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CQC places The Meadows Surgery in Kettering into Special Measures

29 January 2016
The Meadows Surgery
  • Media,
  • GP and GP out-of-hours services

England’s Chief Inspector of General Practice has placed a Northamptonshire GP practice into special measures following an inspection by the Care Quality Commission.

The Care Quality Commission has found the quality of care at The Meadows Surgery in Kettering, to be Inadequate following an inspection carried out in November 2015. A full report of the inspection has been published today.

The Meadows Surgery provides primary medical services to approximately 5,430 patients throughout the Thrapston area of Kettering.

Under CQC’s new programme of inspections, all of England’s GP practices are being given a rating according to whether they are safe, effective, caring, responsive and well led.

Inspectors found that the practice was inadequate for providing safe, effective services that were well led. It was rated Good for being caring and Requires Improvement for being responsive.

The report highlights a number of areas where improvements must be made including:

  • The practice must not register any new patients without the prior written agreement of the Care Quality Commission.
  • The practice must ensure that an appropriate system is in place for the safe use and management of medicines and prescriptions, including medical consumables.
  • Systems designed to assess the risk of and to prevent, detect and control the spread of infection must be fully implemented.
  • Key performance indicators must be met each month in respect of chronic conditions management and review.
  • All staff must be supported and must receive the appropriate supervision to complete the essential training relevant to their roles.
  • The practice must take steps to act on feedback from patients for the purpose of improving the service. This may include reducing the waiting time for routine pre-bookable appointments and improving patients’ access to the practice by telephone.

CQC is working closely with NHS Nene Clinical Commissioning Group to support the practice while it addresses the issues identified by the inspection.

Janet Williamson, Deputy Chief Inspector of General Practice and Dentistry in CQC’s Central region said:

“It is important that the people who are registered with The Meadows Surgery can rely on getting the high quality care which everyone is entitled to receive from their GP.

"During our inspection we saw that staff were respectful and professional. We saw examples of reception staff being helpful and courteous to patients attending the practice.

“However, we also found that care and treatment was not always delivered in line with best practice. The practice did not have a clear or consistent system in place for reporting, recording and monitoring significant events, incidents and accidents. The system in place for learning from safety incidents and significant events was lacking meaning patients were at risk of previous incidents and events reoccurring.

“We know that The Meadows Surgery has acknowledged the areas where action must be taken. We have found significant areas of concern, which is why we are placing the practice into special measures - so opening the way for the practice to receive support from NHS England among others.

“We will continue to monitor this practice and we will inspect again in six months to check whether improvements have been made. I am hopeful that the practice will do what is required for the sake of its patients, but if we find that the service remains inadequate, we will consider taking further action.”


For media enquiries, call Regional Engagement Officer, Helen Gildersleeve on 0191 233 3379. For media enquiries about the Care Quality Commission, please call the press office on 020 7448 9401 during office hours. Journalists wishing to speak to the press office outside of office hours can find out how to contact the team here. (Please note: the duty press officer is unable to advise members of the public on health or social care matters). For general enquiries, please call 03000 61 61 61.

Last updated:
29 May 2017

Notes to editors

CQC has published a full report about The Meadows Surgery.

Patients registered with practices which are placed into special measures should be aware that the package of support being offered by NHS England and the Royal College of GPs will ensure that there are no immediate risks to patient safety at these GP practices whilst improvements are being made. This does not mean that these practices will close.

To get to the heart of people’s experiences of care, we always ask the following five questions of services.

  • Are they safe?
  • Are they effective?
  • Are they caring?
  • Are they responsive to people’s needs?
  • Are they well-led?

For every NHS GP practice we will look at the quality of care for the following six population groups: 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, People experiencing poor mental health (including people with dementia).

Since 1 April, providers have been required to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily. Further information on the display of CQC ratings.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.