Old West Surgery in Gravesend plunged into special measures after inadequate CQC rating

PUBLISHED: 11:12 09 November 2017 | UPDATED: 11:12 09 November 2017

Inspectors have plunged the Gravesend surgery into special measures

Inspectors have plunged the Gravesend surgery into special measures


An inspector said the surgery was “in a state of decline”

Inspectors have given the lowest possible score to a Gravesend doctors’ surgery, plunging it into special measures.

Old West Surgery on Old Road West was visited by Care Quality Commission inspectors in August, with a previous visit resulting in a ‘good’ rating.

But inspectors found the surgery “in a state of decline”, and have dropped its overall rating down two levels, to ‘inadequate’.

Safety, effectiveness and leadership were all found to be inadequate, while the surgery was told it requires improvement for being caring and responding to people’s needs.

Ruth Rankine, deputy chief inspector of general practice said: “It is concerning to find a surgery that was previously rated good now in a state of decline.

“The provider will need to ensure that all of the risks that have been identified are addressed.

“However, in the meantime as a result of this inspection we have placed Old West Surgery into special measures and have also issued two warning notices.

“We will re-inspect the practice within six months to check whether sufficient improvements have been made. If we find that the service provided by this surgery remains inadequate, we will take further action”

In some cases, patients were not receiving appropriate treatment, as the practice’s disease registers were not being properly maintained, while health and safety checks were not being carried out.

Inspectors discovered there was no detailed cleaning schedule in place to show how items were being cleaned, the practice itself was however, described as “tidy”.

Concerns were raised that the practice had “insufficient arrangements” in place to respond to emergencies and major incidents, while patients struggled to make an appointment while risks posed by vacancies in the practice had not been addressed.

A survey of patients revealed 55 per cent would recommend the GP practice to a newcomer to the town, 17 per cent lower than average responses for the Gravesham area.

The surgery must now provide an explanation of how it plans to improve services to the CQC, ahead of an inspection within the next six months.

We have approached Old West Surgery for comment.

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