The heads of a medical practice say the practice has “turned a corner” following an inadequate rating by the Care Quality Commission (CQC).
Horsmans Place Surgery dartfordit was placed on special measures and issued two warning notices for non-compliance with regulations after an inspection in May.
The Instone Road practice, which has a patient population of around 9,590, was previously rated good following a review in September 2016.
In May, inspectors said it was inadequate to provide a safe and well-run service, requires improvement to be effective and responsive and good at being supportive.
They found that protection policies had not been reviewed, recruitment controls were not always in place, risk assessments were lacking, and medication management did not always keep patients safe.
The report added that those with long-term conditions did not always receive relevant reviews and although patient needs were assessed, treatment was not always in line with current legislation.
Despite this, the inspectors said: “There was compassionate leadership at all levels.”
Horsmans Place Surgery was then re-inspected on October 20 to ensure it complied with legal requirements for warning notices. His overall CQC rating could not be changed as that was not the purpose of the visit.
“The practice has turned around and important work has been done…”
In a report released Dec. 12, inspectors found the surgery had addressed warnings but “still did not provide care and treatment” safely.
It found that patients with long-term conditions, those prescribed high-risk medications, and people with potential missed diagnoses had not always received the required follow-up.
It also said the “practice did not always have clear and effective processes for managing risks, issues and performance” and found a breach of regulations.
The CQC also said that managing the drugs still did not always keep patients safe and although the risks had been assessed, it was unclear what was being done to manage them.
However, positive changes have been made to comply with the above warning notices.
The report says the surgery had started following best practice guidance for patient follow-up, clinical supervision audits and appropriate staff checks were completed and safeguarding policies updated and revised.
He added that regular meetings were taking place, with learning shared with all staff, and training on sepsis identification had been provided for those working at the front desk.
A spokesman for the Horsmans Place Surgery management team said: “We have moved every stone since the inspections. We have done a lot and staff morale is high.”
“There have been many positive changes. We are very proud of what we have done so far. The CQC got rid of the death warrants.”
“There is still work to be done, but overall very good progress has been made.
“This is a good report. The practice has turned around and important work has been done. The surgery is in good hands.”
The inspectors suggested that the surgery “continue to collect information on the immunization status of staff” and “ensure there is an infection prevention and control policy in place.”