Hanwell Health Centre

We carried out an announced inspection at Hanwell Health Centre on 23, 24 and 29 June 2022. Overall, the practice is rated as requires improvement.

Safe – Requires improvement

Effective – Requires improvement

Caring - Good

Responsive - Good

Well-led – Good

We have not previously inspected this service.

Why we carried out this inspection

The practice was newly registered in 2021 following the formation of the company: Drs S Bassi and H Kamboj Ltd, which now provides the service, replacing the previous partnership. This inspection was a comprehensive inspection covering all key questions.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

• Conducting staff interviews using video conferencing
• Completing clinical searches on the practice’s patient records system and discussing findings with the provider
• Reviewing patient records to identify issues and clarify actions taken by the provider
• Requesting evidence from the provider
• A short site visit

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
• Information from the provider, patients, the public and other organisations.

We have rated this practice as requires improvement overall

We found that:

• The practice did not have fully embedded systems in place to identify and manage risks to patients. For example, the clinical records did not always reflect current national guidelines in relation to teratogenic medicines; the practice had a reactive approach to monitoring cervical screening results and prescription security was weak.
• Patients received effective care and treatment that met their needs. However, practice performance in relation to childhood immunisations was below expectations.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• Patients could access care and treatment in a timely way.
• The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic.
• Patients could access care and treatment in a timely way.

We found breaches of regulations. The provider must:

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

In addition, the provider should:

• Continue work to improve uptake of childhood immunisations and cancer screening programmes.
• Continue work to improve patient engagement for example by re-establishing the patient participation group.

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 Hospitals and Interim Chief Inspector of Primary Medical Services