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CQC closes Inadequate Newham GP practice

Published:
5 October 2017
Service:
Dr Surendra Kumar Dhariwal
Categories:
  • Media,
  • GP and GP out-of-hours services

A Newham GP practice has again been rated overall Inadequate and has been closed by the Care Quality Commission.

Dr Surendra Kumar Dhariwal’s GP practice in Romford Road, in the London Borough of Newham, which looked after 1,350 people, was rated Inadequate for being safe, effective, caring, responsive and well-led, following the inspection in July 2017.

The practice appealed against CQC’s decision to cancel its registration. The case was heard in court at a First Tier Tribunal that decided it was not disproportionate for CQC to cancel the provider’s registration. The provider’s’ registration was cancelled on 2 October 2017; it is no longer operating and has closed.

Previous inspections in June 2016 and March 2017 resulted in the practice being rated overall inadequate and placed into special measures and little has changed.

Inspectors found at the most recent inspection:

  • Staffing arrangements were unclear and there were gaps in maintaining relevant staff checks or information such as Disclosure and Barring Service.
  • There were weaknesses in staff appraisal procedures and training.
  • Areas of the premises were dusty and some items were visibly dirty or out of date.
  • A significant amount of medicines and equipment were not fit for use and there were no effective systems in place to address this.
  • There was no evidence of the duty of candour or that lessons were learned from individual concerns and complaints or analysis of trends and action taken as a result to improve the quality of care.

Before its closure, CQC inspectors had recommended that the practice: ensure care and treatment is provided in a safe way to patients; ensure premises and equipment is fit for use; establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care; ensure staff receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties; maintain all necessary employment checks for all staff.

Professor Ursula Gallagher, CQC’s Deputy Chief Inspector of GP Practices, said:

“I was very concerned about patient care at Dr Surendra Kumar Dhariwal’s practice and the lack of response or improvement we have witnessed since previous inspections."

“This service was placed in special measures in November 2016. Insufficient improvements have been made despite two more inspections since then. In the interests of patients we were left with no option but to use our powers to cancel the registration of Dr Surendra Kumar Dhariwal’s practice, thus closing the practice"

You can read the report in full after it is published on our website.

Ends

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Last updated:
05 October 2017

Notes to editors

To get to the heart of people’s experiences of care, we always ask the following five questions of services.

  • Are they safe?
  • Are they effective?
  • Are they caring?
  • Are they responsive to people’s needs?
  • Are they well-led?

For every NHS GP practice and out-of-hours service, we will look at the quality of care for the following six population groups: Older people, People with long-term conditions, Families, children and young people, Working age people (including those recently retired and students),People whose circumstances may make them vulnerable, People experiencing poor mental health (including people with dementia). 

Providers are required to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily.


About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.


We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.


We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.