The Care Quality Commission
  • Doctor
  • GP practice

Grove Park Terrace Surgery

Overall: Good read more about inspection ratings

25 Grove Park Terrace, Chiswick, London, W4 3JL (020) 8949 0644

Provided and run by:
Dr Glennis Williams

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Grove Park Terrace Surgery 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 Grove Park Terrace Surgery, you can give feedback on this service.

21 January 2020

During an annual regulatory review

We reviewed the information available to us about Grove Park Terrace Surgery on 21 January 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

27 September 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Grove Park Terrace Surgery on 18 November 2014. At that inspection we found the practice in breach of legal requirements and rated it as requires improvement for providing a safe service. The practice was rated as good overall. The full comprehensive report on the November 2014 inspection can be found by selecting the ‘all reports’ link for on our website at www.cqc.org.uk.

We carried out an announced comprehensive follow-up inspection on 27 September 2017. This report sets out our findings. The practice had made improvements in response to our previous inspection and the practice is now rated as good for all key questions and overall.

Our key findings were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events. The provider was aware of the requirements of the duty of candour.
  • The practice had clearly defined and embedded systems to minimise risks to patient safety.
  • Staff were aware of current evidence based guidance. Staff were trained and had the skills and knowledge to deliver effective care and treatment.
  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in decisions about their treatment.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of patient feedback.
  • The practice performed well on the national GP patient survey on access to the service. Patients reported being able to make and appointment and there was continuity of care, with urgent appointments available the same day.
  • The practice had suitable facilities and was well equipped to treat patients and meet their needs. The premises environment showed signs of wear and tear but, at the time of the inspection, was safe.
  • 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 areas where the practice should make improvement are:

  • The practice should document practice and patient group meetings promptly for ease of reference and to share with members unable to attend.
  • The practice had identified 11 patients who were carers that is 0.3% of the practice list. The practice should continue to actively identify patients who are carers to ensure that they receive appropriate support and their needs are met.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

18 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection of Grove Park Terrace Surgery on 18 November 2014. We rated the practice as ‘Requires Improvement’ for the service being safe, and ‘Good’ for the service being effective, caring, responsive to people’s needs and well-led. We rated the practice as ‘Good’ for the care provided to older people, people with long term conditions, families, children and young people, working age people (including those recently retired and students), people living in vulnerable circumstances and people experiencing poor mental health (including people with dementia).

We gave the practice an overall rating of ‘Good.’

Our key findings were as follows:

  • Patients reported good access to the service. They were satisfied with their overall experience of making appointments that were convenient for them.
  • Patients said they were treated with dignity, respect and compassion. They said that they were supported through periods of serious illness and bereavement.
  • The practice had a good track record on safety and some systems in place to manage safety including procedures for reporting incidents and safeguarding concerns.
  • The practice learnt when things went wrong and shared learning with all staff to minimise the risk of reoccurrence.
  • The practice understood the needs of its patients and provided services that met their needs.
  • The practice had strong leadership and staff were supported to deliver effective care.

However, there were also areas of practice where the provider needs to make improvements.

Importantly, the provider must:

  • Carry out regular infection control audits to ensure infection control standards are maintained.
  • Carry out a Legionella risk assessment to assess the risks associated with Legionella (a bacteria found in the environment which can contaminate water systems in buildings).

In addition the provider should:

  • Formalise a business continuity plan to ensure continuity of care for patients in the event of a major disruption to the service.
  • Provide staff with access to and training in the use of an automated external defibrillator (used to attempt to restart a person’s heart in an emergency) in line with the Resuscitation Council (UK) recommendations for primary care.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice