The Care Quality Commission
  • Doctor
  • GP practice

Archived: Dr Avinash Kumar Sennik Also known as Broughton Corner Medical Centre

Overall: Requires improvement read more about inspection ratings

87 Thornton Road, Thornton Heath, Surrey, CR7 6BH (020) 8683 1277

Provided and run by:
Dr Avinash Kumar Sennik

Important: The provider of this service changed. See new profile

All Inspections

05 Feb 2020

During an inspection looking at part of the service

We carried out a comprehensive inspection of this service (Dr Avinash Kumar Sennik, Broughton Corner Medical Centre) on 5 February 2020 following our annual regulatory review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

The provider was rated overall as good during our last inspection in October 2016.

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 have rated this practice as requires improvement overall and requires improvement for population groups people with long-term conditions, families, children and young people, working age people and people experiencing poor mental health.

We found that:

  • The systems and processes in place to keep patients safe required improvement. For example, the practice did not have a robust system in place for medicines management.
  • Patients received effective care and treatment; however, outcomes for patients with diabetes, asthma, hypertension and mental health were below average.
  • The uptake for childhood immunisations and cervical screening were below average.
  • Staff dealt with patients with kindness and respect and patients we spoke to indicated that they were involved in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. However, patient satisfaction in relation to appointments were below average; patients and the members of the Patient Participation Group we spoke to indicated that telephone access and access to appointments had improved in the last six months
  • There was a focus on learning and improvement.

The areas where the provider must make improvements are:

  • Ensure that care and treatment is provided in a safe way.
  • Ensure that care and treatment meet the needs of patients.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • Implement a system to allow continuous monitoring of medicines and safety alerts.
  • Consider ways to improve uptake for childhood immunisations.
  • Consider ways to identify carers to ensure their needs are known and can be met
  • Review procedures to include escalation information in response letter to complaints.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

17 October 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of the practice on 9 and 15 February 2016. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet their legal requirements in relation to the breach of regulation 12(1) (2) Safe care and treatment and regulation 19 (3) Fit and proper person employed of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We undertook this desk-based focussed inspection on 17 October 2016 to check that the practice had followed their plan and to confirm that they were now meeting their legal requirements. This report covers our findings in relation to those requirements and also where additional improvements have been made following the initial inspection. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Dr Avinash Kumar Sennik on our website at www.cqc.org.uk.

Overall the practice is rated as Good. Specifically, following the focussed inspection we found the practice to be good for providing safe and responsive services. This affected the ratings for all of the population groups which are now good.

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

  • Risks to patients were assessed and well-managed, including those related to recruitment checks, fire safety and infection control.

There were areas of the practice where the provider should make improvements:

  • Review practice procedures to ensure safeguarding vulnerable adults training is provided to all staff.
  • Review practice procedures to ensure written references are obtained for all staff before employing them.
  • Review the telephone system in the practice to ensure telephone access for patients is improved. 

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

9 and 15 February 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Avinash Kumar Sennik on 9 and 15 February 2016. Overall the practice is rated as requires improvement.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks and infection control audits not being undertaken.
  • Feedback from patients reported that access to a named GP and continuity of care was not always available quickly, although urgent appointments were usually available the same day.

  • Access to the service showed that patients were not able to see a GP until the first appointment at 10am. Although the practice telephone lines opened at 8am.

  • Practice specific policies were implemented and were available to all staff. But not all policies had been signed or were dated and the version control verified.

The areas where the provider must make improvements are:

  • Ensure recruitment arrangements include all necessary employment checks for all staff.

  • Ensure an annual audit of infection prevention and control are undertaken.

In addition the provider should:

  • Ensure that GP survey results are reviewed to address low scoring areas and improve patient satisfaction with consultations.

  • Review the times of clinical staff availabilityto meet patients needs.

  • Ensure patients identified with caring responsibilities are provided with appropriate support.

  • Implement systems to ensure policies and guidance documents are reviewed and updated as necessary.

  • Ensure that annual fire drills are recorded and documented.
  • Ensure information in the patient leaflet is up to date to reflect the current service.
  • Ensure the discussions and actions agreed in PPG meetings are documented to enable dissemination to others and enable an audit trail of decisions.
  • Ensure safeguarding vulnerable adults training is provided to staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice