• Doctor
  • GP practice

The 157 Medical Practice

Overall: Good read more about inspection ratings

157 Stroud Green Road, London, N4 3PZ (020) 7272 8823

Provided and run by:
Haringey GP Group Ltd

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about The 157 Medical Practice 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 The 157 Medical Practice, you can give feedback on this service.

28 October 2021

During an inspection looking at part of the service

We previously carried out an announced comprehensive inspection at The 157 Medical Practice in March 2020 as part of our inspection programme. We rated the practice as Good overall. We rated the practice Good for providing safe, responsive and caring, Outstanding for providing well-led services and requires improvement for providing an effective service. You can read the full report by selecting the ‘all reports’ link for The 157 Medical Practice on our website (www.cqc.org.uk).

We were mindful of the impact of the Covid-19 Pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the Covid-19 Pandemic when considering what type of inspection was necessary and proportionate, this was therefore a desk-based inspection. On 27 October 2021, we carried out a desk-based review to confirm that the practice had carried out improvement plans to their service.

We found that the practice had put measures in place for ongoing improvement. The practice is now rated Good for providing effective services.

We based our judgement of the quality of care at this service on a combination of:

  • What we found when we reviewed the information sent to us by the provider;
  • Information from our ongoing monitoring of data about services.

We have rated effective as Good because:

  • Systems have been put in place to monitor and improve the uptake for the childhood immunisation and cervical screening programmes.
  • Systems had been put in place to censure positive outcomes for patients with long term conditions or on the mental health register.

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

3 March 2020

During a routine inspection

We carried out an announced comprehensive inspection at the 157 Medical Practice (the practice) on 3 March 2020 as part of our inspection programme. It was the first inspection of the newly-registered service. The previous service provider, which had not been registered by the CQC, had been identified by service commissioners as being in difficulty. The practice has been operated by Federated4Health, the Pan Haringey GP Federation, since July 2019.

We have rated the practice as Good overall and in respect of the key questions Safe, Caring and Responsive. We have rated it as Requires improvement for providing Effective services. We saw unverified data indicating a significant improvement in all aspects of clinical care. This needs to be sustained and improved further, particularly in relation to outcomes for people with long term conditions and people experiencing poor mental health, where performance remains below past local and national averages. We have rated the practice as Outstanding in respect of the key question Well-led, in recognition of the considerable amount of work put in by leaders and staff to bring about improvement to the service, clinical performance and patients’ outcomes.

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 found that:

  • The provider had made significant improvements to the service, following considerable work by leaders and staff. Patient feedback was particularly positive regarding increased access and caring aspects.
  • We were shown unverified data which indicated improvement in all areas of clinical performance, resulting in improved patient outcomes. However, the data showed that some aspects of care, for example in relation to people with long term conditions and people experiencing poor mental health, remained below past averages, and cervical screening and childhood immunisation rates were below targets
  • People are protected from avoidable harm and abuse.
  • People’s care and treatment is planned and delivered in line with current evidence-based guideline, standards, best practice and legislation.
  • People are supported, treated with dignity and respect and are involved as partners in their care.
  • People’s needs are met through the way services are organised and delivered.
  • The leadership, governance and culture are used to drive and improve the delivery of high-quality, person-centred care.

The areas where the practice should make improvements are

  • Continue with efforts to improve the outcomes for people with long term conditions and those experiencing poor mental health.
  • Continue with efforts to increase the uptake of cervical screening tests and childhood immunisations.

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