Archived: Dr Atindranath Sikdar Also known as Teynham Medical Cantre

Updated 4 November 2016

Dr Atindranath Sikdar is a dispensing practice located in the village of Teynham in Kent. It provides care for approximately 1,600 patients and dispenses medicines to about 600 of these patients. That is, those patients collect their medicines from the practice and not from a community pharmacy.

The practice has two branch surgeries at Doddington and Newham. The area is a mix of rural and village environments. We visited the site at Teynham as part of our inspection. We did not visit the sites at Doddington or Newham.

There is one GP who is a sole practitioner. There is a regular locum GP who works one day a week and covers when the GP is on holiday. Both the GPs are male and there is no regular provision of a female GP. There is a female practice nurse who works two days each week.

The patient population the practice serves is close to the national averages with only a slightly higher percentage of patients between the ages of 65 and 84, those with a full time caring responsibility and those reporting health-related problems in daily life. Income deprivation and unemployment are slightly below the national average.

The practice has a general medical services (GMS) contract with NHS England for delivering primary care services to local communities. The practice is not a teaching or a training practice.

The surgery building is purpose built with two consulting rooms, a pharmacy room and a treatment room. One of the consulting rooms, on the first floor, is used as a nurse’s treatment room. This room is not accessible to patients with mobility issues. However, staff told us that they would arrange for patients to be seen in a ground floor room if required.

The practice has opted out of providing out-of-hours services to their own patients. This is provided by South East on call 111 and Medway on Call Care (MedOCC). There is information for patients on how to access the out of hours service when the practice is closed.

Services are delivered from:

Dr Atindranath Sikdar

72 Station Road

Teynham

ME9 9SN

Services are also provided from:

Doddington Village Hall

The Street

Doddington

Kent

ME9 0BP

And:

Newnham Village Hall

The Street

Newnham

Kent

ME9 0LL.

Updated 4 November 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Atindranath Sikdar on 5 May 2015. Breaches of the legal requirements were found. Following the comprehensive inspection, the practice wrote to us to tell us what they would do to meet the legal requirements in relation to the breaches. You can read the report from our last comprehensive inspection by selecting ‘all reports’ link for Dr Atindranath Sikdar on our website at www.cqc.org.uk.

We undertook this focused inspection on 21 July 2016 to check that the practice had followed their plan and to confirm that they now met the legal requirements. This report only covers our findings in relation to those requirements.

Overall the practice is rated as requires improvement.

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

• There was an effective system for reporting and recording significant events and staff understood their responsibilities with regard to reporting significant events.

• All staff had Disclosure and Barring Service (DBS) checks and all staff who acted as chaperones had been trained for the role. However, we found that other essential training, such as safeguarding, fire safety and information governance had not been completed.
• The practice did not store controlled drugs securely.
• Emergency medicines were available and were stored together, checked regularly and the practice kept records of these checks.
• Vaccines were administered by nurses using directions that had been produced in line with legal requirements and national guidance.
• The practice had carried out clinical audits but was unable to demonstrate that these had led to improvements in the quality of care.
• The practice was unable to demonstrate they were following national guidance on infection prevention and control.
• The practice’s performance for childhood immunisations was low.

The areas where the provider must make improvements are:

• Ensure staff receive mandatory and other relevant training including safeguarding, fire safety, information governance and Mental Capacity Act training.
• Ensure national guidance on infection prevention and control is followed.
• Revise medicines management to ensure that controlled drugs are stored securely in line with current legislation.
• Ensure that completed clinical audit cycles are driving quality improvement.
• Make efforts to improve the uptake of childhood immunisations.
• Ensure the practice is compliant with the requirements of data protection legislation.
• Monitor and improve the quality of services provided. For example, childhood immunisations, referral rates and mental health medication activity.
• Actively encourage the development of a patient participation group.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 4 November 2016

At our previous comprehensive inspection on 5 May 2015 the practice had been rated as requires improvement for the care of people with long-term conditions. The provider had been rated as requires improvement for providing safe, effective and well-led services and good for providing caring and responsive services. The resulting overall rating applied to everyone using the practice, including this patient population group.

At our focused follow-up inspection on 21 July 2016, we found that the practice had made improvements but there were ongoing breaches of the legal requirements. The provider is rated as inadequate for providing safe services, and requires improvement for providing effective and well-led services. The resulting overall rating applies to everyone using the practice, including this patient population group.

Updated 4 November 2016

At our previous comprehensive inspection on 5 May 2015 the practice had been rated as requires improvement for the care of families, children and young people. The provider had been rated as requires improvement for providing safe, effective and well-led services and good for providing caring and responsive services. The resulting overall rating applied to everyone using the practice, including this patient population group.

At our focused follow-up inspection on 21 July 2016, we found that the practice had made improvements but there were ongoing breaches of the legal requirements. The provider is rated as inadequate for providing safe services, and requires improvement for providing effective and well-led services. The resulting overall rating applies to everyone using the practice, including this patient population group.

Updated 4 November 2016

At our previous comprehensive inspection on 5 May 2015 the practice had been rated as requires improvement for the care of older people. The provider had been rated as requires improvement for providing safe, effective and well-led services and good for providing caring and responsive services. The resulting overall rating applied to everyone using the practice, including this patient population group.

At our focused follow-up inspection on 21 July 2016, we found that the practice had made improvements but there were ongoing breaches of the legal requirements. The provider is rated as inadequate for providing safe services, and requires improvement for providing effective and well-led services. The resulting overall rating applies to everyone using the practice, including this patient population group.

Updated 4 November 2016

At our previous comprehensive inspection on 5 May 2015 the practice had been rated as requires improvement for the care of working age people (including those recently retired and students). The provider had been rated as requires improvement for providing safe, effective and well-led services and good for providing caring and responsive services. The resulting overall rating applied to everyone using the practice, including this patient population group.

At our focused follow-up inspection on 21 July 2016, we found that the practice had made improvements but there were ongoing breaches of the legal requirements. The provider is rated as inadequate for providing safe services, and requires improvement for providing effective and well-led services. The resulting overall rating applies to everyone using the practice, including this patient population group.

Updated 4 November 2016

At our previous comprehensive inspection on 5 May 2015 the practice had been rated as requires improvement for the care of people experiencing poor mental health (including people with dementia). The provider had been rated as requires improvement for providing safe, effective and well-led services and good for providing caring and responsive services. The resulting overall rating applied to everyone using the practice, including this patient population group.

At our focused follow-up inspection on 21 July 2016, we found that the practice had made improvements but there were ongoing breaches of the legal requirements. The provider is rated as inadequate for providing safe services, and requires improvement for providing effective and well-led services. The resulting overall rating applies to everyone using the practice, including this patient population group.

Updated 4 November 2016

At our previous comprehensive inspection on 5 May 2015 the practice had been rated as requires improvement for the care of people whose circumstances may make them vulnerable. The provider had been rated as requires improvement for providing safe, effective and well-led services and good for providing caring and responsive services. The resulting overall rating applied to everyone using the practice, including this patient population group.

At our focused follow-up inspection on 21 July 2016, we found that the practice had made improvements but there were ongoing breaches of the legal requirements. The provider is rated as inadequate for providing safe services, and requires improvement for providing effective and well-led services. The resulting overall rating applies to everyone using the practice, including this patient population group.