The Care Quality Commission
  • Doctor
  • GP practice

Dr Amar Kaw Also known as Ingrebourne Medical Centre

Overall: Good read more about inspection ratings

135 Straight Road, Harold Hill, Romford, Essex, RM3 7JJ (01708) 372021

Provided and run by:
Dr Amar Kaw

All Inspections

During an assessment under our new approach

Date of Assessment: 3 July 2026. Dr Amar Kaw is a GP practice and delivers services to approximately 3800 people under a contract held with NHS England. According to the latest available data, the ethnic make-up of the service area is approximately 72% White, 9% Asian, 4% Mixed, 13% Black and 2% Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the service population group is in the 4th decile (4 of 10). The lower the decile, the more deprived the service population is relative to others.

This was a focused assessment. We undertook this assessment due to the length of time since our last assessment. We assessed 10 quality statements from across all 5 key questions. 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.

Staff kept facilities clean and maintained equipment appropriately to ensure people were kept safe. They assessed and managed the risk of infection well and took steps to control the risk of it spreading. There were enough staff with the right skills, qualifications and experience. Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes. Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity. People could access care, treatment and support when they needed it. Leaders and staff were alert to discrimination and inequality that could disadvantage groups of people who used the service and sought ways to address any barriers. The service had a clear vision and strategy, which considered the needs of the people who used their service and the wider community. Staff understood their individual roles and responsibilities. Leaders accounted for the actions, behaviours and performance of staff through clear and effective governance processes.

24 October 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 Dr Amar Kaw on 30 August 2016. The overall rating for the practice was good. Within that overall rating the practice was rated as requires improvement for providing safe services. This was because it was not meeting legal requirements in relation to some aspects of:

  • Infection prevention and control.

  • Fire and electrical safety.

  • Disclosure and Barring Service (DBS) checks for staff. DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable.

The full comprehensive report of the August 2016 inspection can be found at www.cqc.org.uk/location/1-507808099.

This inspection on 24 October 2017 was an announced focused inspection and was carried out to confirm that the practice had completed its plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 30 August 2016. This report covers our findings in relation to those requirements.

Overall the practice is rated as good.

Our key findings were as follows:

  • Every member of staff carrying out chaperone duties had received a DBS check.

  • The practice took action to mitigate risks associated with the spread of infection and with legionella.

  • Staff had completed fire training.

  • An exposed light socket in the patient toilet had been replaced.

The provider had also acted on recommendations we made at our previous inspection and implemented additional improvements:

  • The practice had reviewed and updated its service continuity plan for major incidents such as power failure or building damage. The plan included emergency contact numbers for staff.

  • Action had been taken to increase child immunisation rates and the practice had vaccinated 100% of children up to age two. The national expected coverage of vaccinations is 90%.

  • From the sample of two documented examples we reviewed we found that care plans for people with learning disabilities were complete. The practice had ten people on its learning disabilities register.

At our previous inspection on 30 August 2016 we rated the practice as requires improvement for providing safe services because not all risks to the health and safety of service users were being managed and mitigated. At this inspection we found the shortfalls we identified had been remedied. Consequently, the practice is rated as good for providing safe services.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

30 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Amar Kaw on 30 August 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.
  • 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, the practice had zero complaints in the past 12 months.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, 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 staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.
  • Staff members had not completed fire training. Non-clinical staff members had not completed child safeguarding training, however we saw that this had been booked for 22 September 2016.
  • Risks to patients were assessed but not well managed. Not all reception staff members who acted as a chaperone had a DBS check on file and there was no risk assessment mitigating the risks associated with this.
  • There was no legionella risk assessment, but the practice routinely checked the water temperature.
  • White bags were used for clinical waste, which was then transferred to orange clinical bags, there was no risk assessment carried out mitigating risks associated with this process.
  • There was an exposed light socket and plaster peeling off the wall in the patient toilets.

The areas where the provider must make improvement are:

  • Carry out a legionella risk assessment to mitigate risks associated with the bacterium.

  • Complete DBS checks for all staff members acting as a chaperone or carry out a risk assessment mitigating the risks of not having a DBS check in place.

  • Mitigate risks associated with transferring clinical waste from white bags to orange clinical waste bags.

  • Fix the exposed light socket in the patient toilet to ensure patient safety.

  • Ensure a programme of annual training is carried out for all staff members including fire safety training.

The areas where the provider should make improvement are:

  • Complete the review of the practice business continuity plan.

  • Review the system for recalling children for their immunisations to increase immunisation rates so they are in line with CCG and national averages.

  • Review the process for the use of care planning to improve patient care.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice