• Doctor
  • GP practice

Meadow View Surgery

Overall: Good read more about inspection ratings

141 Mandeville Road, Northolt, Middlesex, UB5 4LZ (020) 8422 3181

Provided and run by:
Meadow View Surgery

All Inspections

6 July 2023

During a monthly review of our data

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

17 January 2020

During an annual regulatory review

We reviewed the information available to us about Meadow View Surgery on 17 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.

13 July 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

This is a focused desk top review of evidence supplied by Meadow View Surgery, for areas within the key question well-led. This review was completed on 13 July 2017.

Upon review of the documentation provided by the practice, we found the practice to be good in providing well-led services. Overall, the practice is rated as good.

The practice was previously inspected on 15 November 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At the inspection, the practice was rated overall as ‘good’. However, within the key question well-led an area was identified as ‘requires improvement’, as the practice was not meeting the legislation in respect of good governance. The practice was issued a requirement notice under Regulation 17, good governance.

At the inspection in November 2016 we found the provider did not have a strategy to deliver the practice vision, policies & procedures were not in all cases up to date and there was no program of quality improvement including clinical audit to drive improvement in patient outcomes.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 17 good governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These improvements have been documented in the well-led section, showing how the registered person has demonstrated continuous improvement since the full inspection.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

15 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

Following a comprehensive inspection of Meadow View Surgery in January 2015 the practice was rated as requires improvement for providing safe and well-led services and good for providing effective, caring and responsive services. The practice was given an overall rating of requires improvement. At the inspection shortfalls were identified in relation to patient confidentiality, infection control, general health and safety and the management of medicines.The practice was found to be in breach of two regulations and requirement notices were set for regulations 12 and 17 of the Health and Social Care Act 2008.

We then carried out an announced comprehensive inspection at Meadow View Surgery on 15 November 2016 to check that improvements had been made Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • 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.
  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed with the exception of those relating to the control of substances hazardous to health.
  • 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.
  • 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 adequate facilities and was 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.

The areas where the provider must make improvement are:

  • Develop a clear strategy to deliver the practice vision.
  • Develop a programme of quality improvement including clinical audit to drive improvement in clinical outcomes.
  • Review and update all practice policies and procedures.

​In addition the provider should:

  • Complete a risk assessment for the control of substances hazardous to health.
  • Identify and support more patients who are carers.
  • Consider ways to support patients who are hard of hearing.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

21 January 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Meadow View Surgery on 21 January 2015. Overall the practice is rated as requires improvement.

Specifically, we found the practice to be good for providing effective, caring and responsive services. It was rated as requires improvement for providing safe and well-led services. It was rated as requires improvement for providing services to the six population groups we report on: 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 dementia).

Our key findings across all the areas we inspected were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses.
  • Some risks to patients were assessed, however not all risk assessments were recorded.
  • Risks relating to infection control and emergency equipment had not been carried out.
  • Formal systems for checking medicines were not in place.
  • Not all staff had received training appropriate to their roles, for example in infection control, fire safety, and chaperoning.
  • Performance data showed patient outcomes were similar to averages for the locality, and we saw evidence that the practice were driving improvement in performance to improve patient outcomes.
  • Patients said they were treated with compassion, dignity and respect and that they were involved in their care and decisions about their treatment.
  • The practice had sought feedback from staff, patients, and the patient participation group, and had acted upon that feedback.
  • The practice was above the CCG average for the number of patients who were satisfied with consultations with the GPs and nurses.
  • Information about services and how to complain was available and easy to understand.
  • Urgent appointments were usually available on the day they were requested.
  • The practice had a number of policies and procedures to govern activity, and staff were aware of how to locate these.
  • There were regular practice meetings and minutes were recorded.

Importantly, the provider must:

  • Ensure confidential patient records are stored securely.
  • Ensure that all electrical equipment is regularly tested for electrical safety.
  • Complete a comprehensive risk assessment to manage infection prevention and control, and provide staff with training relevant to their roles.
  • Have a formal system in place to show that the expiry dates for all medicines in the practice have been checked.

In addition the provider should:

  • Ensure all staff who act as a chaperone to patients are suitably trained.
  • Ensure an automated external defibrillator (AED) is available, or undertake a risk assessment if a decision is made to not have an AED on-site.
  • Ensure staff are up to date with fire safety training.
  • Formalise the practice’s vision and values and share these with patients and staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice