Archived: Dr Mannath Ramachandran

Updated 10 September 2019

Dr Mannath Ramachandran also known as Medic House is located in Tilbury, Essex. The practice has a general medical services (GMS) contract with the NHS.

• There are approximately 3000 patients registered at the practice.
• The practice provides services from Medic House, Ottawa Road, Tilbury, Essex and their branch site, 8 Coronation Ave, East Tilbury, Tilbury, Essex.
• The practice is registered with the Care Quality Commission as a sole provider. There is one lead GP registered. The GP is supported by a practice manager, reception and administration staff all working a variety of full and part-time hours. A locum nurse is employed to carry out the nursing duties.
• The practice is open Monday to Friday between 8.30am and 6.30pm but is closed Thursday afternoons and at weekends. During closing time, including Thursday afternoons, patients are directed to the out of hour’s service by calling the practice.
• National data indicates that people living in the area are third most deprived decile of the deprivation scoring in comparison to England as a whole.
• The practice provides services to a higher than national average of patients aged below 18 years.

Updated 10 September 2019

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 18 November 2015.

The practice was rated as requires improvement for providing safe and effective services and requires improvement overall. We issued the provider with a requirement notice for improvement.

After the comprehensive inspection, the practice wrote to us outlining what they would do to meet legal requirements in relation to: the monitoring and responding to national patient safety alert and medicines alerts; monitoring of patients prescribed medicines that require regular review. We had also identified a need for improvement with the proactive identification of children who might be at risk and with the clinical performance with regards to patients with a long term condition.

We undertook this focused inspection to ensure that the practice had made the necessary improvements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Dr Mannath Ramachandran on our website at www.cqc.org.uk

We carried out a desk based review of Dr Mannath Ramachandran on 10 August 2016. This means we asked the practice to provide us with evidence that they were meeting the legal requirements, but we did not visit the premises. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was a system in place to monitor and review patients prescribed high risk medicines.
• There was a system in place to review and action any patient safety or medicines alerts received by the practice.
• There was a system to identify and support children who may be at risk.
• The practice had improved their performance in relation to the management and monitoring of patients with a long term condition.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 30 January 2017

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

• Registers were in place for patients with long term conditions and their conditions were regularly monitored.
• Performance data for patients with diabetes was in line with or higher than national averages for the period 2015 to 2016.
• Patients prescribed high risk medicines, such as Methotrexate, were being reviewed and monitored according to best practice guidelines

Updated 30 January 2017

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

• All staff had received appropriate training in safeguarding children and young persons.

Updated 30 January 2017

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

• All staff had received safeguarding training.
• Patients prescribed high risk medicines, such as Warfarin, were being reviewed and monitored according to best practice guidelines.

Updated 30 January 2017

We did not need to inspect this population group as part of this inspection.

Updated 30 January 2017

We did not need to inspect this population group as part of this inspection.

Updated 30 January 2017

We did not need to inspect this population group as part of this inspection.