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Elizabeth Street Surgery

Type Primary Medical Services Region North West Last inspected 8 Apr 2021

Overall rating: Inadequate  View full CQC report

Domain ratings

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

Earlier inspection findings

pre-2024 framework · 3 must-do 2 should-do

Must-do actions (3)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 3
Must do
Safe
Ensure that care and treatment is provided in a safe way to patients
Regulation: Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment
⚠ The registered person 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; When asked, the practice was unable to provide evidence of a pulse oximeter for use with children within the practice. We found …
Must-do action 2 of 3
Must do
Responsive
Ensure that any complaint received is investigated and any proportionate action is taken in response to any failure identified by the complaint or investigation.
Regulation: Regulation 16 HSCA (RA) Regulations 2014 Receiving and acting on complaints
⚠ The registered person had failed to ensure that any and all complaints received were investigated and that necessary and proportionate action was taken in response to any failure identified by the complaint or investigation. In particular; The practice was unable to demonstrate an effective system for complaints by patients. Written …
Must-do action 3 of 3
Must do
Well-led
Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance
⚠ The registered person had systems or processes in place that were operating ineffectively in that they failed to enable the registered person to assess, monitor and improve the quality and safety of the service being provided. In particular; The practice was unable to demonstrate clinical quality improvement activity. Audits were …

Should-do actions (2)

Recommended improvements to enhance service quality.

Should-do action 1 of 2
Should do
Well-led
Make all policies and procedures accessible to staff.
Should-do action 2 of 2
Should do
Responsive
Establish a patient participation group.

Location details

CQC ID: 1-10599179952
Local authority: Blackpool
Region: North West

Inspection report

Type: Comprehensive inspection
Date: 8 April 2021
Rating: Inadequate
Actions: 3 must-do 2 should-do
AI-extracted 17 Feb 2026