The Care Quality Commission
  • Doctor
  • GP practice

Hazeldene Medical Centre

Overall: Good read more about inspection ratings

1B Wyld Way, Wembley, Middlesex, HA9 6PW (020) 8902 4792

Provided and run by:
Dr Jahan Mahmoodi

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Hazeldene Medical Centre 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 Hazeldene Medical Centre, you can give feedback on this service.

4 July 2019 - 5 July 2019

During a routine inspection

We carried out an announced comprehensive inspection at Hazeldene Medical Centre on 4 and 5 July 2019 as part of our inspection programme.

We decided to undertake an inspection of this service following concerns raised about the quality and safety of the service which were shared with CQC anonymously. The concerns alleged that the practice did not provide sufficient appointments to meet patient needs safely and that the leadership did not respond effectively when concerns were raised.

The practice had also recently undergone a merger with three other previously independent practices which were now operating as satellite surgeries. This was a major change which influenced our decision to carry out a comprehensive inspection. This inspection looked at the following key questions:

  • Are services safe
  • Are services effective
  • Are services caring
  • Are services responsive
  • Are servies well-led

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

  • what we found when we inspected (we visited all four surgeries over two days)
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups.

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 dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. 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-centre care.

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

  • Continue to review patient demand and supply of appointments to ensure there are sufficient appointments with the appropriate clinicians across the four sites to meet patient needs.
  • Review and raise staff awareness of the practice’s registration policy and process in relation to patients without a fixed address.

Details of findings and the evidence supporting our ratings is set out in the evidence table.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

11 January 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Jahan Mahmoodi (also known as Hazeldene Medical Centre) on 11 January 2017. 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.
  • The practice had clearly defined and embedded systems to minimise risks to patient’s safety.
  • 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 felt the practice offered a good service and that staff were caring, friendly and supportive and treated them with dignity and respect.
  • 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 majority of patients found it easy make an appointment with a GP with urgent appointments available the same day.
  • The practice had adequate facilities and was equipped to treat patients and meet most of their needs, although there were some areas that required refurbishment or adaption.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are;

  • Review the arrangements for the disposal of sharps used to administer cytostatic medicines.
  • Continue to assess and identify patients with Atrial Fibrillation (AF) to ensure these patients receive appropriate treatment.
  • Continue to monitor QOF indicators where there are high exception reporting rates to ensure that patients receive appropriate treatment.
  • Continue to encourage patients to attend cytology screening and child immunisation programme.
  • Review current audit processes in relation to patient consent.
  • Continue to monitor patient feedback including appointment access

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice