The Care Quality Commission
  • Doctor
  • GP practice

Walm Lane Surgery

Overall: Good read more about inspection ratings

114 Walm Lane, London, NW2 4RT (020) 8452 0366

Provided and run by:
Walm Lane 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 Walm Lane 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 Walm Lane Surgery, you can give feedback on this service.

29 September 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Walm Lane Surgery on 30 November 2016. The overall rating for the practice was good, with a rating of requires improvement in the safe domain. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Walm Lane Surgery on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 29 September 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 30 November 2016. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.

Overall, the practice is rated as Good.

Our key findings were as follows:

  • The practice had a fire alarm installed on the premises.

  • There were systems in place to ensure disposable equipment was now in date.

  • Suitable sharps bins were now in place in all consultation rooms.

  • All vaccination fridges had back up thermometers in place.

  • There were processes in place to monitor the use of prescription pads and sheets.

  • All emergency medicines were now available.

  • Carers registered with the practice had remained at less than 1% of the patient list.

The areas where the provider should make improvements are:

  • Consider reviewing processes in place to identify carers in order to ensure that these patients are appropriately identified and offered support.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

30 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Walm Lane Surgery on 30 November 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.
  • Overall, risks to patients were assessed and well managed; however, there were some areas that needed to be addressed; for example, the practice did not have a fire alarm in place, they did not have suitable sharps bins available, they did not stock one of the required emergency medicines, and they did not have a back-up thermometer fitted to their vaccines fridge.
  • The practice had systems, processes and practices in place to keep patients safe and safeguarded from abuse.
  • The practice had some processes in place to review quality and make improvements.
  • 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; however, some staff had not completed update training within the recommended timescales.
  • 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. 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 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.

The areas where the provider must make improvement are:

  • They must ensure that there is an effective means for raising the alarm in the event of a fire on the premises.

In addition, they should:

  • Put in place processes to monitor the use of prescription pads and sheets.
  • Ensure that they have effective processes in place to identify carers in order to ensure that these patients can be offered support.
  • Ensure that they have appropriate equipment and resources available to keep patients safe; specifically they should ensure that suitable sharps bins are available, that disposable equipment is in date, that they have means of ensuring the safety of refrigerated vaccines should the fridge thermometer fail, and that all recommended emergency medicines are available.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice