Source · CQC inspection

Royal South Hants Hospital

Provider Solent NHS Trust Type NHS Healthcare Organisation Region South East Last inspected 10 Oct 2018

Overall rating: Requires Improvement  View full CQC report

Domain ratings

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

Earlier inspection findings

pre-2024 framework · 6 must-do

Must-do actions (6)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 6
Must do
Safe
Ensure that there is a robust review of all medicines management at the practice including checking the expiry dates of medicines and calibration of equipment stored within the GP bag.
Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance
⚠ The practice did not have a robust process in place to review all medicines and equipment within the practice, namely for equipment and medicine held within the GP bag.
Must-do action 2 of 6
Must do
Safe
Ensure the practice follows guidelines set out by the Solent NHS Trust particularly around actioning learning points from significant events around monitoring prescription forms security.
Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance
⚠ The practice was not following guidance issued by Solent NHS Trust particularly around actioning learning points from significant events such as in monitoring and tracking of prescription forms and pads.
Must-do action 3 of 6
Must do
Safe
Ensure all staff required to undertake chaperoning duties have received training, this includes for non-clinical staff.
Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance
⚠ No staff had a record of having received chaperone training.
Must-do action 4 of 6
Must do
Well-led
The provider must actively seek and act upon patient feedback in a timely way, as the practice did not have an active patient participation group.
Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance
⚠ The practice did not actively seek and act upon patient feedback in a timely way as the practice did not have an active patient participation group.
Must-do action 5 of 6
Must do
Well-led
The provider must ensure all policies held at the practice are the most recent version as updated by the trust.
Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance
⚠ Not all policies held at the practice were the most recent version as updated by the trust.
Must-do action 6 of 6
Must do
Safe
The provider must ensure recruitment checks for locums are complete and consistent.
Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance
⚠ Recruitment checks for locums were incomplete and inconsistent.

Location details

CQC ID: R1C34
Local authority: Southampton
Region: South East

Inspection report

Type: Comprehensive inspection
Date: 10 October 2018
Rating: Requires improvement
Actions: 6 must-do
AI-extracted 3 Jun 2026