Crown Street Surgery

Primary Medical Services · Yorkshire & Humberside

Overall Rating
Requires Improvement Last inspected 17 August 2023
Domain Ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement

View Full CQC Report

1 must-do action
4 should-do actions

Must-Do Actions (1)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Safe
Ensure care and treatment is provided in a safe way to patients.
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
Effective
Improve the uptake of cervical cancer screening.
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
Safe
Improve the systems to monitor urgent referrals have been actioned.
Should Do
Responsive
Review and improve access.

Previous Inspection (4 July 2022)

Rating: Requires Improvement Type: Comprehensive 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