14 December 2022, 19 December 2022, 21 December 2022 and 9 February 2023
During a routine inspection
This was an un-rated inspection at this service to review the provider’s actions following our enforcement action.
We carried out an announced focused inspection at Tulasi Medical Centre under Section 60 of the Health and Social Care Act 2008 to follow-up on concerns we found during our previous inspection on 25 May 2022 and 15 June 2022. Following our previous inspection, we undertook urgent civil enforcement action to suspend the service for a six-month duration by issuing a Section 31 notice under the Health and Social Care Act 2008.
At this inspection carried out over a period of four days; 14 December 2022, 19 December 2022, 21 December 2022 and 9 February 2023, we took a primary medical services specialist team to check whether the service had made sufficient improvements to their systems and processes since we imposed the six-month suspension under Section 31 of the Health and Social Care Act 2008. This report includes evidence gathered by our PMS team.
Following the inspection, we undertook further civil enforcement action, under the Health and Social Care Act 2008, by:
• Imposing an urgent suspension, of 6 months duration by issuing a Section 31 notice under the Health and Social Care Act 2008.
Our key findings were:
- The provider had made some improvements to the safety and governance systems and processes in the practice. However, we also found that the provider did not have all the necessary systems and processes established and operating effectively to ensure compliance with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. There continued to be a risk of harm to patients due to the absence of all the necessary systems and processes being in place, or operating effectively which could adversely impact the quality and safety of the service being delivered at the practice.
The areas where the provider must make improvements are:
• Ensure that care and treatment is provided in a safe way.
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services