A practice in London has been closed by the Care Quality Commission (CQC) after being rated inadequate for a third time as inspectors found “dusty” and out of date items.

The health regulator said Dr Surendra Kumar Dhariwal’s GP practice, in Romford Road, Newham, was inadequate for being safe, effective, caring, responsive and well-led, following the inspection in July 2017.

It followed inspections carried out in June 2016 and March 2017, which led to the practice being placed into special measures and rated inadequate.

The practice, which had 1,350 registered patients, appealed against CQC’s decision to cancel its registration but a First Tier Tribunal hearing concluded that it was not disproportionate for the surgery’s registration to be cancelled.

At the most recent inspection, CQC inspectors said staffing arrangements were unclear and there were gaps in maintaining relevant staff checks or information such as Disclosure and Barring Service.

It also highlighted weaknesses in staff appraisal procedures and training.

The CQC report said areas of the premises were dusty and some items were visibly dirty or out of date, while a significant amount of medicines and equipment were not fit for use and there were no effective systems in place to rectify the issue.

Inspectors added that there was no evidence of that lessons had been learned from individual concerns and complaints.

Professor Ursula Gallagher, CQC’s deputy chief inspector of GP practices, said: “I was very concerned about patient care at Dr Surendra Kumar Dhariwal’s practice and the lack of response or improvement we have witnessed since previous inspections.

“This service was placed in special measures in November 2016. Insufficient improvements have been made despite two more inspections since then. In the interests of patients we were left with no option but to use our powers to cancel the registration of Dr Surendra Kumar Dhariwal’s practice, thus closing the practice.”