Background to this inspection
Updated
13 August 2018
Western Avenue Surgery is in East Acton in the London Borough of Ealing, and provides a general practice service to around 3000 patients from a converted building. The practice has a General Medical Services (GMS) contract and provides a full range of essential, additional and enhanced services including maternity services, child and adult immunisations.
The surgery is based in an area with a deprivation score of 3 out of 10 (10 being the least deprived). The practice population’s age demographic is broadly in line with the national average.
The GP team includes one practice principal plus two locum GPs (1.00 whole time equivalent [WTE] combined to a total of nine clinical sessions are provided). The nursing team includes one female nurse (three sessions per week) and a healthcare assistant post (two sessions per week). The clinical team is supported by a practice manager and four other administrative or reception staff.
Regulated activities are delivered to the patient population from the following address:
56 Western Avenue
London
W3 7TY
Tel: 020 8743 4133
The practice has a website that contains comprehensive information about what they do to support their patient population and the in house and online services offered:
Website: www.westernavenuesurgery.nhs.uk
The practice is open from 9:00am to 12:00pm Monday to Friday and 3:30pm until 18:30 on Mondays, Tuesdays, Wednesdays and Fridays. The practice offers extended hours with nurse from 18:30pm until 19:00pm on Fridays.
The details of the out-of-hours service are communicated in a recorded message accessed by calling the practice when it is closed, and on the practice website.
Updated
13 August 2018
This practice is rated as Good overall. (Previous rating July 2017 – Requires Improvement).
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection at Western Avenue Surgery on 11 July 2017. The overall rating for the practice was requires improvement. The practice was rated requires improvement for all domains and population groups. The full comprehensive report on the July 2017 inspection can be found by selecting the ‘all reports’ link for Western Avenue Surgery on our website at www.cqc.org.uk.
This inspection was an announced comprehensive inspection carried out on 2 July 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 11 July 2017.
This report covers our findings in relation to those requirements and additional improvements made since our last inspection. We found the practice had made improvements since our last inspection.
Overall the practice is now rated as good.
At this inspection we found:
•The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
•The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
•Staff involved and treated patients with compassion, kindness, dignity and respect.
•Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
•There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider should make improvements are:
•Continue efforts to improve patient scores from the national GP survey.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.