• Doctor
  • GP practice

Gordon House Surgery

Overall: Good read more about inspection ratings

Mattock Lane Health Centre, 78 Mattock Lane, West Ealing, London, W13 9NZ (020) 8799 5699

Provided and run by:
Gordon House Surgery

Latest inspection summary

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Background to this inspection

Updated 8 February 2018

Gordon House Surgery is located in Ealing within the London Borough of Ealing .The practiceprovides primary medical services to approximately 12,967 patients and holds a core General Medical Services contract. The practice is located within a purpose built health centre owned by London North West Healthcare NHS Trust whose estates department are responsible for the maintenance and management of the building.

The practice team is made up of seven GP partners, three salaried GPs and four GP registrars providing a total of 47 clinical sessions, a full time finance manager ,a part time practice manager, three part time practice nurses, five health care assistants working part time and full time hours, five administrative staff, nine reception staff, and two contracted pharmacists.

Regulated activities are delivered to the patient population from the following address:

78 Mattock Lane

Ealing

W13 9NZ

Tel: 020 8799 5699

The practice has a website that contains comprehensive information about what they do to support their patient population and the in house and online services offered:

www.gordonhousesurgery.org.uk

The practice opening hours were 8am to 6.30pm (reception desk and phone lines) Monday to Friday. The practice is closed for lunch from 1pm to 2pm Monday to Friday. Appointments are available from 8am up to 1pm and from 2pm to 6.20pm. Extended hours surgeries are offered from 9am to 12pm on Saturdays. The out of hours services are provided by an alternative provider. The details of the out-of-hours service are communicated in a recorded message accessed by calling the practice when it is closed and on the practice website.

The age profile of the practice population is broadly in line with the CCG averages. Information taken from Public Health England placed the area in which the practice is located in the fifth less deprived decile (from a possible range of between 1 and 10). In general, people living in more deprived areas tend to have greater need for health services.

Overall inspection

Good

Updated 8 February 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection 15 October 2015 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Gordon House surgery on 15 October 2015. The overall rating for the practice good. However we rated the key question as requires improvement and served the practice with a requirement notice for Regulation 17 in relation to improvements required in the safe and secure storage of patients paper records. The full comprehensive report can be found by selecting the Gordon House Surgery ‘all reports’ link for on our website at www.cqc.org.uk.

  • This inspection was an announced comprehensive inspection carried out on 28 November 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 15 October 2015. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.

  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.

  • Staff involved and treated patients with compassion, kindness, dignity and respect.

  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

  • Ensure they keep a log of all prescriptions.

  • Maintain arrangements to safely store emergency equipment.

  • Maintain arrangements of keeping a full supply of emergency medicines.

  • Maintain mechanisms for managing a failsafe system for patients being referred under the cancer two week referral systems.

  • Strengthen the system for following up and recording cervical smears.

  • Ensure internal fridge temperatures are checked frequently

  • Should continue their efforts to identify carers

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice