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CQC inspectors place London GP practice into special measures

2 February 2017
The Gadhvi Practice
  • Media,
  • GP and GP out-of-hours services

England’s Chief Inspector of General Practice has placed The Gadhvi Practice, also known as Fountayne Road Health Centre, in London, into special measures following an inspection by the Care Quality Commission.

Inspectors rated the service as Inadequate for being safe and well-led, Requires Improvement for being effective, caring and responsive to people’s needs following the inspection in October 2016.

A full report of this inspection has been published.

Ursula Gallagher, Deputy Chief Inspector of General Practice CQC’s London region said:

“The Gadhvi Practice did not have a clear leadership structure in place to ensure  people were safe from harm and to ensure people received high quality care, which everyone is entitled to receive from their GP practice.

“Patients were at risk of harm because systems were not in place enough to keep them safe. For example, some medicines had expired and equipment was not adequately cleaned and maintained.

“As a result of these, and other areas of concern, we are placing the practice into special measures, so the practice can receive the support it needs to improve.

“We will continue to monitor this practice and will inspect again in six months to check whether improvements have been made. If we find that the service remains inadequate, we will consider taking further enforcement action.”

Key findings of CQC’s inspection included:

  • Patients were at risk of harm from poor safety management. This included systems to safely manage the following; patient’s laboratory test results, the cleaning and maintenance of equipment, medicines management and recording chaperoning.
  • Essential safety checks had not been carried out. Inspectors found that staff recruitment checks were incomplete, and that medicines,needles and syringes were out of date.
  • Adequate arrangements were not in place to respond to medical emergencies, the first aid kit contents were incomplete or expired, and the defibrillator was being shared with another practice and was not being properly maintained.
  • Management of the practice was inadequate and some policies and procedures were incomplete and undated.


For further information please contact CQC Regional Engagement Officer Farrah Chandra on 07917 594 574 or, for media enquiries, call the press office on 020 7448 9401 during office hours.

Journalists wishing to speak to the press office outside of office hours can find out how to contact the team here. (Please note: the duty press officer is unable to advise members of the public on health or social care matters). For general enquiries, please call 03000 61 61 61

Last updated:
29 May 2017

Notes to editors

Patients registered with practices which are placed into special measures should be aware that the package of support being offered by NHS England and the Royal College of GPs will ensure that there are no immediate risks to patient safety at these GP practices whilst improvements are being made. This does not mean that these practices will close.

To get to the heart of people’s experiences of care, we always ask the following five questions of services.

  • Are they safe?
  • Are they effective?
  • Are they caring?
  • Are they responsive to people’s needs?
  • Are they well-led?

For every NHS GP practice we will look at the quality of care for the following six population groups: Older people, People with long-term conditions, Families, children and young people, Working age people (including those recently retired and students), People whose circumstances may make them vulnerable, People experiencing poor mental health (including people with dementia).

Providers are required to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.