Dr Srinivas Rao Dasari and Dr Raveendra Katamaneni

Background to this inspection

Updated 24 May 2017

Dr Srinivas Rao Dasari and Dr Raveendra Katamaneni also known as Rowlands Road Surgery is located in Yardley, West Midlands situated in a converted house; providing NHS services to the local community.

Based on data available from Public Health England, the levels of deprivation in the area served by Dr Srinivas Rao Dasari and Dr Raveendra Katamaneni are below the national average, ranked at four out of 10, with 10 being the least deprived. Deprivation covers a broad range of issues and refers to unmet needs caused by a lack of resources of all kinds, not just financial. Based on Public Health England data the estimated ethnicity of the practice patient population are 3% mixed, 16% Asian, 5% black. The practice serves a higher than average patient population aged 10 to 19, 30 to 95s and over; and below average for ages 20 to 29.

The patient list is approximately 2,100 of various ages registered and cared for at the practice. Services to patients are provided under a General Medical Services (GMS) contract with the Clinical Commissioning Group (CCG). GMS is a contract between general practices and the CCG for delivering primary care services to local communities.

The surgery has expanded its contracted obligations to provide enhanced services to patients. An enhanced service is above the contractual requirement of the practice and is commissioned to improve the range of services available to patients; for example, Childhood Vaccination and Immunisation Scheme.

The surgery is situated in a multipurpose converted house; further refurbishment had been completed since the first inspection which took place on 3 August 2016. Limited on-site parking is available and designated parking is available for cyclists and patients who display a disabled blue badge. The surgery has automatic entrance doors and is accessible to patients using a wheelchair.

The practice staffing comprises of two male GP partners, a long-term locum GP (female), one practice nurse, one practice manager and an IT manager. The GP partners and practice manager form the management team and they are supported by a team of four staff members who cover reception, secretarial and administration roles.

The practice is open between 8.30am and 1.30pm; 3.30pm and 7pm on Mondays and Fridays, 8.30am and 1.30pm; 3.30pm and 6.30pm on Tuesdays and Wednesdays. Thursday opening times are between 8.30am and 1pm.

GP consulting hours are from 9am and 12.30pm; 4pm and 7pm on Mondays and Fridays, 9am and 12.30pm; 4pm and 6.30pm on Tuesdays and Wednesdays. GP consulting hours on Thursdays are from 9am and 12.30pm. The practice has opted out of providing cover to patients in their out of hours period. During this time services are provided by NHS 111. During the practice in hours closure on Thursday from 12.30pm to 9am calls are taken by another provider,

Birmingham and District General Practitioner Emergency Room Group (BADGER) and passed to the GP partners to manage. In the out of hours period (6.30pm to 8am) patients also receive primary medical services through BADGER.

Overall inspection

Good

Updated 24 May 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Srinivas Rao Dasari and Dr Raveendra Katamaneni, also known as Rowlands Road Surgery on 3 August 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Dr Srinivas Rao Dasari and Dr Raveendra Katamaneni on our website at www.cqc.org.uk.

This inspection was an announced follow up inspection carried out on 27 March 2017 to confirm that the practice had carried out their plan to meet the required improvements in relation to the breaches in regulations that we identified in our previous inspection on 3 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Our key findings were as follows:

Since our comprehensive inspection, which took place in August 2016 documents we viewed as part of our follow up inspection showed that lessons from incidents were shared. The practice was able to demonstrate that actions had been taken to prevent the same thing happening again.
Previously, documents we viewed showed that some risks were not effectively managed. For example, risk associated with the building, recruitment checks and business continuity planning. During the follow up inspection we saw that risk assessments were practice specific, staff had received immunity checks and training to enable them to carry out their role safely and effectively.
When we carried out our comprehensive inspection, governance arrangements were not effectively managed. As a result, some risks had not been identified or well managed and we saw some policies which were not practice specific. At the follow up inspection we saw that arrangements for identifying, recording and managing risks, and implementing mitigating actions had been established . Policies had been reviewed and were practice specific.
Quality Outcomes Framework (QOF) performance during 2015/16 showed that the practice completed 75% of dementia reviews. Unverified data provided by the practice during the follow up inspection showed that this had increased to 80%. Staff we spoke with explained that this increase was due to correct recording and proactive identification of dementia patients.
Staff we spoke with during the comprehensive inspection explained that the last multidisciplinary meeting held to discuss patients with end of life care and complex needs had not taken place for over 12 months. Members of the clinical team we spoke with as part of this inspection told us that the practice ensured that end of life care was delivered in a coordinated way which took into account the needs of different patients, including those who may be vulnerable because of their circumstances. For example, the practice attended palliative care meetings every three months; we saw evidence of a meeting which took place in March 2017.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice