The Care Quality Commission
  • Doctor
  • Independent doctor

Archived: Green Lanes Surgery

Overall: Good read more about inspection ratings

808 Green Lanes, Winchmore Hill, London, N21 2SA (020) 8350 5000

Provided and run by:
Enfield Health Partnership Limited

All Inspections

6 July 2019

During a routine inspection

This service is rated as Good overall.This was the first inspection for this service. 

The key questions 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 Green Lanes Surgery as part of our ratings inspection programme for Independent Health Providers.

Enfield Community Gynaecology offers consultant led gynaecological consultations from facilities located at Green Lanes Surgery. The service is commissioned by the local Clinical Commissioning Group and patients access the service via their GP.

The Service Manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Eleven people provided feedback about the service.

Our key findings were :

  • The service had systems to manage risk so safety incidents were less likely to happen.
  • The service routinely reviewed the effectiveness and appropriateness of the care it provided. Clinical staff ensured care and treatment was delivered according to evidence-based guidelines.
  • Clinical staff were qualified and had the skills, experience and knowledge to deliver effective care and treatment.
  • The practice was actively engaged in activities to monitor and improve quality and outcomes.
  • Facilities and premises were appropriate for the service being delivered.
  • All 11 of the CQC comment cards we received were positive, with key themes being that reception staff were kind, clinical staff were knowledgeable, communicative and compassionate; and the overall environment was clean.
  • There was a proactive approach to understanding the needs of the local community and towards delivering care in a way that met these needs.
  • The culture of the service encouraged candour, openness and honesty.
  • People could access appointments and services in a way and at a time that suited them.
  • We saw examples of inclusive and effective leadership.
  • Governance arrangements facilitated the delivery of safe and high quality clinical care.

We saw the following outstanding practice:

  • The service employed clinical staff who worked across several CCG areas and was conscious this provided an opportunity to identify and share good practice and learning. The service was able to show examples of when it had used this capacity to benefit patients, including developing guided clinical assessment forms to support GPs making fertility referrals in a way which helped minimise avoidable disappointment and distress to patients who did not meet certain criteria, a process which allowed its clinicians to refer patients directly to hysteroscopy from the triaging stage without being required to attend assessment consultations which were not clinically necessary and sharing learning between CCGs relating to a conservative approach to the management of asymptomatic polyps. In each case, the service or it’s clinical director developed the improvement in one CCG area and shared this in other CCG areas.

Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care

28 January 2014

During a routine inspection

The service operates a Saturday clinic. As we visited the clinic during the week, there were no patients present. Therefore we reviewed satisfaction surveys, medical records and information related to complaints to identify people's views about the service.

Women were positive about their experiences at the service, and one stated 'I'm very happy and satisfied with the service." We found evidence that consultants discussed risks and benefits of the procedure with women prior to treatment.

Consultants reviewed women's medical histories and took their needs into account. There were arrangements in place to deal with foreseeable emergencies. Infection control and cleanliness of the practice were maintained. Appropriate arrangements were in place to ensure staff were safe to work before they commenced employment. Systems were in place and actively used to monitor and improve the quality of the service.

9 February 2013

During a routine inspection

People told us they found the service to be efficient and that staff were helpful. People's privacy and dignity were respected and maintained by staff at all stages of the service. Peoples needs were discussed and information was provided to people during their consultation to allow people to make informed choices about their treatment and understand the associated risks. People were able to choose and where their treatment was provided. Staff were qualified and trained to provide safe and appropriate care to people using the service. One person said "I felt comfortable they listen to you and give you time".

The service was provided in clean, warm, well equipped purpose built premises. Appropriate standards of cleanliness and hygiene were maintained to safely undertake examination procedures and minimise the risk of infection to people.

Records of peoples care were well documented and securely stored. The quality and safety of the service was continuously monitored by the provider through the use of audits and people's feedback.