A GP surgery in Tetford, near Horncastle, is among a national list of practices failing to meet basic standards by the Care Quality Commission.
The Wolds Practice, in West Road, was found to be lacking in three of the five key areas assessed by the CQC.
It comes as the health watchdog inspected around 900 surgeries across the country, with 1 in 3 failing to meet basic care standards.
The Chief Inspector of General Practice for the CQC, Professor Steve Field, has now announced a new approach for the inspection and regulation of GPs and GP out-of-hours services.
The report said that improvements were needed at The Wolds Practice under the heading ‘people should be cared for in a clean environment and protected from the risk of infection’.
It was found that the stairs up to the loft area where the cleaning products were stored were dirty and dusty.
In addition, it was revealed that some controlled drugs records were incomplete and it was concluded that the auditing of controlled drugs and their records was not sufficiently robust.
The practice was also told it should make improvements to staff training and supervision and employ quality checking systems to manage risks.
It revealed that there had been no structured induction process for two members of staff who had started in the three months before August 2013.
The report also said there was no record of any training for new members of staff.
Dr Yvonne Owen, a partner at the practice, told Scott Dalton on the BBC Radio Lincolnshire breakfast show: “If you read the full report they congratulate us on the personal standard of care that we provide our patients.
“Most of the things in this report that we have worked on relate to the fact that we had some quite major staffing problems in the first half of the year.
“We did not have in place the documentation relating to various processes. That does not mean the processes were not safe. We just didn’t have the documentation to demonstrate that to the CQC when they visited.”
The new style inspections will start in April 2014 and individual GP practices will be subject to the new system of inspections. Rather than look at practices in isolation, inspection teams will include a CQC inspector, a GP, a practice nurse or practice manager and a trainee GP.