We carried out a review of the data available to us about Highbury Grange Medical Practice 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 Highbury Grange Medical Practice, you can give feedback on this service.
We carried out an announced comprehensive inspection at Highbury Grange Medical Practice, on 5 March 2019, and rated the practice as inadequate for safe, requires improvement for well-led and good for effective, caring; and responsive. This gave the practice an overall rating of requires improvement. The full comprehensive report on the March 2019 inspection can be found by selecting the ‘all reports’ link for Highbury Grange Medical Practice on our website at . Because of the safety concerns we identified in managing and monitoring patients on high-risk medicines, we served a warning notice under Section 29 of the Health and Social Care Act 2008, as the provider was failing to comply with the relevant requirements of Regulation 12, (1), Safe care and treatment, of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
At the inspection, on 5 March 2019
We carried out a warning notice follow-up inspection, on 18 July 2019, to assess whether the concerns identified in the warning notices had been addressed by the provider. At that inspection we found that the provider had appropriately addressed all the concerns identified in the warning notices and was providing safe care to patients on high-risk medicines.
We carried out a focused inspection, on 24 October 2019, the inspection focused on the safe and well-led key questions. At that inspection, we were satisfied the practice had addressed all previous concerns and we rated safe and well-led as good.
This inspection was carried out remotely on 11 March 2020. The lead inspector conducted a telephone interview with the practice manager. We determined the rating of all five key questions using a combination of evidence provided during the telephone interview, pre-inspection information sent by the practice, and the evidence collected from the three previous inspections held in 2019.
We rated the practice as good for providing safe, effective, caring, responsive and well-led services. This gave the practice an overall rating of good.
We based our judgement of the quality of care at this service on a combination of:
We rated the practice as good for providing safe services because:
We rated the practice as good for providing effective services because:
We rated the practice as good for providing caring services because:
We rated the practice as good for providing responsive services because:
We rated the practice as good for providing well-led services because:
We rated all the population groups as good, except for working age people which we rated as requires improvement, this is because the practice cervical screening uptake rate was well below the national target of 80%.
The areas where the provider should make improvements are:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
We carried out an announced comprehensive inspection at Highbury Grange Medical Practice on 5 March 2019 and rated the practice as inadequate for safe; good for effective, caring and responsive and requires improvement for well-led. This gave the practice an overall rating of requires improvement.
At the inspection, on 5 March 2019:
Following our inspection, on 5 March 2019, we served a warning notice under Section 29 of the Health and Social Care Act 2008 because the provider was failing to comply with the relevant requirements of Regulation 12, (1), Safe care and treatment, of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The full comprehensive report on the March 2019 inspection can be found by selecting the ‘all reports’ link for Highbury Grange Medical Practice on our website at .
We carried out a warning notice follow up inspection, on 18 July 2019, to assess whether the concerns identified in the warning notice had been addressed by the provider. At that inspection we found that the provider had appropriately addressed all the concerns identified in the warning notice. The warning notice report can also be found by selecting the ‘all reports’ link for Highbury Grange Medical Practice on our website at www.cqc.org.uk.
At this inspection, we carried out an announced focussed inspection reviewing the safe and well-led domain. We found all the issues identified previously had been addressed to an appropriate standard. We have now rated the practice as good in safe and well-led.
We based our judgement of the quality of care at this service on a combination of:
We rated the practice as good for providing safe services because:
We rated the practice as good for providing well-led services because:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
We carried out an announced comprehensive inspection at Highbury Grange Medical Practice on 5 March 2019. At that inspection we the rated the practice as; Inadequate for safe; Good for effective, caring and responsive; and Requires Improvement for well-led. This gave the practice an overall rating of requires improvement. As a result of the safety concerns (unsafe monitoring and management of patients on high-risk medicines) we served a warning notice under Section 29 of the Health and Social Care Act 2008, as the provider was failing to comply with the relevant requirements of Regulation 12, (1), Safe care and treatment, of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The full comprehensive report on the March 2019 inspection can be found by selecting the ‘all reports’ link for Highbury Grange Medical Practice on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 18 July 2019 to confirm the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations we identified in the warning notice issued after the March 2019 inspection. This report covers our findings in relation to those requirements.
We based our judgement of the quality of care at this service on a combination of:
We have not re-rated the practice on this occasion. We will consider re-rating the practice when we carry out our follow up inspection, this will be within six months from the publication date of the March 2019 report.
We found that:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
We carried out an announced comprehensive inspection at Highbury Grange Medical Practice on 05 March 2019. The practice was previously rated as good overall in October 2017.
We based our judgement of the quality of care at this service on a combination of:
We have rated this practice as requires improvement overall.
We rated the practice as inadequate for providing safe services because:
We rated the practice as requires improvement for providing well-led services because:
We rated the practice as good for providing effective, caring and responsive services because:
We rated the practice as good for all population groups.
The areas where the provider must make improvements are:
The areas where the provider should make improvements are:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
We carried out an announced comprehensive inspection of Highbury Grange Medical Practice on 18 July 2017. We rated the practice as good for providing effective, caring, responsive and well-led services and the overall rating was good. We rated the practice as requires improvement for providing safe services, as we had concerns relating to infection prevention and control, medicines management and fire safety training for staff.
We served a requirement notice relating to the practice’s failure to comply with Regulation 12 (Safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
The full comprehensive report on the July 2017 inspection can be found by selecting the ‘reports’ link for Highbury Grange Medical Practice on our website at http://www.cqc.org.uk/location/1-543975260. After the inspection, the practice sent us a plan of actions it intended to take to ensure it was able to meet the legal requirements under the key question, Safe.
This inspection was an announced focussed inspection carried out on 24 October 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 service, with regard to the safety issues we had identified. Accordingly, we have revised the practice’s rating in respect of providing a safe service to good.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection of the Highbury Grange Medical Practice on 18 July 2017. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The areas where the practice must make improvement are:
The area were the practice should make improvement is:
Continue with plans to improve and monitor outcomes for patients with long term conditions.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at the Highbury Grange Medical Practice on 8 April 2015. Overall the practice is rated as good.
Specifically, we found the practice to be good for providing well-led, caring, safe and responsive services. The service was found to require improvement for providing an effective service. It was also good for providing services for the care provided to older people, people with long term conditions, families, children and young people, working age people (including those recently retired and students), people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia).
Our key findings across all the areas we inspected were as follows:
There were areas of practice where the provider needs to make improvements.
Importantly the provider should:
Chief Inspector of General Practice