Court View Surgery

Updated 26 July 2018

The registered provider of the service is Dr JTW Spinks & Partners. The address of the registered provider is Court View Surgery, 2a Darnley Road, Strood, Rochester, Kent, ME2 2HA.

The practice website is

Dr JTW Spinks & Partners provides primary medical services in Maidstone to approximately 9, 688 patients.

The practice population has a slightly higher number of income deprived children and older people. The practice population of children, those of working age and older people are in line with local and national averages. Of patients registered with the practice, 91% are White or White British, 3% are Asian or Asian British, 3% are Black or Black British, 2% are mixed race and 1% are Other.

The practice team is made up of five GPs (four male and one female) who are partners and one female salaried GP. There are two female nurse practitioners, and two female health care assistants.

The practice has a General Medical Services (GMS) contract with NHS England. (GMS is one of the three contracting routes that have been available to enable commissioning of primary medical services). The practice is part of NHS West Kent Clinical Commissioning Group. Out of hours care is accessed by contacting NHS111.

Dr JTW Spinks is registered for the following regulated activities: Maternity and midwifery services, Surgical procedures, Diagnostic and screening procedures, Treatment of disease, disorder or injury and Family planning.

Updated 26 July 2018

This practice is rated as Good overall. (Previous inspection November 2014 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced inspection at Dr JTW Spinks & Partners (also known as Court View Surgery) on 3 May 2018. This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice had an effective system to manage infection prevention and control. However, we noted inconsistencies between the practice audit and policy, in relation to the timescale for changing disposable privacy curtains.
• The systems for managing and storing medicines were safe. However, there were inconsistencies in how medicines for use in an emergency were being maintained. The practice pharmacist had identified a risk associated with international ratio (INR) results and the change in practice implemented had been recognised by the clinical commissioning group (CCG) and had been adopted by all GP practices within the CCG.
• There was an effective induction system for temporary staff. However, we noted there was no formal induction pack available for locum GPs.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• The practice had a system for responding to concerns and complaints. Information on how to raise concerns or complaints were available.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Improve audit procedures in relation to infection prevention and control, to ensure information available to staff is consistent.
• Improve the way in which emergency medicines are maintained.
• Continue with their plan to implement a formal induction pack for locum GPs.
• Continue to monitor and improve low Quality Outcome Framework results.
• Continue to monitor and improve low national GP patient survey results in relation to telephone access.
• Continue with their plan to re-establish an active patient participation group.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Updated 26 July 2018

Updated 26 July 2018

Updated 26 July 2018

Updated 26 July 2018

Updated 26 July 2018

Updated 26 July 2018