Source · CQC inspection

DMC Church View Practice

Type Primary Medical Services Region South East Last inspected 16 Nov 2021

Archived This service was archived (deregistered) by CQC on 14 Feb 2022. The ratings below are historical and do not reflect a current service.

Location rating: Requires Improvement  View location on CQC

Location ratings by domain

Five CQC key questions

Ratings held for this CQC location, last inspected 16 November 2021. Ratings extracted from individual reports are shown separately below.

Safe
Requires Improvement
Effective
Requires Improvement
Caring
Good
Responsive
Good
Well-led
Inadequate

Most recent report indexed for actions

The date and rating here are from an individual report, not necessarily the location's latest assessment. Report ratings are extracted with AI; verify the original PDF.

Type: Announced inspection
Date: 16 November 2021
Rating extracted from this report: Requires Improvement
Actions indexed: 3 must-do 3 should-do

Read this inspection PDF

AI-extracted 17 Feb 2026

Earlier inspection findings

pre-2024 framework · 3 must-do 3 should-do

Must-do actions (3)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 3
Must do
Safe
Ensure care and treatment is provided in a safe way to patients.
Regulation: Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment
⚠ There was not an adequate assessment of the risk of, and preventing, detecting and controlling the spread of, infections, including those that are healthcare associated. In particular: Not all issues identified in infection prevention and control audits were actioned. There was no proper and safe management of medicines. In particular: …
Must-do action 2 of 3
Must do
Well-led
Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance
⚠ There were no systems or processes that enabled the registered person to assess, monitor and improve the quality and safety of the services being provided. In particular: Reviews of patients with some long-term conditions, for example, hypothyroidism, did not always include all elements necessary in line with best practice guidance. …
Must-do action 3 of 3
Must do
Well-led
Ensure sufficient numbers of suitably qualified, competent, skilled and experienced persons are deployed to meet the fundamental standards of care and treatment.
Regulation: Regulation 18 HSCA (RA) Regulations 2014 Staffing
⚠ The service provider had failed to ensure that persons employed in the provision of a regulated activity received such appropriate support, training, professional development, supervision and appraisal as was necessary to enable them to carry out the duties they were employed to perform. In particular: There were not sufficient numbers …

Should-do actions (3)

Recommended improvements to enhance service quality.

Should-do action 1 of 3
Should do
Safe
Review medical equipment and ensure spare defibrillator pads are available.
Should-do action 2 of 3
Should do
Safe
Continue to analyse incidents and near misses and consider how processes can be improved as a result.
Should-do action 3 of 3
Should do
Responsive
Review do not attempt cardiopulmonary resuscitation (DNACPR) forms to ensure they are accessible to all.