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Edmonton’s Boundary House Surgery rated Inadequate by CQC

20 July 2017
Boundary House Surgery
  • Media,
  • GP and GP out-of-hours services

A surgery in the London borough of Enfield that had its registration suspended by the Care Quality Commission in 2016 was recently found to have made sufficient improvements to have its suspension lifted - although it continues to be rated Inadequate and will remain in special measures.

Boundary House Surgery in Hertford Road, Edmonton, was inspected in September 2016 and was suspended from providing services. Services continued to be provided at the location by a caretaker practice that was put in place by NHS England.

At the most recent inspection in March 2017 Boundary House was rated Inadequate for being effective and well-led. It was rated Requires Improvement for being safe and responsive, which was an improvement on the previous report. It was also rated Good for being caring.  

A caretaker practice was put in place by NHS England to provide services to patients of the practice during a recent period of the suspension.

The practice, which cares for 5,200 people in the area, must now:-

  • Ensure that all clinicians have a thorough knowledge and understanding of patient management and document management systems.
  • Ensure that the practice’s quality improvement programme includes effective audit arrangements that drive improvement across key clinical outcomes. In addition the practice should continue to:-
  • Continue with plans to change the leadership structure in an effort to improve the quality of service.
  • Ensure all correspondence is acted upon without delay
  • Continue to closely monitor systems used to refer patients to secondary care.
  • Continue to reduce patient waiting times.

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

“Although I acknowledge that this service has made a number of important improvements since it was suspended in September 2016, there are still a number of key concerns were sufficient evidence of improvement was not available. As a result the service will remain in special measures, be kept under review and if needed could be escalated to urgent enforcement action."

“Another inspection will be conducted within six months, and if there is not enough improvement we will move to take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.”

You can read the full report 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:
19 July 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.