During an assessment under our new approach
Date of Assessment: 20 May 2026. Maidstone Road Rainham Surgery is a GP practice and delivers services to approximately 4,800 people under a contract held with NHS England. The service has one branch surgery. We did not visit the branch surgery as part of this assessment. The National General Practice Profiles states the ethnic make-up of the service area is 92% White, 4% Asian, 2% Black, 2% Mixed and 0.7% Other. Information published by Office for Health Improvement and Disparities shows that deprivation in the service population group is in the 8th decile (8 of 10). The lower the decile, the more deprived the service population is relative to others.
This was a focused assessment. We undertook this assessment due to the length of time since our last assessment. We assessed 10 quality statements from across all 5 key questions. This assessment considered the demographics of the people using the service, the context the service was working in and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
Staff kept facilities clean and maintained equipment appropriately to ensure people were kept safe. They assessed and managed the risk of infection well and took steps to control the risk of it spreading. There were enough staff with the right skills, qualifications and experience. Managers ensured staff received training and regular appraisals to maintain high-quality care. However, we found not all risk had been identified and mitigated in relation to legionella monitoring, fire safety and recruitment records.
Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes.
Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity.
People could access care, treatment and support when they needed it. The service worked to reduce health and care inequalities through training and feedback.
Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible and supportive, helping staff develop in their roles. Staff understood their roles and responsibilities. However, some systems and processes were not fully embedded to ensure risks to people who use the service were identified and mitigated. For example, systems to identify and act on fire safety risks; arrangements to monitor and mitigate risks relating to legionella and processes to ensure staff recruitment records are complete.