A Leicestershire GP surgery has been issued with a formal warning after failing to properly monitor patients with chronic conditions like diabetes and asthma.

The Castle Medical Group centre in Ashby has been downgraded by the Care Quality Commission (CQC) following an inspection in July 2026.

The practice – which looks after 18,000 patients – was rated "good" after its last inspection in 2017 but was told it "requires improvement" this year.

The watchdog issued a formal warning on September 15 for failing to meet legal regulations.

Inspectors said the facility was caring and responsive, but marked it down for how safe, effective, and well-led it was.

In a sample of asthma patient records, all five raised concerns.

Inspectors said planned follow-up appointments had not taken place and opportunities to review treatment following worsening symptoms had been missed.

Out of five diabetes patients, four sets of records had issues.

The report states that "appropriate monitoring" was not always in place, with some people overdue diabetes reviews but still receiving prescriptions.

Patients' feedback on contacting the practice also raised concerns, with results from the 2026 GP patient survey showing that 58 per cent of respondents had a positive experience of contacting the practice, compared with a national average of 72 per cent.

A total of 43 per cent of respondents said it was easy to get in touch on the phone, compared with a national average of 57 per cent.

The service had already taken steps to reduce barriers to accessing care at the time of the inspection.

Despite the flaws identified by inspectors, 98 per cent of patients said they had confidence and trust in the healthcare professional, compared with the national average of 93 per cent.

They also praised the centre for meeting or exceeding the national targets for child immunisation.

The practice leaders have said they are in the process of making changes.

The partners at Castle Medical Group said: "We are disappointed with the outcome from our recent inspection and we are fully committed to addressing the feedback we have received and are in the process of making positive improvements.

"We would like to thank our patients and staff for their continued support."