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Trinity Medical Centre, London.

Trinity Medical Centre in London 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 and treatment of disease, disorder or injury. The last inspection date here was 19th August 2019

Trinity Medical Centre is managed by Dr Maria Coutinho.

Contact Details:

    Address:
      Trinity Medical Centre
      2 Garland Road
      London
      SE18 2AE
      United Kingdom
    Telephone:
      02083197640
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Ratings:

For a guide to the ratings, click here.

Safe: Inadequate
Effective: Requires Improvement
Caring: Good
Responsive: Good
Well-Led: Requires Improvement
Overall:

Further Details:

Important Dates:

    Last Inspection 2019-08-19
    Last Published 2019-03-11

Local Authority:

    Greenwich

Link to this page:

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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.

9th January 2019 - During an inspection to make sure that the improvements required had been made pdf icon

CQC carried out an announced comprehensive inspection of Trinity Medical Centre on 4 and 10 October 2018 to follow up on breaches of regulation identified in August 2017. The practice was rated as requires improvement overall with ratings of inadequate for providing safe services, requires improvement for effective and for well led services and good for providing caring and responsive services. As a result of the findings on the day of the inspection the practice was issued with a warning notice for breach of Regulation 12 (Safe care and treatment) and a requirement notice for Regulation 17 (Good governance). You can read our findings from our last inspections by selecting the ‘all reports’ link for Trinity Medical Centre on our website at https://www.cqc.org.uk/location/1-4275983140.

This was an announced focused inspection on 9 January 2019. This inspection was carried out to review in detail the actions taken by the practice to improve the quality of care and to confirm that the practice was now meeting legal requirements as detailed in the warning notices issued on 16 October 2018.

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.

This inspection was an unrated inspection to follow up on warning notices and the rating remains unchanged.

At this inspection we found:

  • The system in place in relation to high risk medicines had been improved. We reviewed records of patients taking high risk medicines and found they had all been monitored appropriately.
  • The practice had started to implement a new process for monitoring and tracking blood test requests and checking patients had attended for their test.
  • The practice had started to implement a new process for managing changes to prescribing.
  • Staff told us the security risk assessment had been carried out on 1 August 2018. However, there was no record of a premises security risk assessment. The building is managed by a private management company who employ a caretaker to secure the building every evening. There was no record that the practice had been made aware of any actions required from the risk assessments. The practice was not able to give us a copy of the security risk assessment at our previous inspection in October 2018.
  • There was a system for flagging children at risk. We saw appropriate coding in patient records.
  • There was no medicines management policy in place or practice protocol for prescribing high risk medicines, which reflected national guidance. There was no safety netting policy or pathology protocol to support staff to manage test results effectively. There was no medicines management policy in place. We saw a repeat prescribing policy.
  • We found the practice had implemented monthly clinical and non-clinical meetings, which were minuted and distributed amongst all staff. The meetings allowed the discussion and review of patients on high risk drugs, prescribing, the risk register and to allow staff to provide feedback.
  • The practice had obtained two paediatric pulse oximeters.
  • There was evidence that support for carers had improved slightly. The practice had identified 37 patients as carers, 1% of the practice list.

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

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

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

The areas where the provider should make improvements are:

  • Continue to improve identification of carers so that they can be offered appropriate support.

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

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

 

 

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