The Care Quality Commission
  • Doctor
  • GP practice

Harrow Road GP Practice, Triangle House Health Centre

Overall: Good read more about inspection ratings

2-8 Harrow Road, Leytonstone, London, E11 3QF (020) 3078 7770

Provided and run by:
Harrow Road GP Practice

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Harrow Road GP Practice, Triangle House 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 Harrow Road GP Practice, Triangle House Health Centre, you can give feedback on this service.

16 October 2019

During an annual regulatory review

We reviewed the information available to us about Harrow Road GP Practice, Triangle House Health Centre on 16 October 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

4 July 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Harrow Road GP Practice on 5 May 2016. The practice was rated as requires improvement for providing safe, effective and well-led services, good for providing caring and responsive services and an overall rating of requires improvement. The full comprehensive report of the 5 May 2016 inspection can be found by selecting the ‘all reports’ link for on our website at www.cqc.org.uk.

This inspection was carried out to check that action had been taken to comply with legal requirements, ensure improvements had been made and to review the practice's ratings. Overall the practice is now rated as good.

Our key findings across all the areas we inspected were as follows:

  • The practice had taken action to improve how it identified, reported and investigated serious incidents. There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • The practice had addressed concerns around the management of risks to patient safety and had clearly defined and embedded systems to minimise risks to patient safety.
  • There were up to date policies to support and guide staff in the provision of regulated activities including those for medicines management and repeat prescribing.
  • Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
  • Staff had received appropriate training in basic life support, fire safety awareness, information governance and infection prevention and control and had had a recent annual appraisal.
  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients we spoke with said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

The areas where the provider should make improvement are:

  • Continue to review how eligible patients are encouraged to participate in the health screening programmes with a view to reducing exception reporting rates.
  • Continue to review how childhood immunisations are delivered to bring about improvements in uptake rates.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

5 May 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Harrow Road Surgery on 5 May 2016. Overall the practice is rated as requires improvement.

Our key findings across all the areas we inspected were as follows:

  • Although there was a system in place for reporting and recording significant events, when things went wrong, reviews and investigations were not always sufficiently thorough and necessary improvements were not always made.
  • Risks to patients were not always assessed or well managed including, for example, risks associated with fire safety, infection control, DBS checks for those staff who undertook chaperone duties and electrical equipment safety checks.
  • Although one clinical audit had been carried out, it was not a two cycle completed audit and so the practice could not demonstrate that audits were driving improvements to patient outcomes.
  • Governance arrangements and performance management did not always operate effectively. We noted that some policies were missing (such as medicines management, repeat prescribing and a legionella protocol) and that the practice was not acting in accordance with others (such as its IPC policy which required regular audits to be undertaken).
  • Some staff had not undertaken mandatory staff training such as safeguarding, basic life support and fire safety awareness, staff had not received an appraisal and there were no records to demonstrate that recently employed staff had completed an induction programme.
  • The practice had a business continuity plan but this did not include necessary information such as contact details for staff or a buddy practice.
  • Data showed patient outcomes were comparable to the national average.
  • The practice employed a mental health nurse who provided additional support to patients with mental health conditions.
  • The practice was open until 8:00pm every evening which benefitted patients who could not attend during normal office hours
  • The majority of patients said they were treated with compassion, dignity and respect.

The areas where the provider must make improvements are:

  • Ensure that significant events are always recorded and reviewed.
  • Ensure that risk assessments are undertaken to determine if staff who act as chaperones require a DBS check and that staff undertaking chaperone duties have received appropriate training to carry out the role.
  • Ensure that systems and processes such as clinical audits are in place to assess, monitor and improve the quality and safety of the service.
  • Undertake and implement an infection control audit for assessing and monitoring risks associated with infection control, fire and legionella and undertake any relevant actions as required.
  • Put in place complete and up to date policies to support and guide staff in the provision of regulated activities including those for medicines management and repeat prescribing.
  • Ensure that all staff receive appropriate training in basic life support, fire safety awareness, information governance and infection prevention and control and that all staff receive an appraisal.
  • Maintain records to demonstrate that staff have completed an induction programme.
  • Ensure that the practice business continuity plan contains necessary information such as contact details for staff and details of a buddy practice.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice