The Care Quality Commission
  • Doctor
  • GP practice

Castleton Road Health Centre

Overall: Good read more about inspection ratings

19 - 21 Castleton Road, Goodmayes, Ilford, Essex, IG3 9QW (020) 8599 9951

Provided and run by:
Castleton Road Health Centre

All Inspections

6 July 2023

During a monthly review of our data

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

14 December 2019

During an annual regulatory review

We reviewed the information available to us about Castleton Road Health Centre on 14 December 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.

8 August 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Castleton Road Health Centre on 26 October 2016. We rated the practice as requires improvement overall and requires improvement for providing safe and caring services. Following this inspection we told the practice they must ensure systems to assess and mitigate against risks including risks associated with infection prevention and control and legionella were effective. We also told the practice that staff recruitment procedures must always include relevant pre-employment checks. We served requirement notices relating to the practice’s failure to comply with Regulation 12 (Safe care and treatment) and Regulation 19 (Fit and proper persons employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The full comprehensive report on the October 2016 inspection can be found by selecting the ‘reports’ link for the Castleton Road Health Centre on our website at http://www.cqc.org.uk/location/ 1-565600548. After the inspection, the practice sent us a plan of the action it intended to take to improve the quality of care and meet the legal requirements under the key question, Safe.

This inspection was an announced focussed inspection carried out on 8 August 2017 looking at the issues previously identified and to check and confirm that the practice had carried out its plan to meet the legal requirements. We found that the practice had taken appropriate action to meet the requirements of the regulations relating to providing a safe and caring service.

Accordingly, we have revised the practice’s ratings in respect of providing a safe and caring service, which has led to a revision in the overall rating to Good.

Our key findings were as follows:

  • The practice had undertaken a risk assessment to monitor the safety of the premises including risks associated with infection prevention and control (IPC) and legionella (Legionella is a term for a particular bacterium which can contaminate water systems in buildings).
  • There was an IPC protocol and we saw that annual IPC audits were undertaken. We saw evidence that action was taken to address any improvements identified as a result.
  • There were emergency medicines available in the treatment room and these were easily accessible to staff and all staff knew of their location.
  • The practice had a defibrillator available on the premises and oxygen with adult and children’s masks. There was a process in place to ensure that emergency equipment was checked regularly so that is was ready for use when it was needed.
  • All staff, including GP’s, had completed customer care training and this had included skills coaching around questioning and active listening.
  • The practice had undertaken a follow-up patient survey and provided the option to respond to either of visual or text based responses which meant that patients who had difficulty reading English text could participate in the survey.
  • The practice participated in the monthly NHS Friends and Family Test (FFT) and were able to demonstrate consistently high percentages of patients saying they would recommend the practice to friends or family members.

However, there were areas of practice where the provider should make improvements. The provider should:

  • Continue to monitor patient satisfaction levels reflected in the national GP patient survey with a view to bringing about further improvements.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

26 October 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Castleton Road Health Centre (Dr M.A Quraishi & Partner) on 26 October 2016. Overall the practice is rated as requires improvement.

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

  • The practice had not carried out annual infection prevention and control audits or legionella risk assessments.
  • It had not completed all pre-employment checks for a locum GP employed at the practice.
  • The practice had not ensured that all staff had received all mandatory training including, health and safety, infection prevention and control and information governance.
  • The practice was not keeping written records of all meetings as evidence of decisions and that learning from, for example, complaints it recorded were acted upon.
  • Findings of the national GP patient survey showed that the practice was performing below the national average in a number of areas.
  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • 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.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment with a GP and there was continuity of care, with urgent appointments available the same day.
  • 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.

The areas where the provider must make improvement are:

  • Ensure that there are appropriate systems in place to properly assess and mitigate against risks including risks associated with infection prevention and control and legionella.

  • Ensure the procedure for all staff recruitment includes undertaking all relevant pre-employment checks.

In addition the provider should:

  • Provide all staff with mandatory training in line with national guidance and guidelines.
  • Keep written records of meetings so that appropriate decisions and learning are recorded and acted upon.
  • Carry out regular checks of equipment and medicines to ensure that any out of date stock is removed and suitably disposed of.
  • Monitor and work to improve patient outcomes in QOF, in relation to patients with dementia.
  • Address the issues highlighted in the national GP survey in order to improve patient satisfaction.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice