Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Drs. Ramasamy and Nannithamby on 28 January 2016. The overall rating for the practice was good. The full comprehensive report on the January 2016 inspection can be found by selecting the ‘all reports’ link for Drs. Ramasamy and Nannithamby on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 11 April 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 28 January 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good.

Our key findings were as follows:

At the inspection on 28 January 2016, the practice was rated overall as ‘good’. However, within the key question safe, an area was identified as ‘requires improvement’, as the practice was not meeting the legislation around the proper and safe management of medicines. The practice was issued a requirement notice under Regulation 12, Safe care and treatment.

At the January 2016 inspection we found risks to patients were assessed and well managed,with the exception of those relating to the administration of vaccines.

Other areas identified where the practice was advised they should make improvements included:

• Update the contact details contained within the safeguarding children policy to match those displayed in reception and in all rooms.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 12, Safe care and treatment, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The practice also demonstrated improvement in the other area identified in the report from January 2016 which did not affect ratings. These improvements have been documented in the safe section, showing how the registered person has demonstrated continuous improvement since the full inspection.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Drs. Ramasamy & Nannithamby on 28 January 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 those relating to the administration of vaccines.

• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• The practice had appropriate facilities and equipment 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:

• Put in place a system for the production of written Patient Specific Directions permitting the healthcare assistants to administer vaccines, to ensure care and treatment is provided in a safe way for patients through the proper and safe management of medicines.

In addition, the areas where the provider should make improvements are:

• Update the contact details contained within the safeguarding children policy to match those displayed in reception and in all rooms.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice