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DMC Church View Practice

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

Overall rating: Requires Improvement  View full CQC report

Domain ratings

Five CQC key questions
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Good
Responsive
Good
Well-led
Inadequate

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.

Location details

CQC ID: 1-10983656589
Local authority: Medway
Region: South East

Inspection report

Type: Announced inspection
Date: 16 November 2021
Rating: Requires Improvement
Actions: 3 must-do 3 should-do
AI-extracted 17 Feb 2026