Source · CQC inspection

Ealing Hospital

Provider London North West University Healthcare NHS Trust Type NHS Healthcare Organisation Region London Last inspected 26 Nov 2025

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
Good

Current CQC assessment

Single Assessment Framework

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

Requires Improvement Assessed 26 November 2025
The service is not performing as well as it should and we have told the service how it must improve.
Ealing Hospital urgent and emergency care (UEC) services consist of an adult care emergency department (ED) and an urgent treatment centre (UTC). The UTC treated patients of all ages who had minor injuries or illnesses. The ED did not treat acutely unwell paediatric patients. Any patients under the age of 16 years were stabilised and transferred to neighbouring emergency departments who were able to provide care to this group of patients. Between July 2024 and June 2025 Ealing’s hospital ED saw 43431 patients and its UTC saw 55955 patients. We …

Ratings by service

Urgent and emergency services
Requires Improvement
Apr 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.

Breaches identified (3)

Breach Caring
Urgent and emergency care Overall, the service was rated as requires improvement with breaches of regulation 10, dignity and respect and regulation12 safe care.
Regulation: Regulation 10 (Dignity and respect) · 26 Nov 2025
Breach Caring
Urgent and emergency care Overall, the service was rated as requires improvement with breaches of regulation 10, dignity and respect and regulation 12 safe care and treatment.
Regulation: Regulation 10 (Dignity and respect) · 26 Nov 2025
Breach Overall
During our assessment we identified areas for improvements and some breaches of regulation.
· 26 Nov 2025

Earlier inspection findings

pre-2024 framework · 3 must-do 10 should-do

Must-do actions (3)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 3
Must do
Safe
The trust must ensure patient records are always stored securely and cannot be accessed by unauthorised people.
⚠ Recordswerenotalwaysstoredsecurely.Wefoundapatient’s‘adultinpatientcareneedsassessment’bookletnexttothereceptionareaintheacutemedicalunit(AMU).Wesawacomputerintheendoscopyreceptionwhichwasunattendedandnotlocked.Therewasariskthatunauthorisedpeoplecouldhaveaccessedconfidentialpatientinformation.
Must-do action 2 of 3
Must do
Safe
The trust must ensure all equipment is serviced in accordance with manufacturers’ instructions and the trust’s policies.
⚠ Wefoundadrawerinthecatheterizationlabswitharangeofoutofdateequipmentandamonitorinthecatheterizationlabswhichdidnothaveaservicingdate.Wealsofoundoutofdateequipmentonaresuscitationtrolleyintheacutemedicalunit(AMU).Therewasariskthatstaffcouldinadvertentlyuseoutofdateequipment.
Must-do action 3 of 3
Must do
Safe
The trust should ensure cracked and broken equipment on the older persons short-stay unit equipment is removed and replaced.
⚠ WesawacrackedshowerchairandshowerchairswithchippedenamelontheOPPSSU.Thiscouldposeapatient safetyandinfectioncontrolriskasmicroorganismscanthriveincrackedsurfaces.

Should-do actions (10)

Recommended improvements to enhance service quality.

Should-do action 1 of 10
Should do
Safe
The trust should ensure that there are enough nursing and support staff on every shift to keep patients safe.
Should-do action 2 of 10
Should do
Safe
The trust should ensure Waterlow scoring is accurate to keep patients safe from the risk of developing pressure ulcers.
Should-do action 3 of 10
Should do
Responsive
The trust should work with system partners to ensure there is a seamless service and clarity about clinical decision making in the provision of care at the trust and other NHS providers of mental healthcare.
Should-do action 4 of 10
Should do
Safe
The trust should ensure patients assessed as requiring enhanced observations or one to one care receive care in accordance with their assessed needs at all times.
Should-do action 5 of 10
Should do
Safe
The trust should ensure magnetic identifiers above patients’ beds reflect all the patients' identified needs as recorded on their patient record.
Should-do action 6 of 10
Should do
Well-led
The trust should ensure the trust’s senior executive team and ward leaders are visible to staff and patients at Ealing Hospital.
Should-do action 7 of 10
Should do
Responsive
The trust should ensure the signage that enables patients and visitors to navigate around the hospital is clear to patients and visitors.
Should-do action 8 of 10
Should do
Safe
The trust should ensure staff use up to date policies on the trust intranet.
Should-do action 9 of 10
Should do
Safe
The trust should ensure staff required to use control of substances hazardous to health (COSHH) products, are aware of the trust’s policies and guidance on COSHH.
Should-do action 10 of 10
Should do
Well-led
The trust should consider a local cancer strategy, to ensure cancer services are aligned to local commissioning and provision of services to support people during and after their cancer treatment.

Location details

CQC ID: R1K04
Local authority: Ealing
Region: London

Inspection report

Type: Location
Date: 20 May 2022
Rating: Requires Improvement
Actions: 3 must-do 10 should-do
AI-extracted 3 Jun 2026