The Care Quality Commission
  • Doctor
  • GP practice

Archived: Kingsbury Health and Wellbeing

Overall: Good read more about inspection ratings

245 Stag Lane, Kingsbury, London, NW9 0EF (020) 8206 0124

Provided and run by:
Dr Ajit Hirji Shah and Dr Upma Shah

Important: The provider of this service changed. See new profile
Important: The provider of this service changed - see old profile

All Inspections

10/12/2019

During an inspection looking at part of the service

We carried out an inspection of this service on the 10th December 2019 following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection focused on the following key questions:

Are services effective?

Are services well-led?

Because of the assurance received from our review of information we carried forward the ratings for the following key questions:

Are services Safe? – Good

Are services Caring? - Good

Are services Responsive? – Good

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 organizations.

We have rated this practice as good overall and good for all population groups.

We found that:

  • Patients received effective care and treatment that met their needs. The practice had systems in place to conduct evidence-based care and monitor their performance. Published practice performance data shows that the practice is in line with most current performance targets in comparison to other services in their area.
  • The practice demonstrated ongoing quality improvement activity with clinical audits in operation.
  • The practice had systems in place to manage risks.
  • The practice demonstrated clear systems of governance in place to learn from complaints, incidents and feedback.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Improve the practice’s arrangements for ensuring good governance and leadership are sustained in the longer term.

17 March 2016

During a routine inspection

Letter from the Chief Inspector of General Practice


We carried out an announced comprehensive inspection at Kingsbury Health and Wellbeing on 17 March 2016. Overall the practice is rated as good.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • The practice implemented the GP access telephone and hub service to improve patient access to appointments. Patients 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.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • The practice was proactive in identifying carers and had identified 5% of the patient practice list as carers and young carers.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • 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 and complied with the requirements of the duty of candour (being open and honest policy).

The areas where the provider should make improvement are:

  • Ensure all staff complete mandatory training within required time frames.

  • Monitor feedback to ensure improved patient experience.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice