The Care Quality Commission
  • Doctor
  • Independent doctor

Dr Nolan Wengrowe - Golders Hill Health Centre

Overall: Good read more about inspection ratings

151 North End Road, London, NW11 7HT (020) 8455 6886

Provided and run by:
Dr. Nolan Wengrowe

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Dr Nolan Wengrowe - Golders Hill Health Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Dr Nolan Wengrowe - Golders Hill Health Centre, you can give feedback on this service.

30/9/2020

During an inspection looking at part of the service

This service is rated as Good overall.

The service was previously inspected in June 2019 and was rated Good overall. They were rated as Good in the key questions of Effective, Caring, Responsive and Well-led. However, it was rated as Requires Improvement in the key question of Safe.

The key question reviewed in this inspection Is now rated as follows:

Are services Safe? – Good

We carried out this announced focused inspection on 30 September 2020 to follow up on breaches we had identified at the last inspection. We had asked the provider to make improvements regarding:

  • The provider did not have a system in place to monitor expiry dates on single use items.
  • The provider did not have a process to ensure all patients were asked to provide proof of identity.
  • There was no process for checking people attending the service with paediatric patients had legal authority to do so.

We checked these areas as part of this focused inspection and found they had been resolved.

We found that:

  • The provider had systems to manage to monitor the supplies of clinical consumables to keep people safe.
  • There was a process in place to ensure all patients were asked to provide photographic or documented proof of their identity.
  • There was a process in place to ensure people attending the service with paediatric patients had legal authority to do so.

There were a number of other issues from the previous report that we had said the provider should address. These were:

  • Consider putting arrangements in place to ensure staff checks, including Disclosure and Barring Service checks, remain valid.
  • Ensure planned actions to bring about improvements around infection prevention and control are followed through.
  • Follow through with a programme of quality improvement activity to measure the impact of actions taken and to continue identifying areas where improvements can be made to the care and treatment provided.
  • Consider putting arrangements in place to obtain written consent from patients for care and treatment.

The provider reported that these had been addressed and provided evidence to support this. However, in the absence of an on-site inspection CQC were unable to review all actions. These matters do not affect the rating.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

5 June 2019

During a routine inspection

This service is rated as Good overall. The service was previously inspected in March 2018 when it was found to be meeting requirements for all domains.

The key questions at this inspection are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Dr Nolan Wengrowe - Golders Green Health Centre on 5 June 2019 as part of our ratings inspection programme for Independent Health Providers.

At this inspection we found:

  • The provider’s system to manage supplies of clinical consumables did not always help to keep people safe.
  • There was no process in place to ensure all patients were asked to provide photographic or documented proof of their identity and there was no process in place to ensure people attending the service with paediatric patients had legal authority to do so.
  • Care and treatment was delivered in accordance with evidence-based guidelines although quality improvement activity was limited.
  • Patients were treated with kindness, respect and compassion. Their privacy and dignity was respected and they were involved in decisions about their care and treatment.
  • Services were organised and delivered to meet patients’ needs. Patients could access care and treatment in a timely way.
  • There was a culture of high-quality, sustainable care. The service encouraged feedback from patients

The area where the provider must make improvements as they are in breach of regulation is:

  • Ensure care and treatment is provided in a safe way to patients.

Please see the final section of this report for specific details of the action we require the provider to take

The areas where the provider should make improvements are:

  • Consider putting arrangements in place to ensure staff checks, including Disclosure and Barring Service checks, remain valid.
  • Ensure planned actions to bring about improvements around infection prevention and control are followed through.
  • Follow through with a programme of quality improvement activity to measure the impact of actions taken and to continue identifying areas where improvements can be made to the care and treatment provided.
  • Consider arrangements in place to record patient consent to care and treatment with a view to recording written consent.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

22 March 2018

During a routine inspection

We carried out an announced comprehensive inspection on 22 March 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

We reviewedtwo CQC patient comment cards both of which were positive about the service provided. The comment cards stated that they received a high standard of treatment and staff were caring.

Our key findings were:

  • There were systems in place for acting on significant events and complaints.
  • There were systems in place to assess, monitor and manage risks to the premises and patient safety.
  • There were arrangements in place to protect children and vulnerable adults from abuse.
  • Staff had received essential training and adequate recruitment and monitoring information was held for all staff.
  • Care and treatment was provided in accordance with current guidelines.
  • Patient feedback indicated that staff were caring and appointments were easily accessible.
  • There was a clear vision and strategy and an open and supportive culture. 

11 October 2012

During a routine inspection

Patients of the practice indicated that they were well treated and staff were respectful towards them. They stated that their privacy and dignity had been maintained during consultation sessions. Their views can be summarised by the following comment, 'I have been coming here for many years. The doctor knows me well and I get an excellent service.'

They informed us that they had been provided with information regarding the service and knew who to contact in an emergency. The practice had a brochure together with the complaints procedure and a statement indicating that people's equality, diversity and rights were promoted.

Patients expressed confidence in the senior doctor and other staff who attended to them. They indicated that they had been assessed prior to treatment. Fees, treatment and alternative options had been explained them. Treatment was given with their agreement.