- GP practice
The Green Practice
Assessment report published 14 January 2026
Contents
Ratings
Our view of the service
Date of Assessment: Remote clinical searches was 05/11/2025 and site visit was 06/11/2025.
The legal entity for this service changed from a single-handed provider to a partnership in July 2025 and inherited the previous rating. This assessment was to follow up that inherited rating of requires improvement from June 2023.
At the last assessment in June 2023, the provider was in breach of regulations related to good governance and fit and proper persons employed. The provider was issued requirement notices (now called action plan requests) for the breaches identified.
The Green Practice is a GP Practice and delivers General Medical Service (GMS) to approximately 11,071 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, 26.5% 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 5th decile (5 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.
SAFE: Managers ensured that incidents were recorded and investigated thoroughly. People could raise concerns, but the learning actions were not always clearly recorded. People were protected and kept safe. Managers made sure staff received training and regular appraisal to maintain high-quality care. There were concerns with medication reviews and documentation. We found concerns with infection prevention and control including legionella safety at this service.
EFFECTIVE: Staff made sure people understood their care and treatment to enable them to give informed consent. Staff ensured that where people did not have capacity, they involved those important to people to take decisions in their best interest. Care was not always based on latest evidence and good practice.
CARING: People were treated with kindness and compassion. Staff treated them as individuals and supported their preferences.
RESPONSIVE: People knew how to give feedback and were confident the service took it seriously. The service was easy to access and worked to eliminate discrimination.
WELL-LED: Leaders and staff had a shared vision and culture based on listening, learning and trust. However, we found issues related to transparency and honesty. Leaders were visible and supportive, helping staff develop in their roles. We found concerns with governance related to accurate and complete documentation of patient records.
We found breaches of regulation in relation to regulation 12, safe care and treatment, and regulation 17, good governance. In instances where the Care Quality Commission (CQC) has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.
We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
People were positive about the service. Recent survey results from the 2025 National GP Patient Survey and the NHS Friends and Family Test showed people were satisfied with services. There was no active patient participation group (PPG) to represent the views of people using the service. However, 2 of the 5 patients from the list given to CQC by the service and contacted by CQC informed us that they were happy with the service they receive. The patients we spoke to were not aware they were members of the PPG. There was no structure to the PPG meetings held and minutes had little detail of the content of the meetings and how the PPG contributions improved service delivery. The feedback received from the local Healthwatch in the London Borough of Hounslow showed a mixed experience of care with emphasis on access issues, long waiting times on the phone to get appointments and staff attitude. Following the site visit, the practice informed CQC of the plan for future improvement.