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Weston General Hospital

Provider Weston Area Health NHS Trust Type NHS Healthcare Organisation Region South West Last inspected 17 Sep 2019

Overall rating: Requires Improvement  View full CQC report

Domain ratings

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

Earlier inspection findings

pre-2024 framework · 6 must-do 6 should-do

Must-do actions (6)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 6
Must do
Well-led
Continue to develop governance systems and processes and review their effectiveness.
Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance
⚠ The trust did not operate efficient systems to monitor quality, safety and risk.
Must-do action 2 of 6
Must do
Well-led
Ensure the emergency department risk register is regularly reviewed and maintained to ensure that it is an effective tool to manage risks and provide assurance that controls are effective.
Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance
⚠ The trust did not operate efficient systems to monitor quality, safety and risk.
Must-do action 3 of 6
Must do
Safe
Continue to develop systems to ensure good oversight of nursing staff competencies and supervision.
Regulation: Regulation 18 HSCA (RA) Regulations 2014 Staffing
⚠ The trust did not ensure there were always sufficient numbers of suitably qualified, competent and skilled staff. Staff did not receive adequate support, training or supervision to carry out their roles and responsibilities safely.
Must-do action 4 of 6
Must do
Safe
Ensure nursing staff are adequately supported with ongoing relevant training and supervision.
Regulation: Regulation 18 HSCA (RA) Regulations 2014 Staffing
⚠ The trust did not ensure there were always sufficient numbers of suitably qualified, competent and skilled staff. Staff did not receive adequate support, training or supervision to carry out their roles and responsibilities safely.
Must-do action 5 of 6
Must do
Well-led
Continue to monitor and support senior medical staff in the emergency department to ensure they are equipped to provide the appropriate level of supervision to trainee doctors.
Regulation: Regulation 18 HSCA (RA) Regulations 2014 Staffing
⚠ The trust did not ensure there were always sufficient numbers of suitably qualified, competent and skilled staff. Staff did not receive adequate support, training or supervision to carry out their roles and responsibilities safely.
Must-do action 6 of 6
Must do
Safe
Take action to address the continuing risks of identified ligature points, particularly non-communal areas.
Regulation: Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment
⚠ The trust had not mitigated the identified risks of ligature points and did not have a clear plan to make this happen.

Should-do actions (6)

Recommended improvements to enhance service quality.

Should-do action 1 of 6
Should do
Effective
Take steps to improve training opportunities for middle grade doctors in the emergency department.
Should-do action 2 of 6
Should do
Well-led
Review managerial capacity to take forward the significant improvement agenda.
Should-do action 3 of 6
Should do
Safe
Develop the focus on the quality and safekeeping of care records
Should-do action 4 of 6
Should do
Well-led
Continue to further develop systems that review data to monitor the efficacy of the service.
Should-do action 5 of 6
Should do
Safe
Complete the environmental risk assessments by identifying when and who changes are due to be actioned by.
Should-do action 6 of 6
Should do
Well-led
Take actions to further embed the developments since the previous inspection.

Location details

CQC ID: RA301
Local authority: North Somerset
Region: South West

Inspection report

Type: Focused inspection
Date: 17 September 2019
Rating: Inadequate
Actions: 6 must-do 6 should-do
AI-extracted 3 Jun 2026