A doctor's surgery in Mitcham has been rated inadequate following a report by government inspectors.

Ravensbury Park Medical Centre, on Morden Road, Mitcham, will remain in special measures after it was rated inadequate in three out of five main areas: "safety," "effectiveness," and "being well-led."

A previous inspection by inspectors from the Care Quality Commission (CQC) also in January this year also gave the surgery an overall rating of inadequate and it was placed in special measures.

The latest report, published last week, found, among other issues, that:

- there were not effective arrangements to safeguard children and vulnerable adults from abuse

- arrangements for managing medicines, including emergency medicines and vaccines, in the practice did not keep patients safe

- arrangements for emergencies and major incidents still did not ensure that the practice would be able to respond effectively

- data showed rates of childhood immunisation and patient outcomes for some long-term conditions were below the national average

The surgery, which has 5,400 patients, was judged as "requiring improvement" for "responsiveness" and "good" in the category of "caring."

Inspectors noted in their report that staff treated patients with kindness and respect that "survey information showed satisfaction with GPs was in line

with average."

Among other measures, the practice has now been told to develop arrangements to ensure female patients can be treated by a clinician of the same sex and to review how patients with caring responsibilities are recorded on the clinical system to ensure information, advice and support is made available to them.

The surgery was placed in special measures in January after a previous inspection also gave the surgery an overall rating of inadequate. The latest inspection was carried out on January 26.