The Care Quality Commission
  • Doctor
  • GP practice

Perivale Medical Clinic

Overall: Good read more about inspection ratings

2 Conway Crescent, Greenford, UB6 8HX

Provided and run by:
Dr Narmen Koye

Important: The provider of this service changed - see old profile

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Perivale Medical Clinic on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Perivale Medical Clinic, you can give feedback on this service.

10 May 2022

During an inspection looking at part of the service

We carried out an announced inspection at Perivale Medical Clinic between 5 May 2022 and 10 May 2022. Overall, the practice is rated as Good.

Safe - Good

Effective - Good

Well-led - Good

Following our previous inspection on 21 February 2017, the practice was rated Good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Perivale medical Clinic on our website at www.cqc.org.uk

Why we carried out this inspection

We undertook this focused inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach.

We looked at:

  • Safe, effective and well-led key questions.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting staff interviews using video conferencing.
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider.
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider.
  • A short site visit.

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • What we found when we inspected.
  • Information from our ongoing monitoring of data about services.
  • Information from the provider, patients, the public and other organisations.

We have rated this practice as Good overall

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff were up-to-date on all mandatory training and the practice maintained good training records for staff.
  • The practice was compliant with infection prevention and control and health and safety standards.
  • The practice had effective systems in place for managing significant events appropriately.
  • The practice had effective systems in place to manage complaints.
  • The practice was proactive in undertaking quality improvement measures across the service including audit, seeking and acting on feedback.
  • Patients with long term conditions were monitored appropriately.
  • The practice monitored its offer of services to patients and implemented clinics and services to improve care.
  • The practice appropriately prioritised vulnerable and at-risk patients.
  • The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centred care.
  • There were regular practice meetings to discuss learning, significant events, improvements and communicate any changes.
  • There was evidence of open and inclusive culture where staff were valued, and good levels of teamwork was demonstrated.

Whilst we found no breaches of regulations, the provider should:

  • Maintain clear and complete recruitment records including appropriate staff vaccination history.
  • Maintain processes for keeping paper prescriptions secure.
  • Continue work to improve rates of cervical screening and bowel cancer screening in line with national targets.
  • Continue work to improve rates of childhood immunisation in line with national targets.
  • Maintain annual fire-safety risk assessments.
  • Continue monitoring recruitment needs for salaried GPs.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

15 September 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Perivale Medical Clinic on 15 September 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 been trained to provide them with 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. Improvements were made to the quality of care as a result of complaints and concerns.
  • The practice scored below average on the national GP patient survey for ease of getting an appointment. The practice had recently changed its appointment system. Patients who participated in the inspection said they could get an appointment when they needed one with urgent appointments available the same day.
  • 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 patients, which it acted on.

The areas where the provider should make improvement are:

  • The practice should review areas of the Quality and Outcomes Framework where it has high exception reporting rates, for example for some diabetes indicators to ensure it is fully meeting the needs of patients.
  • The practice should actively encourage eligible female patients to attend for breast cancer screening.
  • The practice should continue to active identify patients who are also carers to ensure they are receiving appropriate support and their needs are met.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice