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Doncaster Royal Infirmary

Provider Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust Type NHS Healthcare Organisation Region Yorkshire & Humberside Last inspected 15 May 2026

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

Current CQC assessment

Single Assessment Framework

From 2024 CQC rates services through ongoing assessments rather than comprehensive inspections.

Requires Improvement Assessed 15 May 2026
The service is not performing as well as it should and we have told the service how it must improve.
Doncaster and Bassetlaw Teaching NHS Foundation Trust provides acute services for 420,000 across South Yorkshire, North Nottinghamshire, and the surrounding areas. The trust employs over 6000 staffWe carried out an assessment of urgent and emergency care (UEC) at Doncaster Royal Infirmary. The assessment commenced on 8 December 2025, with an unannounced visit to urgent emergency care (UEC) by a team of inspectors and specialist advisors on 8 and 9 December 2025 and 2 inspectors on 6 January 2026.The assessment focused on quality statements under the Safe, Effective, Caring, Responsive, and …

Ratings by service

Urgent and emergency services
Requires Improvement
Aug 2025

Regulatory breaches & enforcement

Current-framework "must do" equivalent

Breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, stated verbatim in the CQC assessment.

Letter of intent Overall
Following inspection, we issued a Section 31 letter of intent due to significant concerns regarding patient safety.
· 15 May 2026 · CQC source

Breaches identified (2)

Breach Safe
We found new breaches of regulations in relation to safe care and treatment and good governance.
Regulation: Regulation 12 (Safe care and treatment) · 15 May 2026
Breach Safe
We found breaches of legal regulations in relation to safe care and treatment, premises and equipment, staffing and governance.
Regulation: Regulation 12 (Safe care and treatment) · 15 May 2026

Earlier inspection findings

pre-2024 framework · 51 must-do 44 should-do

Must-do actions (51)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 51
Must do
Well-led
The trust must ensure staff feels supported to speak up by seeking and acting on feedback from relevant persons or other persons on the service provided in the carrying on of the regulated activity, for the purpose of continually evaluating and improving such services. The Trust Board must have effective oversight of all Freedom to Speak Up actions.
Regulation: Regulation 17(2)(e)
⚠ Not all staff felt leaders were visible. Staff in areas where there were greater pressures, due to challenges recruiting staff, financial restraints, and patient demand, felt less supported by the senior leadership. There was further work to do to ensure all staff felt safe to speak up and to ensure …
Must-do action 2 of 51
Must do
Well-led
The trust must ensure there are effective systems and processes to identify where quality and safety are being compromised and to respond appropriately and without delay. It must ensure it improves its clinical audit processes and systems. It must continue to improve governance processes in particular the senior oversight of risk, quality of data and the management of risk.
Regulation: Regulation 17(1)(2)(a)
⚠ There were areas identified for improvement in governance frameworks and controls. There were areas of risk where assurance processes were not effective, and work was continuing to develop these. The trust systems for clinical audit assurance were not effective.
Must-do action 3 of 51
Must do
Effective
The trust must ensure staff receive appropriate support, training, and appraisal as is necessary to enable them to carry out the role they are employed to perform.
Regulation: Regulation 18(2)(a)
⚠ Not all staff had completed mandatory training and medical staff were not supported through yearly appraisals.
Must-do action 4 of 51
Must do
Safe
The trust must ensure staff follow infection control principles such as hand hygiene and bare below the elbows.
Regulation: Regulation 12(2)(h)
⚠ Staff did not always follow infection control principles in line with trust policy. We observed some staff were non-compliant with bare arms below the elbow standard throughout the department. They did not adhere to best practice regarding regular handwashing, for example between episodes of direct patient contact. We saw some …
Must-do action 5 of 51
Must do
Safe
The trust must ensure clinical areas are kept clean, cleaning records are up-to-date and staff clean equipment after patient contact, and label equipment to show when it was last cleaned.
Regulation: Regulation 15(1)(a)(e)
⚠ Clinical areas were not clean and did not have suitable furnishings which were well-maintained. We found several areas and equipment which staff could not clean effectively. Staff did not always clean equipment after patient contact and label equipment to show when it was last cleaned. Cleaning records were not always …
Must-do action 6 of 51
Must do
Safe
The trust must ensure it meets the requirements of relevant legislation and trust policy so that equipment is properly, used, maintained, and stored.
Regulation: Regulation 15(1)(d)(e)
⚠ Staff did not always carry out daily safety checks of specialist equipment. Logbooks for some anaesthetics machines did not always have serial numbers recorded. There was a lack of splints to use when treating patients with neck of femur fractures which resulted in delays and a poor patient experience.
Must-do action 7 of 51
Must do
Safe
The trust must ensure the service’s medical and nursing staff match the planned numbers. They must also ensure the service has enough medical staff with appropriate skill mix on each shift.
Regulation: Regulation 18(1)(2)(a)
⚠ The service did not have enough medical staff. The service did not have low and reducing vacancy rates for medical staff. 29% of junior medical staffing posts, or a rate of 7.2 WTE were unfilled from March to June 2023.
Must-do action 8 of 51
Must do
Safe
The trust must ensure staff follow the proper and safe management of medicines, and the service uses systems and processes to prescribe and administer medicines safely.
Regulation: Regulation 12(2)(g)
⚠ On our last inspection we told the trust they must ensure staff follow the proper and safe management of medicines. On this inspection we still found concerns relating to this area. We found in the paediatric UEC used medicine bottles with no opening dated recorded on the labels. Controlled drugs …
Must-do action 9 of 51
Must do
Safe
The trust must ensure it maintains securely an accurate, complete, and contemporaneous record in respect of each service user, including a record of the care and treatment provided to the service user and of decisions taken in relation to the care and treatment provided. This should include allergy status and the issuing of a warning wristband when allergies have been disclosed, and complete recording of patient fluid and nutrition charts.
Regulation: Regulation 17(2)(c)
Must-do action 10 of 51
Must do
Well-led
The trust must ensure the service has effective systems and processes to assess, monitor and improve the quality and safety of the services provided in carrying on of the regulated activity. Where risks are identified the trust must have measures to reduce and remove the risks within a timescale that reflect the level of risk and the impact on people using the service.
Regulation: Regulation 17(1)(2)(a)(b)
⚠ There were not always effective systems for identifying, recording, and managing risks, issues and mitigating actions. During the inspection we found risks relating to infection control, environment, equipment, and management of medicines which had not been identified and actioned effectively.
Must-do action 11 of 51
Must do
Effective
The trust must implement effective systems and processes to ensure all nursing and medical staff are compliant with mandatory training, including but not limited to, safeguarding vulnerable adults and children, to a level appropriate for their role.
Regulation: Regulation 18(2)(a)
⚠ Training compliance trustwide for medicine was 87% for nursing staff, which was below the trust target of 90%. Training compliance trustwide for medical staff was 57%, which was below the trust target of 90%. There was vast variation between wards with some compliance levels at 22% and others at 100%, …
Must-do action 12 of 51
Must do
Safe
The trust must ensure it has enough nursing, medical and support staff with the right qualifications, skills, training, and experience to keep patients safe from avoidable harm and to provide the right care and treatment.
Regulation: Regulation 18(1)
⚠ The service did not always have enough nursing and support staff to keep patients safe. For example, on the wards we visited we saw that planned and actual staffing did not always match. The vacancy rate for nursing within the division of medicine was 177.51 WTE as of March 2023. …
Must-do action 13 of 51
Must do
Safe
The trust must ensure the proper and safe management of medicines.
Regulation: Regulation 12(2)(g)
⚠ We found examples across multiple wards of medicine items which were out of date. This was escalated on day one of the inspection, however we found further examples of this across the three days. At Bassetlaw Hospital we found 2 packs of a controlled drug out of date on 1 …
Must-do action 14 of 51
Must do
Safe
The trust must ensure substances hazardous to health are always stored securely, in accordance with Control of Substances Hazardous to Health Regulations 2002 and trust policy.
Regulation: Regulation 15(1)(a)
⚠ Substances hazardous to health were not always stored in accordance with Control of Substances Hazardous to Health (COSHH) Regulations (2002). For example, on one ward, in the dirty utility room, we saw cleaning solutions left around the ward on desks and in unlocked sluice rooms. This meant there was a …
Must-do action 15 of 51
Must do
Safe
The trust must ensure there is an effective process in place for ensuring equipment is in date and safety checked.
Regulation: Regulation 15(1)(e)
⚠ Portable electrical equipment was not always maintained and safety checked. Most equipment we looked at had been serviced in accordance with trust policy, however some were out of date. We found multiple examples across all wards of out-of-date equipment, this included cannulas, blood sample vials and oropharyngeal airways.
Must-do action 16 of 51
Must do
Effective
The trust must ensure it improves appraisal rates in line with trust targets.
Regulation: Regulation 18(2)(a)
⚠ The overall appraisal rate within the medical division for medics, nursing and support staff and allied healthcare professionals was 67% which was below the trust target of 90%. In July 2023, the service did not meet the trust target of 90% as 70% of consultants had their job plans signed …
Must-do action 17 of 51
Must do
Well-led
The trust must ensure there are effective systems and processes to identify where quality and safety are being compromised and to respond appropriately and without delay.
Regulation: Regulation 17(1)(2)(a)
⚠ Local leaders were not aware of all the risks and challenges we found on inspection. For example, we found equipment which had expired its safety check date and unsafe storage of controlled substances hazardous to health (COSHH) such as cleaning chemicals. Records were not always stored securely, and we found …
Must-do action 18 of 51
Must do
Effective
The trust must ensure that all staff particularly medical staff complete mandatory training in line with trust policy.
Regulation: Regulation 18(2)(a)
⚠ Medical staff were not up to date with their mandatory training. The medical staff compliance rate was 68.4% across the surgical division, against the trust target of 90%.
Must-do action 19 of 51
Must do
Safe
The trust must ensure that all staff particularly medical staff complete safeguarding training relevant to their role.
Regulation: Regulation 18(2)(a)
⚠ The compliance rates for medical staff were at 71.4% overall for Safeguarding Levels 2 adults and 65.2% for children, across the surgical division, and this was below the trust target of 90% completion.
Must-do action 20 of 51
Must do
Safe
The trust must ensure that staff adhere to uniform and Infection, Prevention, and Control policies in relation to bare below the elbows.
Regulation: Regulation 12(2)(h)
⚠ Not all staff were compliant with uniform requirements. We saw that staff did not always adhere to guidance in particular several staff were wearing rings with stones. We witnessed a doctor not being bare below the elbows during a patient follow-up visit.
Must-do action 21 of 51
Must do
Safe
The trust must ensure it meets the requirements of relevant legislation and trust policy so that equipment is properly, used, maintained, and stored.
Regulation: Regulation 15(1)(d)(e)
⚠ In multiple areas we found equipment which had expired its safety check date. For example, medical equipment such as 14 pressure care items, 9 beds and 3 therapy machines. This also included items which had never been safety tested such as fridges, freezers, toasters, and microwaves.
Must-do action 22 of 51
Must do
Safe
The service must ensure premises and environment are safe and secure. This includes but is not limited to ensuring storeroom doors are not left open or unlocked and COSHH cleaning chemicals and oxygen cylinders are safely stored.
Regulation: Regulation 12(1)(2)(d)
⚠ Across multiple areas within surgery, we observed cleaning cupboards, sluice rooms, storerooms, and utility rooms were left open. Most of these rooms had locks or keypad locks on the door, but they were not being used. This meant there was easy access to consumable products such as intravenous fluids, syringes, …
Must-do action 23 of 51
Must do
Safe
The service must ensure that appropriate malnutrition universal screening tool (MUST) risk assessments are completed and recorded for patients who required support.
Regulation: Regulation 12(1)(2)(a)(b)
⚠ There were occasions when MUST charts were out of date and nutrition charts were incomplete.
Must-do action 24 of 51
Must do
Safe
The trust must ensure that all staff understand the trusts incident reporting system and that incidents are reported consistently and appropriately.
Regulation: Regulation 12(2)(b)
⚠ Some staff we spoke with did not recognise and report incidents or near misses.
Must-do action 25 of 51
Must do
Well-led
The trust must ensure risks in services are appropriately recorded, assessed, and regularly reviewed.
Regulation: Regulation 17(1)(2)(a)
Must-do action 26 of 51
Must do
Well-led
The service must implement an effective system to monitor and improve compliance with medical appraisals and revalidation.
Regulation: Regulation 17(1)(2)(a)
Must-do action 27 of 51
Must do
Safe
The service must implement an effective process to manage, monitor and record the ambient temperature of rooms which store fluids and medication.
Regulation: Regulation 17(1)(2)(a)
⚠ We found that over a 3-month period (June to August 2023) for one ward fridge there were 17 occasions when temperatures were not recorded. In addition, hygiene checks had only been completed 14 times. On another ward fridge there were only 2 occasions when temperatures were not recorded however the …
Must-do action 28 of 51
Must do
Safe
The trust must ensure that persons providing care or treatment to service users have the qualifications, competence, skills, and experience to do so safely.
Regulation: Regulation 12(1)(2)(c)
⚠ The 2022/23 mandatory training logs provided by the trust for midwifery and medical staff identified continued shortfalls in mandatory training compliance. The trust target of 90% for completion of mandatory training was not achieved by some staff groups. Medical staff compliance was 67.11% (Obstetrics and Gynaecology) which meant 51 of …
Must-do action 29 of 51
Must do
Safe
The trust must ensure that community staff are suitably trained for home birth emergencies.
Regulation: Regulation 12(1)(2)(c)
⚠ Community midwives completed practical obstetric multi-professional training (PROMPT) training for general emergencies. They had not received specific emergency training for home birth.
Must-do action 30 of 51
Must do
Safe
The trust must ensure that staff receive practical training sessions in the use of hoists and written guidance on hoist use in clinical areas.
Regulation: Regulation 12(1)(2)(b)
⚠ At inspection staff did not confirm they had received training in the use of hoists, and there was no written guidance on hoist use seen in clinical areas.
Must-do action 31 of 51
Must do
Safe
The trust must ensure that the storage of control of substances hazardous to health (COSSH) products is secure.
Regulation: Regulation 15(1)(a)
Must-do action 32 of 51
Must do
Safe
The trust must ensure the proper and safe management of medicines.
Regulation: Regulation 12(1)(2)(g)
⚠ Fentanyl solution infusion bags were being decanted by staff into syringes. This practice was escalated with the maternity team as this was not usual practice and staff were advised these syringes should have been destroyed. Staff said the pharmacy had advised them to draw the fentanyl up into 10ml syringes …
Must-do action 33 of 51
Must do
Safe
The trust must ensure ambient room temperatures are monitored and recorded in all room’s medicines are stored.
Regulation: Regulation 12(1)(2)(g)
Must-do action 34 of 51
Must do
Safe
The trust must ensure that daily checks of emergency boxes for hypoglycaemia, cord prolapse, sepsis and pre-eclampsia take place as policy.
Regulation: Regulation 12(1)(2)(g)
Must-do action 35 of 51
Must do
Safe
The trust must ensure that the missing emergency medicine from each box is replaced.
Regulation: Regulation 12(1)(2)(g)
Must-do action 36 of 51
Must do
Safe
The trust must ensure that sharps bins are dated and signed on opening.
Regulation: Regulation 12(1)(2)(g)
Must-do action 37 of 51
Must do
Safe
The trust must ensure that oxygen is prescribed by a specialist practitioner after a clinical review and documented on the prescription chart.
Regulation: Regulation 12(1)(2)(g)
Must-do action 38 of 51
Must do
Safe
The trust must ensure that oxygen and Entonox cylinders are stored securely.
Regulation: Regulation 12(1)(2)(g)
Must-do action 39 of 51
Must do
Safe
The trust must ensure that tamper proof seals and medicines lists are present in all the separate boxes used for specific conditions.
Regulation: Regulation 12(1)(2)(g)
Must-do action 40 of 51
Must do
Safe
The trust must ensure that medicines are stored in secure environments and that all entry/exit and cupboard doors are locked.
Regulation: Regulation 12(1)(2)(g)
Must-do action 41 of 51
Must do
Safe
The trust must assess, monitor, and mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk which arise from the carrying on of the regulated activity.
Regulation: Regulation 17(1)(2)(b)
Must-do action 42 of 51
Must do
Safe
The trust must ensure they have enough staff with the right qualifications, skills, training, and experience to keep women safe from avoidable harm and to provide the right care and treatment.
Regulation: Regulation 18(12)(a)
⚠ The maternity service was significantly challenged with the current vacancy and maternity leave position and by providing maternity services on two sites. The service placed all vacant shifts out for NHSP cover and achieved between 40-75% cover. The amount of agency midwives had decreased since summer 2022, and shift fill …
Must-do action 43 of 51
Must do
Safe
The trust must ensure that patients are prioritised based on risk or condition when being seen in the maternity day assessment unit so that patients who present with the highest risks are seen first.
Regulation: Regulation 12(1)(2)(a)(b)
⚠ Women who attended for appointments were seen in the maternity day assessment unit (MADU), in order of attendance, rather than on risk classification.
Must-do action 44 of 51
Must do
Safe
The trust must ensure that there is out of hours senior support in place for community midwives and community staff are suitably trained for home birth emergencies.
Regulation: Regulation 12(1)(2)(b)
⚠ Community midwives had an on-call escalation between 5pm and 10pm where they could be called in to support staff on the maternity wards. They gave examples of staff being called in to work outside of these hours and they would be expected to do their normal hours the following day. …
Must-do action 45 of 51
Must do
Effective
The trust must ensure all nursing staff complete mandatory and safeguarding training modules relevant to their role as per trust policy to meet target. This must include training in the Mental Capacity Act or Deprivation of Liberty Safeguards.
Regulation: Regulation 18(1)(2)(a)
Must-do action 46 of 51
Must do
Safe
The trust must ensure staff keep all daily cleaning records and (fire and defibrillator) safety checks up to date.
Regulation: Regulation 12(2)(b)
Must-do action 47 of 51
Must do
Safe
The trust must ensure that staff adhere to Infection, Prevention, and Control policies in relation to cleanliness.
Regulation: Regulation 12(2)(h)
Must-do action 48 of 51
Must do
Safe
The service must ensure premises and environment are safe and secure. This includes COSHH cleaning chemicals being safely stored.
Regulation: Regulation 12(1)(2)(d)
Must-do action 49 of 51
Must do
Safe
The trust must ensure that all staff know the emergency procedures that are in place for patients who may deteriorate.
Regulation: Regulation 12(1)(2)(b)
Must-do action 50 of 51
Must do
Safe
The trust must ensure that there is a resuscitation trolley available to staff in case of emergency.
Regulation: Regulation 15(1)(f)
Must-do action 51 of 51
Must do
Effective
The trust must ensure that all clinical guidance is current.

Should-do actions (44)

Recommended improvements to enhance service quality.

Should-do action 1 of 44
Should do
Responsive
The trust should ensure it continues to operate effective systems to respond to complaints and take appropriate action without delay to any failures identified by a complaint or the investigation of a complaint.
Should-do action 2 of 44
Should do
Effective
The trust should ensure it continues to roll out the Oliver McGowan statutory learning disability and autism training or equivalent.
Should-do action 3 of 44
Should do
Well-led
The trust should ensure it continues to improve diversity and equality at Board level.
Should-do action 4 of 44
Should do
Responsive
The trust should ensure it continues to complete the work needed to meet the requirements for the Accessible Information Standards.
Should-do action 5 of 44
Should do
Well-led
The trust should consider a review of the timescales for Disclosure and Barring (DBS) re-checks for executive and non-executive directors to be undertaken sooner than every 10 years.
Should-do action 6 of 44
Should do
Caring
The trust should ensure staff always maintain patient’s privacy, dignity, and confidentiality particularly in public areas.
Should-do action 7 of 44
Should do
Well-led
The trust should ensure it has effective processes to engage with staff particularly medical staff actively and openly.
Should-do action 8 of 44
Should do
Effective
The trust should consider a standard operating procedure (SOP) for patients on the ambulatory pathway with clear guidance to follow.
Should-do action 9 of 44
Should do
Effective
The trust should ensure staff fully and accurately complete patients’ fluid balance charts.
Should-do action 10 of 44
Should do
Safe
The trust should ensure it always keep records secure.
Should-do action 11 of 44
Should do
Well-led
The trust should consider ways to improve the provision of ward meetings to share learning from incidents.
Should-do action 12 of 44
Should do
Well-led
The trust should have an effective process to review performance and manage risks at each hospital site.
Should-do action 13 of 44
Should do
Safe
The trust should ensure that medicine audits are completed within timescales in line with trust policy.
Should-do action 14 of 44
Should do
Effective
The trust should ensure that capacity assessments and best interest decisions are followed and recorded in line with legislation.
Should-do action 15 of 44
Should do
Responsive
The trust should continue to ensure that complaints are responded to in line with timescales set out in the trust policy.
Should-do action 16 of 44
Should do
Safe
The trust should ensure that refrigerator checks are consistently undertaken in line with trust policy.
Should-do action 17 of 44
Should do
Safe
The trust should ensure that legionella action plans for the antenatal clinic are in place and updated so any actions identified are responded to quickly.
Should-do action 18 of 44
Should do
Safe
The trust should ensure that legionella testing records confirm actions taken should legionella be present.
Should-do action 19 of 44
Should do
Safe
The trust should ensure that all equipment is serviced within its next serviced date.
Should-do action 20 of 44
Should do
Safe
The trust should ensure that all resuscitation checklists include the name of the location and type of equipment named.
Should-do action 21 of 44
Should do
Well-led
The trust should ensure senior midwives and managers are visible on the clinical areas.
Should-do action 22 of 44
Should do
Well-led
The trust should ensure that all staff groups are aware of the freedom to speak up guardians and who they are across the trust sites.
Should-do action 23 of 44
Should do
Safe
The trust should ensure a standard operating procedure is available for staff to refer to when fentanyl is drawn up by staff.
Should-do action 24 of 44
Should do
Effective
The trust should continue to ensure all staff complete mandatory training in line with trust policy.
Should-do action 25 of 44
Should do
Safe
The trust should continue to ensure that all staff complete safeguarding training relevant to their role.
Should-do action 26 of 44
Should do
Well-led
The trust should ensure that all policies are reviewed within the review period set out in the policy.
Should-do action 27 of 44
Should do
Caring
The trust should consider storing the resuscitaire which is currently stored in the bereavement room in another cupboard outside of this room.
Should-do action 28 of 44
Should do
Safe
The trust should ensure the birthing pool evacuation nets are serviced in line with manufacturer’s instructions.
Should-do action 29 of 44
Should do
Safe
The trust should ensure that clear guidance is in place to ensure pigeons do not enter birthing rooms.
Should-do action 30 of 44
Should do
Safe
The trust should ensure that I am clean stickers are dated.
Should-do action 31 of 44
Should do
Effective
The trust should ensure written revalidation guidance is in place for staff to follow.
Should-do action 32 of 44
Should do
Safe
The trust should ensure a standard operating procedure is developed for the management of Fentanyl use as bolus doses.
Should-do action 33 of 44
Should do
Safe
The trust should ensure staff report incidents following their occurrence.
Should-do action 34 of 44
Should do
Caring
The trust should ensure that confidentiality is maintained when conversing with women and their families.
Should-do action 35 of 44
Should do
Well-led
The trust should ensure that senior midwives and managers are visible on the clinical areas.
Should-do action 36 of 44
Should do
Effective
The trust should ensure that K2 technology is updated with national updates as soon as they are released.
Should-do action 37 of 44
Should do
Safe
The trust should ensure the MIU ambulance/resuscitation room is protected from flood risk and does not prevent patients who need emergency care from accessing treatment on site.
Should-do action 38 of 44
Should do
Safe
The trust should ensure the rear door magnetic locks are installed promptly to ensure safety of people who use the service and staff.
Should-do action 39 of 44
Should do
Responsive
The trust should ensure UTC signage inside and outside the building is correct and up to date.
Should-do action 40 of 44
Should do
Safe
The trust should ensure all equipment is safety tested in line with guidance.
Should-do action 41 of 44
Should do
Caring
The trust should ensure there is water available to patients in the waiting areas.
Should-do action 42 of 44
Should do
Safe
The trust should ensure there is hand gel available prior to entering the department at Retford Hospital.
Should-do action 43 of 44
Should do
Safe
The trust should ensure that chaperone trained staff are available for patients who require a chaperone.
Should-do action 44 of 44
Should do
Safe
The trust should ensure there are clear and available cleaning records in place.

Location details

CQC ID: RP5DR
Local authority: Doncaster
Region: Yorkshire & Humberside

Inspection report

Type: Location
Date: 28 March 2024
Rating: Requires Improvement
Actions: 51 must-do 44 should-do
AI-extracted 3 Jun 2026

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