• Doctor
  • GP practice

Archived: The Oldfield Family Practice

Overall: Good read more about inspection ratings

285 Greenford Road, Greenford, Middlesex, UB6 8RA (020) 8578 1914

Provided and run by:
The Oldfield Family Practice

Important: The provider of this service changed. See new profile

All Inspections

25 January 2020

During an annual regulatory review

We reviewed the information available to us about The Oldfield Family Practice on 25 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.

18 July 2019

During a routine inspection

We carried out an announced comprehensive inspection at The Oldfield Family Practice on 18 July 2019 as part of our inspection programme.

We decided to undertake an inspection of this service following whistle blowing concerns we received.

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 have rated this practice as good overall and in all the key questions with the exception of well-led which we rated as requires improvement. We rated all the population groups as good with the exception of families, children and young people which we rated as requires improvement.

We rated the practice as requires improvement for providing well-led services because:

  • The leadership present on the day of the inspection demonstrated they had the experience, capacity and capability to run the practice and ensure high quality care. However, there were divisions between practice leaders and practice leaders and staff resulting in a breakdown in communication and relationships.
  • Staff reported that they were not able to raise concerns with all the practice leaders and did not always feel supported.
  • Not all leaders took seriously the safety and well-being of staff and staff did not always feel respected and valued.

We rated the practice as requires improvement for the families, children and young people population group because:

  • Childhood immunisation rates were significantly below the World Health Organisation (WHO) based target of 95%.

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 had the skills, knowledge and experience to carry out their roles.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.

The areas where the provider Should make improvements are:

  • Consider ways to address the divisions in leadership, ensure staff are supported by all leaders and their safety and well-being is prioritised.
  • Review safeguarding training for staff to ensure it is in line with intercollegiate guidance (updated January 2019).
  • Develop quality improvement activity including clinical audit.
  • Improve childhood immunisation uptake to bring in line with the WHO based target of 95%.
  • Consider providing information leaflets in other languages and easy read format appropriate for the local population.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

12 October 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Oldfield Family Practice on 15 December 2015. The practice was rated as good for providing safe, caring, responsive and well-led services and requires improvement for providing effective services. The overall rating for the practice was good. The full comprehensive report on the December 2015 inspection can be found by selecting the ‘all reports’ link for The Oldfield Family Practice on our website at www.cqc.org.uk.

We carried out an announced follow-up comprehensive inspection at The Oldfield Family Practice on 12 October 2017. 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 a system in place for reporting and recording significant events.
  • The practice had clearly defined and embedded systems to minimise risks to patient safety.
  • Staff were aware of current evidence based guidance. Staff had been trained to provide them with 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 their care and 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 complaints and concerns. However, complaint responses did not always signpost patients to the NHS Ombudsman if they were not happy with the outcome.
  • Patients we spoke with said they could make an appointment with a named GP in a reasonable time 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 the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

The areas where the provider should make improvement are:

  • Identify and support more patients who are also carers.

  • Consider ways to improve patient satisfaction in respect of consultations with nursing staff.

  • Review the complaints process.

  • Include in meeting minutes the shared learning from incidents and complaints.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

15 December 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at 8.30am on 15 December 2015. 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.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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.
  • Patients said they found it easy to make an appointment with a named GP and that 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 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.
  • There was a vision to deliver high quality care and promote good outcomes for patients. However, there was no strategy or supporting business plans to deliver the vision.
  • There was no programme of clinical audit in place to monitor and improve outcomes for patients.

The areas where the provider should make improvement are:

  • Develop a strategy to deliver the vision for the practice, share with staff and ensure they know their responsibilities in relation to it.

  • Implement a programme of clinical audit to monitor quality and drive improvement in patient outcomes.

  • Formalise clinical meetings and ensure they are minuted.

  • Provide all staff with annual basic life support training as recommended by the resuscitation council (UK) guidelines.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice