Meadow View Surgery - Care Quality Commission

Latest inspection summary

Background to this inspection
Overall inspection
People with long term conditions
Families, children and young people
Older people
Working age people (including those recently retired and students)
People experiencing poor mental health (including people with dementia)
People whose circumstances may make them vulnerable

Background to this inspection

Updated 3 August 2017

Meadow View Surgery is based at 141 Mandeville Road, Northolt, Middlesex, UB5 4LZ and it provides primary medical services through a General Medical Services (GMS) contract to approximately 5,400 patients living in the surrounding areas of Northolt, Greenford, South Harrow, Southall and Ruislip (GMS is one of the three contracting routes that have been available to enable commissioning of primary medical services). The practice is part of Ealing Clinical Commissioning Group (CCG). The practice serves a higher proportion of patients between the ages of 0-14 and 30-44, when compared to the national average. The practice population is of mixed ethnicity with a large proportion of patients speaking Tamil.

The practice staff comprise of a female GP partner, a male GP partner, a regular locum GP, a nurse, a healthcare assistant, a practice manager and a small team of reception / administration staff. The GP partners work 16 sessions in total and the locum GP works two hours per day over three days.

The practice is open Monday to Friday from 8am to 6.30pm with the exception of Thursday where the practice closes at 1.30pm. Extended hours appointments are offered on Tuesday and Wednesday to 8pm.

The provider is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures, treatment of disease, disorder and injury, and maternity and midwifery services.

Services provided by the practice include childhood and travel immunisations, family planning, smoking cessation, long-term condition management and cervical screening.

Overall inspection

Good

Updated 3 August 2017

Letter from the Chief Inspector of General Practice

This is a focused desk top review of evidence supplied by Meadow View Surgery, for areas within the key question well-led. This review was completed on 13 July 2017.

Upon review of the documentation provided by the practice, we found the practice to be good in providing well-led services. Overall, the practice is rated as good.

The practice was previously inspected on 15 November 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At the inspection, the practice was rated overall as ‘good’. However, within the key question well-led an area was identified as ‘requires improvement’, as the practice was not meeting the legislation in respect of good governance. The practice was issued a requirement notice under Regulation 17, good governance.

At the inspection in November 2016 we found the provider did not have a strategy to deliver the practice vision, policies & procedures were not in all cases up to date and there was no program of quality improvement including clinical audit to drive improvement in patient outcomes.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 17 good governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These improvements have been documented in the well-led section, showing how the registered person has demonstrated continuous improvement since the full inspection.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice

People with long term conditions

Good

Updated 3 August 2017

The practice is rated as good for the care of people with long term conditions. This rating was given following the comprehensive inspection in November 2016. A copy of the full report following this inspection is available on our website: