Dr Niranjan’s Practice (also known as Victoria Medical Centre) is a practice located in the London Borough of Barking and Dagenham. The practice is part of the Barking and Dagenham Clinical Commissioning Group (CCG) which is made up of 40 practices. It currently holds a General Medical Services (GMS) contract and provides NHS primary care services to 4435 patients.
The practice serves a diverse population with many patients attending where English is not their first language. The practice does not have a larger older population (5% compared to the local average of 15%) and 64% of the population is under the age of 18 (compared to the local average of 52%). The practice is situated within a purpose-built health centre. Consulting rooms are on two levels with stairs and a lift available for those patients with impaired mobility or who have young children. There are currently five GPs (three male and two female) offering a total of 23 sessions per week, a practice nurse, clinical co-ordinator (who is also employed as a healthcare assistant), administrative staff and a practice manager.
The practice is open between 8am and 6.30pm week days. Appointments are from 8:30am and 1:00pm every morning and 3:30pm to 6:30pm daily. Extended hours surgeries are offered on Monday and Friday between 6:30 and 7:30om. The practice opted out of providing an out of hours service and refers patients to the local out of hours service or the ‘111’ service.
The practice provides a range of services including child health immunisation, minor illness clinic, smoking cessation clinics and clinics for patients with long term conditions. The practice also provides health advice and blood pressure monitoring.
The service is registered with the Care Quality commission to provide the regulated activities of diagnostic and screening procedures, maternity and midwifery services and the treatment of disease, disorder or injury.
The practice was first inspected in May 2015 and received an overall rating of requires improvement. We rated the practice good for providing a caring and responsive service and requires improvement for providing an effective and well led service. The practice was found inadequate for providing a safe service and was issued with a requirement notice for regulation 12 HSCA (RA) Regulations 2014, safe care and treatment due to a lack of staff training for areas such as safeguarding and chaperoning. The practice also received a requirement notice for regulation 17 HSCA (RA) Regulations 2014 good governance due to no significant events recording procedure, no adult safeguarding policy and infection prevention and control procedures were in need of update. We were provided with an action plan by the practice that addressed the issues involved.
We carried out an announced comprehensive follow up inspection on 16 January 2017. Overall the practice was rated as requires improvement. The practice received requirement notices for regulation 12 (safe care and treatment) and regulation 17 (good governance) HSCA (RA) Regulations 2014 due to the absence of a defibrillator without an appropriate risk assessment in place, not putting pans in place to address poor patient outcomes and not identifying and supporting carers.
We carried out a further inspection on 11 October 2017. The practice was rated good overall, however the practice was rated as requires improvement for providing a safe service. A requirement notice for regulation 12 HSCA (RA) Regulations 2014 (safe care and treatment) was issues as the practice had failed to provide staff training in the use of the defibrillator and had failed to identify and record significant events.
Last updated 28 June 2018