The Care Quality Commission
  • Doctor
  • GP practice

Lane End Medical Group

Overall: Good read more about inspection ratings

2 Penshurst Gardens, Edgware, Middlesex, HA8 9GJ (020) 8958 4233

Provided and run by:
Lane End Medical Group

All Inspections

During an assessment under our new approach

Date of Assessment: 7 May 2026. Lane End Medical Group is a GP practice and delivers services to approximately 14,703 people under a contract held with NHS England. According to the latest available data, the ethnic make-up of the service area is approximately 52.1% White, 26.2% Asian, 8.3% Black, 3.7% Mixed and 9.3% Other ethnic groups. Information published by the Office for Health Improvement and Disparities shows deprivation within the practice population group is in the 6th decile (6 of 10). The lower the decile, the more deprived the practice 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 practice, 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 practice 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.

 

We saw some areas of outstanding practice when we inspected, which are detailed below.

 

This inspection was included as part of a pilot which looked at new and innovative ways of fulfilling CQC’s regulatory obligations. AI was used to support the creation of notes during some of the conversations, with human oversight and review to confirm factual accuracy. This was conducted with the consent of the provider and people interviewed.

21 March 2019

During a routine inspection

We carried out an announced comprehensive inspection at Lane End Medical Group on 21 March 2019 as part of our inspection programme.

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 good for all population groups.

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.
  • The practice organised and delivered services to meet patients’ needs. 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:

  • Ensure an up to date health and safety risk assessment is completed.
  • Continue to work to improve access to the practice by telephone.

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

9 February 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Lane End Medical Group on 16 October 2014. The overall rating for the practice was requires improvement. The full comprehensive report on the 16 October 2014 inspection can be found by selecting the ‘all reports’ link for Lane End Medical Group on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 9 February 2017 to confirm that the practice had carried out their plan to improve the areas of the service we identified in October 2014. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

  • The practice had improved telephone access by working with the patient participation group.
  • A dedicated telephone management rota was introduced to enhance access at peak times.
  • The practice maintained a detailed record of complaint investigations and lessons learned from them.
  • Significant events were investigated appropriately and learning outcomes shared with appropriate staff and stakeholders.
  • An audit timetable was in place and staff used this to structure an annual programme that contributed to the quality of clinical care and patient outcomes.
  • A recruitment policy had been updated in April 2016 that included the need for pre-employment checks before a member of staff took up their post.
  • All staff trained to provide chaperone duties had an up to date background check with the Disclosure Barring Service.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

16 October 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Lane End Medical Group on 16 October 2014. Overall the practice is rated as requires improvement.

Specifically, we found the practice to be good for providing effective, caring and well led services. We rated the practice as requires improvement for providing services for older people, families, children and young people, working age people (including those recently retired and students), people living in vulnerable circumstances, people experiencing poor mental health (including people with dementia) and for people with long term conditions. It required also improvement for providing safe and responsive services.

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

  • During our inspection, we observed that reception staff treated patients with dignity and respect;
  • The practice had recognised the needs of different groups in the planning of its services. For example, a receptionist outlined the steps taken to help vulnerable patients who needed additional support to understand and be involved in their care;
  • Records showed the practice used significant events to improve the service and we noted that learning points were shared at team meetings. However, we also found that learning outcomes from complaints received were not always shared with staff;
  • We saw evidence that clinical audits were being used to help improve patient outcomes but noted the absence of a systematic clinical audit programme;
  • The practice participated in a national performance measurement tool called Quality Outcome Framework (QOF). We saw that performance was above the Barnet and England practice average in a number of clinical areas such as dementia, coronary heart disease and childhood immunisations.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation. This was supported by GPs’ involvement in part time undergraduate, post graduate teaching and by nurse practitioner involvement in a local practice nurse mentoring scheme.

We saw evidence of outstanding practice:

  • GPs had experience of contributing to child protection hearings in person or by submitting reports.

However, there were areas of practice where improvements were needed. Importantly, the provider must:

• Carry out Disclosure and Barring (DBS) checks on all staff who undertake chaperone duties at the practice.

In addition, the provider should;

  • Ensure that learning outcomes from all complaints are identified and shared;
  • Introduce a timetabled policies and procedures review programme to ensure they are fit for purpose;
  • Ensure that the necessary locum GP pre-employment checks have taken place and are on file (for example we noted that a record of Hepatitis B vaccination status was not on file for one of the locum GPs).
  • Continue working with its Patient Participation Group to make further telephone access improvements.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice