Drs. Ramasamy & Nannithamby

Updated 4 May 2017

Drs. Ramasamy and Nannithamby is a single location surgery which provides a primary medical service through a Personal Medical Services (PMS) contract to approximately 5090 patients within the Royal Borough of Kensington and Chelsea, West London. The practice is co-located in premises which are shared with another GP practice, with wheelchair access and all patient areas are on the ground floor. There is limited space within the current building, but there are plans for reconfiguration of the existing space for clinical consultation. The practice is part of NHS West London Clinical Commissioning Group.

The population groups served by the practice include a diverse mix of socio-economic and ethnic groups, including a relatively large Arabic community. There is a high level of deprivation in the area (within the second most deprived London borough), along with patients for whom English is not their first language and many of those do not speak English at all. The number of patients at the practice who are registered unemployed is also very high.

The practice is registered to carry on the following regulated activities: Diagnostic and screening procedures; Family planning; Maternity and midwifery services; Surgical procedures; and Treatment of disease, disorder or injury.

At the time of our inspection, there were 3.3 whole time equivalent (WTE) GPs comprising the two partner GPs (one female and one male), an associate GP (female), and three regular locum GPs; and a practice manager (0.1 WTE). The practice also employed a nurse practitioner prescriber (1 WTE) and two regular part-time locum nurses, four healthcare assistants/receptionists and four other administrative staff.

The practice is open between 8am to 6.30pm Monday and Thursday, 8am to 7pm Tuesday, 8am to 7.30pm Wednesday and Friday and between 9am to 3.30pm Saturday. Appointments are from 8.30am to 6.30pm Monday, 8.30am to 7pm Tuesday, 8am to 6.30pm Thursday, 8.30am to 7.30pm Wednesday and Friday and from 9am to 3.30pm Saturday. Extended surgery hours are offered between 6.30pm to 7pm Tuesday, 6.30pm to 7.30pm Wednesday and Friday and between 9am to 3.30pm every Saturday. In addition to pre-bookable appointments that can be booked in advance, urgent appointments are also available for people that need them. A doctor is also available for telephone advice between 2.00pm and 3.00pm daily, if patients telephoned before 12 noon to arrange this.

There are also arrangements to ensure patients receive urgent medical assistance when the practice was closed. Out of hours services are provided by a local provider. Patients are provided with details of the number to call.

Updated 4 May 2017

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

Updated 4 May 2017

The practice is rated as good for the care of people with long term conditions.

This rating was given following the comprehensive inspection in January 2016. A copy of the full report following this inspection is available on our website:

http://www.cqc.org.uk/search/services/doctors-gps

Updated 4 May 2017

The practice is rated as good for the care of families, children and young people.

This rating was given following the comprehensive inspection in January 2016. A copy of the full report following this inspection is available on our website:

http://www.cqc.org.uk/search/services/doctors-gps

Updated 4 May 2017

The practice is rated as good for the care of older people.

This rating was given following the comprehensive inspection in January 2016. A copy of the full report following this inspection is available on our website:

http://www.cqc.org.uk/search/services/doctors-gps

Updated 4 May 2017

The practice is rated as good for the care of working age people (including those recently retired and students).

This rating was given following the comprehensive inspection in January 2016. A copy of the full report following this inspection is available on our website:

http://www.cqc.org.uk/search/services/doctors-gps

Updated 4 May 2017

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

This rating was given following the comprehensive inspection in January 2016. A copy of the full report following this inspection is available on our website:

http://www.cqc.org.uk/search/services/doctors-gps

Updated 4 May 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

This rating was given following the comprehensive inspection in January 2016. A copy of the full report following this inspection is available on our website:

http://www.cqc.org.uk/search/services/doctors-gps