The Care Quality Commission
  • Doctor
  • GP practice

Greenford Avenue Family Health Practice

Overall: Good read more about inspection ratings

322 Greenford Avenue, London, W7 3AH (020) 8578 1880

Provided and run by:
Healthcare 360 Limited

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Greenford Avenue Family Health Practice 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 Greenford Avenue Family Health Practice, you can give feedback on this service.

23 November 2023

During a routine inspection

We carried out an announced comprehensive inspection at Greenford Avenue Family Health Practice on 20 November 2023. Overall, the practice is rated as good.

Safe – Good.

Effective - Good.

Caring – Good.

Responsive – Good.

Well-led – Good.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Greenford Avenue Family Health Practice on our website at www.cqc.org.uk

Why we carried out this inspection.

We carried out this inspection in line with our inspection priorities.

How we carried out the inspection

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

  • Conducting staff interviews using video conferencing.
  • Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
  • 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 and
  • information from the provider, patients, the public and other organisations.

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.
  • 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:

  • Take action to improve childhood immunisations and cervical cancer screening uptake.

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

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

8 January 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection on 8 January 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, effective, caring, responsive services and for being well-led. We found the practice to be good for providing services for the population groups of older people, people with long-term conditions, families, children and young people, working age people (including those recently retired and students), people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia).

Our key findings were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Patients’ needs were assessed and care was delivered following best practice guidance. Staff had received training appropriate to their roles.
  • Patients said they were treated with kindness, compassion, and respect and that they were involved in decisions about their care and treatment.
  • Most patients said they found it easy to make an appointment and that appointments were convenient. However, some patients mentioned it was difficult to get through on the phone and available appointments were not always suitable for those who worked.
  • 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.
  • Information about services and how to complain was available and easy to understand.

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

The provider should:

  • Display the chaperone policy in all clinical and treatment rooms.
  • Ensure that all staff who may be required to perform chaperone duties have received appropriate training.
  • Ensure all staff have received basic life support training.
  • Maintain a formal risk log that records how any identified risks have been assessed and managed.
  • Ensure that the second stage of first cycle clinical audits commenced are completed.
  • Ensure that patients are provided with information about the out of hour’s service provider.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice