The Care Quality Commission
  • Doctor
  • GP practice

Elmbank Surgery

Overall: Good read more about inspection ratings

438 Greenford Avenue, Hanwell, London, W7 3DD (020) 8578 1430

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

22 October 2019

During an annual regulatory review

We reviewed the information available to us about Elmbank Surgery on 22 October 2019. 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.

31 March 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Elmbank Surgery on 28 June 2016. The overall rating for the practice was good. However, within the key question safe an area was identified as ‘requires improvement’, as the practice was not meeting the legislation Safe care and treatment.

The practice was issued a requirement notice under Regulation 12, Safe care and treatment. The full comprehensive on 28 June 2016 can be found by selecting the ‘all reports’ link for the Elmbank Surgery on our website at www.cqc.org.uk.

This inspection was a focused desk based review carried out on 31 March 2017 to confirm the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations we identified in our previous inspection on 28 June 2016. This report covers our findings in relation to those requirements and also any additional improvements made since our last inspection.

Overall, the practice is rated as good.

Our key findings were as follows:

• The practice had ensured that health care assistants only worked to Patient Specific Directives to deliver care safely.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation. Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 Safe care and treatment.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

28 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice


We carried out an announced comprehensive inspection at Elmbank Surgery on 28 June 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.
  • Risks to patients were assessed and well managed.
  • 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.
  • 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 improvements are:

• Ensure that health care assistants only work to Patient Specific Directives to deliver care safely.

The areas where the provider should make improvements are:

  • Improve the process of identifying carers to ensure they receive support and information as appropriate.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice