Dr Selvaratnam Kulendran

Background to this inspection

Updated 14 June 2018

Dr Selvaratnam Kulendran surgery is also known as Chase Cross Medical Centre and is located in Romford in Essex. The practice is commissioned by Havering Clinical Commissioning Group (CCG) to provide general medical services to approximately 5,954 patients.

The practice is a single-handed GP practice and employs one salaried female GP and one female locum GP. The practice employs one practice nurse (female, 21 hours per week). There are five reception staff, two administrative staff and one practice manager.

Information published by Public Health England rates the level of deprivation within the practice population group as five on a scale of one to 10. (Level one represents the highest levels of deprivation and level 10 the lowest.) The practice has a slightly higher proportion of patients with long-term conditions.

The practice opens each day at 8.30am and remains open Monday and Friday to 7.30pm, Tuesday and Wednesday to 7pm and Thursday to 6.30pm. Appointments can be booked over the telephone, online or in person at the surgery. Patients are provided information on how to access an out of hour’s service by calling the surgery. The GPs provide 19 sessions from Monday to Friday.

The practice is registered by the CQC to provide diagnostic and screening procedures, treatment of disease disorder and injury, maternity and midwifery services, family planning and surgical procedures. The provider informed us the practice does not carry out minor surgery procedures.

The practice runs a number of services for its patients including; chronic disease management, and new patient checks.

Overall inspection

Good

Updated 14 June 2018

We carried out an announced comprehensive inspection at Dr Selvaratnam Kulendran practice on the 10 July 2017. At this inspection we rated the practice as good overall and for the key questions of safe, effective, caring and responsive with the exception of well-led which we rated requires improvement. The full comprehensive report on the inspection can be found by selecting the ‘all reports’ link for Dr Selvaratnam Kulendran on our website at www.cqc.org.uk.

We carried out an announced focused inspection at Dr Selvaratnam Kulendran practice on the 22 May 2018. This inspection was carried out to review the actions taken by the practice to improve the quality of care and to confirm whether the practice was providing a well-led service and was now meeting legal requirements.

The key questions are rated as:

The overall rating for the service is Good.
Are services well-led? - Good

At this inspection we found:

We found the provider had a clear vision and a mission statement that was patient focused and informative.
The practice used information about care and treatment from the Quality Outcomes Framework to make improvements.
Clinical staff had completed clinical audits.
The practice had a patient participation group (PPG) with six members and had held one group meeting on the 23 March 2018. The meeting had agreed terms of reference. The meeting had discussed the recent report from Havering Healthwatch and what actions the provider should take.
Staff were clear on their roles and accountabilities.
The practice manager had established policies, procedures and activities to ensure safety and assured themselves that they were operating as intended.
The practice had carried out a series of patient surveys, looking at the work of the doctor, the nurse and the reception staff which they had collated, reviewed and where appropriate implemented actions for improvement.
The practice had sought, reviewed and taken action on patient feedback.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice.