Dr Uday Kanitkar Also known as Moss Side Medical Centre

Updated 20 December 2023

Dr Uday Kanitkar, also known as Moss Side Medical Centre, is located in Leyland at:

16 Moss Side Way
Leyland
PR26 7XL

The provider is registered with CQC to deliver the regulated activities;

• Diagnostic and screening procedures
• Maternity and midwifery services
• Treatment of disease, disorder or injury
• Surgical procedures
• Family planning

The practice is situated within NHS Lancashire and South Cumbria Integrated Care Board (ICB) and delivers General Medical Services (GMS) to a patient population of about 4697. This is part of a contract held with NHS England.

The practice is part of a wider network of other local GP practices called the Leyland Primary Care Network (PCN).

Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the higher decile (6 of 10). The lower the decile, the more deprived the practice population is relative to others.

According to the latest available data, the ethnic make-up of the practice area is 98% White, 1% Asian, 1% mixed and other.

The age distribution of the practice population is 0-18 Years 19%, 18-64 Years 60% and 65 years and over 20%. This is similar to the regional average.

There is a clinical team of 1 lead GP, 5 sessional and trainee GPs, a practice nurse and a nurse associate. The clinical team is supported at the practice by a team of 6 administrative staff;4 receptionists, a secretary and a medicines coordinator. Managerial support was provided by a practice manager.

The practice offers training and support to GP ST2 and ST3 trainees from Workforce, Training and Education Directorate, NHS England.

The practice is open between 8 am to 6.30 pm Monday to Friday. The practice offers a range of appointment types including book on the day, telephone consultations and advance appointments.

Extended access is provided locally by PCN arrangements, where late evening and weekend appointments are available. Out of hours services are provided by NHS 111 and through an arrangement with an out of hours provider.

Updated 20 December 2023

We carried out an unannounced comprehensive inspection at Dr Uday Kanitkar, also known as Moss Side Medical Centre, on 30 and 31 August 2023. Overall, the practice is rated as inadequate.

We rated each key question as follows:

Safe – Inadequate

Effective - Inadequate

Caring - Good

Responsive – Requires improvement

Well-led – Inadequate

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr Uday Kanitkar on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection to follow up concerns that had been reported to us. It was a full comprehensive inspection looking at all 5 key questions.

How we carried out the inspection

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

• Conducting staff interviews using video conferencing and face to face discussions.
• Requesting written feedback from staff and patients.
• Completing clinical searches on the practice’s patient records system and discussing findings with the provider.
• Reviewing patient records to identify issues and clarify actions taken by the provider
• Requesting evidence from the provider.
• A site visit.

Our findings

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected.
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We found that:

We rated the provider as inadequate for providing safe services. This was because:

• Care was not always provided in a way that kept patients safe and mitigated the risk of avoidable harm.
• The environment was cluttered, poorly maintained and not conducive to good infection prevention and control (IPC). Cleaning schedules and IPC audits were not recorded.
• Medicines were not managed safely in line with best practice recommendations.

We rated the provider as inadequate for providing effective services. This was because:

• There was a lack of oversight and ineffective systems and processes to manage staff mandatory training compliance, provide effective clinical supervision and regular appraisals.

• Procedures around the implementation and management of DNACPR orders, mental capacity considerations and best interests were not reliable.

We rated the provider as good for providing caring services. This was because:

• Patient feedback was good and confirmed staff treated patients with kindness and respect. Patients felt involved in decisions about their care.

We rated the provider as requires improvement for providing responsive services. This was because:

• Information, such as from complaints and significant events, was not used for learning and improvement.

We rated the provider as inadequate for providing well-led services. This was because:

• Leaders had not identified the risks we found during the inspection.
• Processes to monitor performance, assure quality and drive improvement were not established.
• Systems for managing risks were not effective.
• Policies were not managed well and not always followed.
• Confidential records were not stored securely.

We found 3 breaches of regulations. The provider must:

• Ensure care and treatment is provided in a safe way to patients.
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
• Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out their duties.

In addition, the provider should:

• Continue to take steps to increase the uptake of cervical screening.

Due to the breaches of regulation identified we will be carrying out further enforcement action against the provider. I am placing this service in special measures. The Care Quality Commission will refer to and follow its enforcement processes in taking action reflecting these circumstances. The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care