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Crown Street Surgery

Type Primary Medical Services Region Yorkshire & Humberside Last inspected 17 Aug 2023

Overall rating: Requires Improvement  View full CQC report

Domain ratings

Five CQC key questions
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement

Earlier inspection findings

pre-2024 framework · 1 must-do 4 should-do

Must-do actions (1)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 1
Must do
Safe
Ensure care and treatment is provided in a safe way to patients.
Regulation: Regulation 12 (Safe care and treatment)
⚠ The registered persons had not done all that was reasonably practicable to mitigate risks to the health and safety of service users receiving care and treatment. In particular: Processes for the identification, management and mitigation of risks that could affect staff, patients and/or the practice were not effective. The fire …

Should-do actions (4)

Recommended improvements to enhance service quality.

Should-do action 1 of 4
Should do
Effective
Improve the uptake of cervical cancer screening.
Should-do action 2 of 4
Should do
Well-led
Develop a programme of quality improvement and clinical audit that is aimed at improving the quality of patient care.
Should-do action 3 of 4
Should do
Safe
Improve the systems to monitor urgent referrals have been actioned.
Should-do action 4 of 4
Should do
Responsive
Review and improve access.

Previous inspection

4 July 2022
RatingRequires Improvement
TypeComprehensive inspection
Actions 1 must-do 5 should-do
3 resolved 3 repeated

Location details

CQC ID: 1-10461345275
Local authority: Rotherham
Region: Yorkshire & Humberside

Inspection report

Type: Focused inspection
Date: 17 August 2023
Rating: Requires Improvement
Actions: 1 must-do 4 should-do
AI-extracted 17 Feb 2026