Archived: Maidstone Road Surgery

This practice is rated as Requires Improvement overall.

The key questions at this inspection are rated as:

Are services safe? – Requires Improvement

Are services effective? – Requires Improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Requires Improvement

We carried out an announced inspection at Maidstone Road Surgery on 25 February 2022 under Section 60 of the Health and Social Care Act 2008, as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The full comprehensive report can be found by selecting the ‘all reports’ link for Maidstone Road Surgery on our website at www.cqc.org.uk.

We undertook this inspection at the same time as CQC inspected a range of urgent and emergency care services in Kent and Medway. To understand the experience of GP Providers and people who use GP services, we asked a range of questions in relation to urgent and emergency care. The responses we received have been used to inform and support system wide feedback.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

• Completing clinical searches on the practice’s patient records system and discussing findings with the provider
• Requesting evidence from the provider
• A short site visit

Our findings

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We have rated this practice as Requires Improvement overall.

We found that:

• The provider adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• The practice respected patients’ privacy and dignity.
• There was compassionate and inclusive leadership at all levels.
• The provider learned and made improvements when things went wrong.
• Staff had the skills, knowledge and experience to carry out their roles. However, one staff member had not received fire marshal training.
• Medicines that required refrigeration were not always monitored in line with Public Health England guidance.
• Improvements were required for the management of high-risk medicine prescribing.
• Appropriate standards of cleanliness and hygiene were met.
• Systems for managing safety alerts were not always effective.
• Patients’ needs were not always assessed, and care as well as treatment was not always delivered in line with current legislation, standards and evidence-based guidance.
• The provider’s processes for managing risks, issues and performance were not always effective.
• There was limited monitoring of the outcomes of care and treatment.

The areas where the provider must make improvements are:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

• Continue to implement and monitor the outcome of plans to improve performance relating to child immunisations.

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