• Doctor
  • GP practice

Crown Street Surgery

Overall: Good read more about inspection ratings

2 Lombard Court, Crown Street, Acton, London, W3 8SA (020) 8992 2010

Provided and run by:
Crown Street Surgery

All Inspections

During an assessment under our new approach

Date of Assessment: 24 April 2026 to 28 April 2026. The assessment was carried out due to the length of time since the last assessment.

Crown Street Surgery is a GP practice and delivers service to 10,376 people under a contract held with NHS England. This inspection was carried out due to the length of time since the last inspection. The National General Practice Profiles states that the practice has a relatively high proportion of working age and younger population and relatively fewer older people as patients. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 4th decile (4 of 10). The lower the decile, the more deprived the practice population is relative to others. The ethnicity of the practice population was 56.1% White, 14.2% Asian, 12.1% Black, 6.6% Mixed and 10.9% Other. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.

Safe: The practice had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. People were protected and kept safe. Staff understood and managed risks. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training and regular appraisals to maintain high-quality care.

Effective: Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff involved those important to people took decisions in people’s best interests where they did not have capacity.

Caring: People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. The service supported staff wellbeing.

Responsive: The practice provided information people could understand and worked to eliminate discrimination. People received fair and equal care and treatment. The service worked to reduce health and care inequalities through training and feedback.

Well-led: Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Managers worked with the local community to deliver the best possible care.

4 November 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Crown Street Surgery on 4 November 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events. All significant events and incidents were discussed at practice meetings so that learning could be shared.

• Most risks to patients were assessed and well managed, although we found a risk relating to the maintenance of the building had not been resolved.

• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.

• Recruitment checks had been carried out prior to employment.

• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

• Information about services and how to complain was available and easy to understand.

• Most patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.

• The practice had good facilities and was well equipped to treat patients and meet their needs.

• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

• The provider was aware of and complied with the requirements of the Duty of Candour.

In addition the provider should:

  • Ensure environmental risks relating to the practice environment are resolved promptly.
  • If a decision is made to not have an automated external defibrillator (AED) on-site, undertake a formal risk assessment of not having access to an AED during practice opening hours.
  • Review national guidance relating to annual basic life support training for non-clinical staff.
  • Advertise that translation services are available to patients on request.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice