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Kent GP practice to exit special measures

29 June 2017
Orchard House Surgery
  • Media,
  • GP and GP out-of-hours services

England’s Chief Inspector of General Practice has taken a Kent GP practice out of special measures following improvements in the quality of its services.

Orchard House Surgery in Lydd, Kent, had been rated Inadequate during an inspection in July 2016, when the practice was placed into special measures.

During the latest inspection in March 2017, a specialist team of inspectors found that the practice had made a significant number of improvements and the practice is now rated Good overall. The practice was rated as Good for being safe, caring, well-led, responsive to people’s needs and Requires Improvement for being effective.

The full report of the inspection has been published on our website.

After the inspection in July 2016, the practice put an action plan in place to ensure that inspectors found significant improvements when they returned.

Our key findings across all the areas we inspected were as follows:

  • There was now a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
  • The practice had a clear vision and strategy to deliver high quality care and promote good outcomes for patients. Staff were clear about the vision and their responsibilities in relation to it.

Professor Steve Field, Chief Inspector of General Practice, said:

"It is clear that Orchard House Surgery has made some real improvements since our previous inspection where we identified concerns relating to the safe delivery of services and leadership of the practice."

"The practice is now providing a safe, caring and effective service. I am pleased to announce that the practice will come out of special measures and I congratulate them on the progress that they have made.”

Ruth Rankine, Deputy Chief Inspector of General Practice for the South of England, said:

“During our recent inspection of Orchard House Surgery we found a number of significant improvements had been made in all areas and that action had been taken to identify, assess and manage risks to patients."

“We are pleased to see that the hard work and strong commitment from all practice staff to deliver improved services has resulted in higher standards of care for their patients. I congratulate them on the concentrated effort this has taken, the practice should be very proud of this achievement.”


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Last updated:
29 June 2017

Notes to editors

Under CQC’s new programme of inspections led by Professor Steve Field, Chief Inspector of General Practice, all of England’s GP practices are being inspected and given a rating.

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 and out-of-hours service, 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). 

Providers are required to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily.

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.