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CQC places St Johns Medical Centre in Grantham into Special Measures

22 January 2016
St Johns Medical Centre
  • Media,
  • GP and GP out-of-hours services

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

The Care Quality Commission has found the quality of care at St Johns Medical Centre in Grantham, Lincolnshire, to be Inadequate following an inspection carried out in September 2015. A full report of the inspection has been published today.

St Johns Medical Centre provides primary medical services to approximately 15,500 patients.

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 providing caring and responsive services.

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

  • The practice must implement effective systems for the management of risks to patients and others against inappropriate or unsafe care. This should include arrangements for recording, analysing and acting upon significant events, infection control, palliative care, staff training and review of pathology results.
  • The practice must have a system in place to ensure that patients are safeguarded from abuse and improper treatment.
  • Processes need to be embedded to ensure emergency equipment and vaccine refrigerators are checked as per the practice policy.
  • Reviews must be carried out for patients with learning disabilities.
  • The practice must have a robust system in place for vaccination programmes and the recall of patients with long term conditions.
  • The practice must have a system in place for the summarising of patient notes and the backlog of paper records for new patients.

CQC is working closely with NHS South West Lincolnshire Clinical Commissioning Group (SWLCCG) 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 St Johns Medical Centre can rely on getting the high quality care which everyone is entitled to receive from their GP.

"Although the patients we met told us they were treated with kindness, dignity and respect, 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.

“We know that St Johns Medical Centre 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 St Johns Medical Centre.

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.