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Westminster practice rated Inadequate

2 March 2017
Dr Thomas Barnwell
  • Media,
  • GP and GP out-of-hours services

A Westminster GP practice has been rated as Inadequate overall and placed into special measures by the Care Quality Commission.

Dr Thomas Barnwell’s practice, also known as Little Venice Medical Centre, was rated Inadequate for being safe and well-led following an inspection on 19 September 2016.

CQC’s inspection team found that the practice, which serves more than 4,700 patients in the London Borough of Westminster, had no clear leadership structure.

It must now clarify the leadership structure and ensure there is the capacity to deliver the required improvements. These include:

  • The temperature of the medicines fridge must be monitored consistently.
  • The implementation of infection control procedures.
  • The correct use and disposal of sharps boxes - and the cleaning of clinical curtains.
  • Ensuring staff have access to essential information and training including safeguarding and basic life support.
  • Seeking and acting on feedback from patients.

Ursula Gallagher, Deputy Chief Inspector of General Practice, at CQC said:

“We are placing Dr Thomas Barnwell’s practice into special measures. Services placed in special measures will be inspected again within six months.

“The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further 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.

“We were pleased, however, that patients were positive about their interactions with staff and said they were treated with compassion and dignity.”

Patients registered with the practices being placed into special measures should be aware that a package of support is offered by NHS England and the Royal College of GPs to ensure that there are no immediate risks to patient safety at these GP practices whilst improvements are being made.

A full report of this inspection has been published.


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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.