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South West London GP practice rated as Inadequate

11 February 2016
Dr Zaheer Hussain
  • Media,
  • GP and GP out-of-hours services

The Care Quality Commission (CQC) has rated Dr Zaheer Hussain, of the Fulham Cross Medical Centre, in South West London, as Inadequate and has placed the provider into special measures following an inspection in November 2015.

Placement into special measures means that the provider must now make necessary improvements or face action that could result in closure.

Under CQC’s programme of inspections, GP practices in England are being given a rating according to whether they are safe, effective, caring, responsive and well led.

Dr Zaheer Hussain provides primary medical services to 2,200 patients within the London borough of Hammersmith and Fulham. Inspectors found that the practice was failing to provide services that were safe, effective, caring, responsive and well led.

The full report from the inspection has been published on the CQC website:

The practice had not maintained appropriate standards of cleanliness and hygiene. Inspectors observed that the premises were unclean and untidy. Walls and flooring throughout the practice were stained, cracked and visibly dirty.

Medicine management arrangements did not keep patients safe. Inspectors found several out-of-date flu, Shingles, HPV and MMR vaccines within the practice fridge.

There was no specific telephone answerphone message to direct patients to appropriate care services and advice when the practice is closed.

Staff were not clear about reporting significant events, incidents and near misses and there was no evidence of shared learning or communication with staff.

There was no available evidence to demonstrate that practice staff had received essential safeguarding, fire safety, basic life support and information governance training.

However, patients told inspectors that they had positive interactions with staff and that they were treated with compassion.

Ursula Gallagher, Deputy Chief Inspector of General Practice:

"When we are faced with a provider that is experiencing difficulties in providing adequate care for patients, our first instinct is to work with them to ensure that patient care improves.

“We took urgent enforcement action to suspend the practice for three months in November 2015, in order to give the provider the opportunity to address the immediate concerns we identified regarding patient safety.

“We are hopeful that the Dr Zaheer Hussain will continue to take any necessary action to address the concerns we identified during our most recent inspection.

“In particular, the provider must ensure that robust medicines management processes are introduced, appropriate standards of cleanliness and hygiene are maintained, and that all practice staff complete essential training, in order to reduce the risk of harm to patients.

“Clear information about alternative services and advice should also be provided for patients when the centre is closed.

“We will re-inspect within six months to check whether sufficient improvements have been made. If sufficient improvements have not been made and there remains a rating of inadequate for any key question or overall, we will take further action which may include closure.”


For further information please contact Yetunde Akintewe, CQC Regional Engagement Manager, on 07471 020 659. For media enquiries, journalists wishing to speak to the press office outside of office hours can find out how to contact the team here. For general enquiries, please call 03000 61 61 61.

Last updated:
29 May 2017

Notes to editors

CQC has published a full report about Dr Zaheer Hussain (Fulham Cross Medical Centre).

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).

Since 1 April, providers have been required to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily. Further information on the display of CQC ratings.

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.