The Muswell Hill Practice

We carried out an announced comprehensive inspection of the Muswell Hill Practice (the practice) including a site visit on 22 November 2023. Overall, the practice is rated as Outstanding.

• Safe - Good
• Effective - Good
• Caring - Outstanding
• Responsive - Good
• Well-led - Outstanding

The practice had been inspected at its previous location in June 2017, when it was rated Good overall and for all key questions. The full report of that inspection can be found on our website at – https://www.cqc.org.uk/location/1-15036065218/reports

Why we carried out this inspection

We carried out this comprehensive inspection in line with our inspection priorities, following the practice moving to its new location in August 2022.

How we carried out the inspection

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

• Conducting staff interviews using video conferencing.
• Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
• Reviewing patient records to identify issues and clarify actions taken by the provider.
• Requesting evidence from the provider.
• A short site visit.
• Reviewing feedback from patients submitted via the CQC website.

Our findings

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We found that:

• People were truly respected and valued as individuals and were empowered as partners in their care. Feedback from people who used the service was continually positive about the way staff treated them. People thought staff go the extra mile and the care they received exceeded expectations. Staff were highly motivated and inspired to offer care that was kind and promotes people’s dignity. Relationships between people who used the service and staff were strong, caring and supportive. These relationships were highly valued by all staff and promoted by leaders.
• The leadership, governance and culture were used to drive and improve the delivery of high-quality person-centred care. Leaders had an inspiring shared approach and strived to deliver and motivate staff to succeed. There were high levels of staff satisfaction. Staff were proud to work for the practice and spoke highly of its culture. There was strong collaboration and support across all staff and a common focus on improving the quality of care and people’s experiences.
• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• People had good outcomes because they received effective care and treatment.
• People’s needs were met through the way the services were organised and delivered.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care