Updated 25 February 2025
Tulasi Medical Centre is a GP practice that delivers services to approximately 21,000 patients under a contract held with NHS England. The practice operates across three sites. The main site is at 10 Bennett’s Castle Lane in Dagenham. Branch practices are situated at Parsloes Avenue, also in Dagenham, and Ripple Road in nearby Barking. The National General Practice Profiles states that the practice has a high proportion of working age patients and is ethnically diverse. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the second decile (2 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
The provider for these services changed in July 2023. We carried out an inspection of the new provider looking at the safe and effective key questions in March 2024. As a result of the that inspection we rated both these key questions as good. However, we found breaches of Regulation 17 Good governance and Regulation 18 Safe staffing. We did not rerate the service overall as a result of our March 2024 inspection.
We carried out this assessment over two days in March 2025. During the inspection we reviewed the progress the practice had made in addressing the breaches identified in March 2024 and reviewed the key questions for caring, responsive and well-led.
During this assessment we saw improvements had been made. The breaches identified at the March 2024 inspection had been met.
The practice had improved systems, processes and policies to monitor and improve the safety and quality of services. Improvements had also been made to how the service measure and addressed significant event analysis. The practice’s safeguarding processes had been strengthened and kept patients and staff protected and safe. A review of clinical governance systems had led to a number of changes to strengthen clinical governance and to ensure the competence of clinical staff. There were enough staff with the right skills, qualifications and experience.
People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and treatment. The service supported staff wellbeing.
People were involved in decisions about their care. The service provided information people could understand. People knew how to give feedback and were confident the service took it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. The service worked to reduce health and care inequalities through training and feedback. People were involved in planning their care and understood options around choosing to withdraw or not receive care.
Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally. Staff understood their roles and responsibilities. Managers worked with the local community to deliver the best possible care and were receptive to new ideas. There was a culture of continuous improvement with staff given time and resources to try new ideas.
Since the last inspection, the practice had made improvements and was no longer in breach of regulation 17 (good governance) and regulation 18 (staffing) of the Health and Social Care Act 2008.