Dr Bijendra Narayan Singh - Care Quality Commission

Background to this inspection

Updated 26 June 2017

Dr Bijendra Narayan Singh (also known as Brompton Medical Centre) is situated in Gillingham, Kent and has a registered patient population of approximately 2,100. There are more patients registered between the ages of 0 and 14 years as well as between the ages of 25 and 44 years than the national average. There are fewer patients registered over the age of 55 years than the national average.

Following our inspection in November 2015 the practice has gone into partnership with four GPs from Sydenham House Medical Group, which was agreed by NHS England.

The practice staff consists of one GP (male), one practice manager, one nurse manager, one nurse practitioner (female), one healthcare assistant (female) as well as administration and reception staff. Other Sydenham House Medical Group staff work at the practice when required. For example, to cover any staff absence. There is a reception and waiting area on the ground floor. All patient areas are accessible to patients with mobility issues, as well as parents with children and babies.

The practice is not a teaching or training practice (teaching practices have medical students and training practices have GP trainees and FY2 doctors).

The practice has a general medical services contract with NHS England for delivering primary care services to the local community.

The practice is open Monday, Tuesday, Wednesday and Friday between the hours of 8.30am to 6.30pm and Thursday 8.30am to 12.30pm. Primary medical services are available to patients registered at Dr Bijendra Narayan Singh via an appointments system. There are a range of clinics for all age groups as well as the availability of specialist nursing treatment and support. There are arrangements with other providers (Medway On Call Care) to deliver services to patients outside of the practice’s working hours.

Services are provided from Brompton Medical Centre, 28a Garden Street, Brompton, Gillingham, Kent, ME7 5AS, only.

Overall inspection

Good

Updated 26 June 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Bijendra Narayan Singh on 27 September 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for Dr Bijendra Narayan Singh on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 13 June 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 27 September 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

The practice had introduced a system for the routine management of legionella (a germ found in the environment which can contaminate water systems in buildings).
The practice was able to respond to a medical emergency, in line with national guidance, before the arrival of an ambulance.
The practice demonstrated that clinical audits were driving quality improvement.
The practice had identified an additional 11 patients on the practice list who were also carers. The total number of identified patients on the practice list who were also carers was now 14. This represented 0.7% of the practice list.
The provider had created a practice website.
The practice had introduced an effective complaints management system.

However, there were also areas of practice where the provider needs to make improvements.

The provider should:

Continue to identify patients who are also carers to help ensure eligible patients are offered relevant support.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice