The Care Quality Commission
  • Doctor
  • GP practice

Archived: Dr Sunil Maiti Also known as Richmond Medical

Overall: Good read more about inspection ratings

421 Blackburn Road, Accrington, Lancashire, BB5 1RT (01254) 282460

Provided and run by:
Dr Sunil Maiti

All Inspections

16 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

This is a desk top review of evidence supplied by Dr Sunil Maiti, also known as Richmond Medical, for areas within the key question Safe. This review was completed on 16 November 2016.

Upon review of the documentation provided by the practice, we found the practice to be good in providing safe services. Overall, the practice is rated as good.

The practice was previously inspected on 7 January 2015. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At that inspection, the practice was rated good overall. However, within the key question safe several areas were identified as requires improvement , as the practice was not meeting the legislation for two key areas:

  • Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Safe care and treatment

  • Regulation 19 of the Health and Social Care Act (Regulated Activities) Regulations 2014 Fit and proper persons employed

At the inspection in January 2016 we found that the registered person did not assess and mitigate against risks including securing prescription paper and ensuring all staff received appropriate training and appraisal to ensure the health and safety of service users whilst receiving the care or treatment. We also found that appropriate employment checks were not consistently carried out prior to staff commencing work as the provider could not evidence that disclosure and barring service (DBS) checks had been carried out for GPs.

Other areas identified where the practice was advised they should make improvements included:

  • Improving the availability of non-urgent appointments.
  • Reviewing and updating the business continuity plan to take into account information technology based eventualities.
  • Improving the sample drop off procedure to ensure the samples are kept in a safe place out of access to the public.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 12 Staff Care and Treatment and Regulation 19 Fit and Proper Persons Employed of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The practice also demonstrated improvement in the other areas identified in the report from January 2016 which did not affect ratings. These improvements have been documented in the well-led section, showing how the registered person has demonstrated continuous improvement since the inspection in January 2016

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

7 January 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Richmond Medical on 7 January 2016. Overall the practice is rated as good. 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.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

The areas where the provider must make improvements are:

  • Ensure recruitment arrangements include all necessary employment checks for all staff employed by the practice. This includes the need for a Disclosure and Baring Service (DBS) check when appropriate.
  • Ensure all staff have the relevant training to carry out their role and responsibilities, for example, staff trained in phlebotomy receive appropriate updates. Ensure all staff receive supervision and appraisal within appropriate timescales.
  • Ensure there is a system to monitor the traceability of the prescription paper used in the practice and ensure the prescription paper is stored safety.

In addition the provider should:

  • Improve the availability of non-urgent appointments.
  • Review and update the business continuity plan to take into account information technology based eventualities.
  • Improve the sample drop off procedure to ensure the samples are kept in a safe place out of access to the public.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice