Archived: The Enterprise Practice

Updated 7 September 2018

• The Enterprise Practice is situated in Harrow in North West London and is part of the Harrow Clinical Commissioning Group (CCG). The practice is located within the purpose built premises, with car parking for patients and staff. These premises are shared with three other GP services including a GP walk-in clinic which offers appointments from 8am to 8pm. All patient services are offered on the ground floor. The practice comprises two consulting rooms, a shared treatment room, a shared patient waiting area, a reception area, and administrative and management offices.
• Services are provided from: Belmont Health Centre, 516 Kenton Lane, Harrow, Middlesex, HA3 7LT.
• Online services can be accessed from the practice website: .
• Out of hours (OOH) service is provided by Care UK.
• There is one principal GP, a salaried GP and three locum GPs. Three GPs are female and two male, who work a total of 14 clinical sessions. The practice employs a shared practice nurse and two locum practice nurses. The practice manager is supported by a team of administrative and reception staff.
• The practice provides primary medical services through a General Medical Services (GMS) contract to approximately 4,050 patients in the local area (GMS is one of the three contracting routes that have been made available to enable commissioning of primary medical services).
• The practice population of patients aged between 25 to 44 years old is higher than the national average and there is a lower number of patients aged between 10 to 24 and 45 to 59 years old compared to national average.
• Ethnicity based on demographics collected in the 2011 census shows the patient population is ethnically diverse and 59% of the population is composed of patients with an Asian, Black, mixed or other non-white background.
• The service is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures, treatment of disease, disorder and injury, surgical procedures, family planning and maternity and midwifery services.

Updated 7 September 2018

This practice is rated as Good overall.

The key questions at this inspection are rated as:

Are services safe? - Good

Are services effective? - Good

Are services caring? - Good

Are services responsive? - Good

Are services well-led? - Good

We carried out a previous comprehensive inspection on 25 October 2017 under the previous CQC registration. The practice was rated as requires improvement overall. The previous partnership was dissolved and the principal GP registered as an individual provider in February 2018.

We carried out an announced comprehensive inspection at The Enterprise Practice on 31 July 2018. We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether The Enterprise Practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

At this inspection we found:

• The practice had made significant improvements since our previous inspection in October 2017.
• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.
• The practice was aware of and complied with the requirements of the Duty of Candour.
• 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 practice demonstrated improvement in governance arrangements.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 7 September 2018

Updated 7 September 2018

Updated 7 September 2018

Updated 7 September 2018

Updated 7 September 2018

Updated 7 September 2018