Source · CQC inspection

Heatherwood Hospital

Provider Heatherwood and Wexham Park Hospitals NHS Foundation Trust Type NHS Healthcare Organisation Region South East Last inspected 27 Jun 2014

Overall rating: Good  View full CQC report

Domain ratings

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

Earlier inspection findings

pre-2024 framework · 5 must-do

Must-do actions (5)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 5
Must do
Safe
The hospital environment and facilities must be maintained to a suitable standard
Regulation: Regulation 10 (Safety and suitability of premises)
⚠ Appropriate equipment was not always available to reduce the risk of harm (for example to prevent falls). This is a breach of Regulation 10 regarding the safety and suitability of premises. We also noted that a vanity unit in the wet room was wet and the wood had become damaged, …
Must-do action 2 of 5
Must do
Responsive
The trust must take steps to improve the booking and appointment system, waiting times and the cancellation of clinics to prevent delays and to improve access to treatment.
⚠ We found significant concerns surrounding the provision of outpatients services. There are unacceptable waiting times for certain conditions, and 25% of appointments had been cancelled. Insufficient work had been done to improve the booking and appointment systems, waiting times and the cancellation of clinics. The numbers of cancellations regularly put …
Must-do action 3 of 5
Must do
Safe
The trust must ensure that there are sufficient staff to meet the needs of patients. This should be determined by patients’ assessed requirements and should be in line with the use of recognised staffing tools.
⚠ Some wards and departments we visited had staff vacancies. There were some occasions when the required number of staff was not available for a shift; this could have an impact on patient safety. On ward 8, despite the recognised need for more staff, there were currently four full-time vacancies and …
Must-do action 4 of 5
Must do
Responsive
Relevant departments must have access to staff trained to meet the needs of vulnerable patients, such as those with a learning disability or dementia
⚠ There was no information available in a format for people with a learning disability (LD). There were no LD qualified nurses available in any clinic. There was a paediatric outreach clinic held at Heatherwood Hospital but we found that there was no paediatric-trained nurse present at this clinic.
Must-do action 5 of 5
Must do
Caring
Communication with patients must be improved when delays to clinic appointments lead to increased waiting times.
⚠ Clinics ran late for a number of reasons, and patients said they had waited two hours without understanding the reason for the delay and no explanation had been provided. Receptionists and staff did not keep patients up to date or communicate particularly well with them.

Location details

CQC ID: RD752
Local authority: Windsor and Maidenhead
Region: South East

Inspection report

Type: Quality Report
Date: 27 June 2014
Rating: Good
Actions: 5 must-do
AI-extracted 2 Jun 2026