of pain relieving medicines needed

The practice worked in partnership with the Royal Cornwall Hospital Trust to provide two week wait skin cancer referrals in the practice, the first in the country. Working with two local dermatologists and a GP from the practice the Cornwall skin clinic, as it is known, offers both see and treat clinics for patients at the practice and county wide three times a week and have treated 2161 patients this year.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice