During an assessment under our new approach
Date of Assessment: Remote clinical searches were carried out on 2 July 2026, and the site visit took place on 3 July 2026.
The Green Practice is a GP Practice registered as a partnership since its CQC registration in July 2025. It was last assessed in November 2025 and rated overall as requires improvement. Following that assessment, we served a warning notice for the breach of regulation 17 related to good governance and issued an action plan request for the breach of regulation 12 related to safe care and treatment.
This announced focused assessment was to check the provider’s compliance with the warning notice and regulation related to good governance. It also checked the provider’s compliance with the regulation related to safe care and treatment including completion of the action plans submitted by the provider. We focused on 13 quality statements relevant to the warning notice and breaches of regulations:
- Learning culture
- Infection prevention and control
- Safe environments
- Safeguarding
- Safe systems, pathways and transitions
- Involving people to manage risk
- Medicines optimisation
- Assessing needs
- Delivering evidence-based care and treatment
- Shared direction and culture
- Capable, compassionate and inclusive leaders
- Governance, management and sustainability
- Learning, improvement and innovation
The Green Practice is a GP Practice and delivers General Medical Services (GMS) to approximately 10,890 people under a contract held with NHS England. The practice is located within the London Borough of Hounslow. The National General Practice Profiles states that the population make up for this location is 3.6% Mixed, 26.6% White, 56.2% Asian, 5.9% Black, and 7.8% other non-white ethnic groups. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 4th decile (4 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
The summary of the key questions relating to these quality statements are as follows:
SAFE: The service demonstrated significant improvement in its learning culture at this assessment. It ensured that incidents were recorded and investigated thoroughly. People could raise concerns and the learning actions were clearly recorded. People were protected and kept safe. We found that concerns at the last assessment with infection prevention and control including legionella safety at the service had been addressed and risks mitigated.
There were concerns with medication reviews and documentation at the last assessment but we found that the practice had addressed all of them. However, at this assessment, we found that the practice could improve how medication reviews were documented and how patients were followed up after test results were received.
EFFECTIVE: People were involved in the assessment of their needs. The clinical searches found some minor shortfalls but these were promptly addressed by the provider to mitigate the risks to the patients, and the actions taken were documented.
CARING: We did not assess this key question at this focused assessment.
RESPONSIVE: We did not assess this key question at this focused assessment.
WELL-LED: At the last assessment in November 2025, we found issues related to transparency and honesty. At this assessment in July 2026, the leaders demonstrated significant improvement in addressing those concerns. Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible and took responsibility for the findings from the last assessment. The leaders were proactive in their approach to show significant improvement in the quality of primary care delivery at the practice, helping staff develop in their roles. At the last assessment we found concerns with governance related to accurate and complete documentation of patient records. At this assessment we found no such concerns, indicating the provider had acted on the feedback provided previously.
The service is no longer in breach of regulation 12 related to safe care and treatment and regulation 17 related to good governance.
We did not speak to patients during this assessment as it was focused on checking compliance with the warning notice and action plans.