An Orpington GP surgery remains under special measures after it was again rated as 'inadequate' in its latest inspection.

The Charterhouse Surgery, in Sevenoaks Road, was placed under special measures by the Care Quality Commission in March of last year.

Its latest CQC inspection came on January 18 this year when the Chief Inspector of General Practice Professor Steve Field wrote: "Insufficient improvements have been made and the practice is still rated overall as inadequate and remains in special measures."

The report showed that "patients were at risk of harm because systems and processes were not in place to keep them safe".

Staff "were not always clear about their responsibilities" in relation to the surgery's vision of delivering high quality care, according the the inspection report.

The staff do offer home visits for elderly people or those with advanced needs and they were able to identify signs of abuse in older patients.

However, the report said the surgery did not offer extended hour appointments to suit the needs of working age people.

Despite the inadequate rating, the CQC inspectors spoke to 14 patients who said they were happy with their care and they added that staff were "approachable, committed and caring".

The Charterhouse Surgery provides services to over 7,000 patents.

Pressure on the surgery dates back to November 2016 when it was rated as 'inadequate' before they were issued with two warnings to improve the service.

The Charterhouse Surgery has been contacted for as a statement.