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Ealing GP practice rated Inadequate by CQC

17 August 2017
Dr Nader Lewis
  • Media,
  • GP and GP out-of-hours services

An Ealing GP practice has been rated Inadequate overall by the Care Quality Commission and has been placed into special measures. This is a deterioration since the previous inspection in 2015, when it was rated as Requires Improvement.

Dr Nader Lewis’s practice in Brunswick Road, which looks after 1,650 people, was rated Inadequate for being safe, effective, caring and well-led. It was rated Requires Improvement for being responsive following an inspection in May 2017.

CQC’s key findings included:

Patients were at risk of harm because systems and processes were not in place to keep them safe.

Governance arrangements were insufficient to provide a safe, effective service. Inspectors were particularly concerned about the quality and integrity of patient record keeping.

The practice received mixed patient feedback. The national patient survey results were consistently below average for patient experience of GP consultations and patient involvement in decisions.

The practice had a large working population but offered restricted opening hours.

The practice had not established a patient participation group.

Areas where the practice must make improvements include:

  • The practice must ensure that care and treatment of patients is only provided with the consent of the relevant person.
  • It must ensure care and treatment is provided in a safe way to patients.
  • It must ensure patients are protected from abuse and improper treatment.

Professor Ursula Gallagher, CQC Deputy Chief Inspector of GP Practices, said:

“I am very concerned that we have found so many problems at Dr Lewis’s practice and we are placing it in special measures in order to help the practice improve."

“Where necessary, another inspection will be conducted within six months, and if there is not enough improvement we will move to close the service by adopting our proposal to remove this location or cancel the provider’s registration.”

Special measures will give people who use the service the reassurance that the care they get should improve.

You can read the report in full on our website.


For further information please contact Ray Cooling, Regional Engagement Manager (London), on 020 7448 9136 or call the press office on 020 7448 9401 during office hours. 

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Last updated:
17 August 2017

Notes to editors

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 and out-of-hours service, 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.