Source · CQC inspection

Colchester General Hospital

Provider East Suffolk and North Essex NHS Foundation Trust Type NHS Healthcare Organisation Region East Last inspected 8 Oct 2025

Overall rating: Requires Improvement  View full CQC report

Domain ratings

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

Current CQC assessment

Single Assessment Framework

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

Requires Improvement Assessed 8 October 2025
The service is not performing as well as it should and we have told the service how it must improve.
We carried out an assessment on 9 to 10 April 2025 of medical care (including older people) at Colchester General Hospital which provides a range of NHS hospital services. This assessment took place due to safeguarding concerns and emerging safety risk for people receiving care, which we rated as requires improvement. The rating from medical care (including older people) has been combined with ratings of the other services from the last inspections. See our previous reports to get a full picture of all other services at Colchester General Hospital. The …

Ratings by service

Medical care (Including older people's care)
Requires Improvement
Jun 2025
Urgent and emergency services
Requires Improvement
Jun 2025
Medical care (Including older people's care)
Requires Improvement
Mar 2025
Urgent and emergency services
Requires Improvement
Mar 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.

Warning notice Overall
During our assessment, we found concerns which resulted in a breach of regulation in which we served a warning notice.
· 8 Oct 2025 · CQC source
Warning notice Overall
During our assessment, we found concerns which resulted in breaches of regulation in which we served a warning notice.
· 8 Oct 2025 · CQC source

Breaches identified (5)

Breach Safe
We previously inspected on 3 November 2022 and found 4 breaches of regulations relating to safe care and treatment, premises and equipment, good governance and staffing.
Regulation: Regulation 12 (Safe care and treatment) · 8 Oct 2025
Breach Safe
In our assessment of medical care (including older people) services we found breaches relating to safe care and treatment, poor compliance with infection, prevention control measures and use of protective personal equipment.
Regulation: Regulation 12 (Safe care and treatment) · 8 Oct 2025
Breach Safe
We found breaches in regulation relating to consent, safe care and treatment, safeguarding, good governance, and staffing.
Regulation: Regulation 12 (Safe care and treatment) · 8 Oct 2025
Breach Safe
We previously inspected in 2022 and found 2 breaches of regulations relating to safe care and treatment, staffing and good governance.
Regulation: Regulation 12 (Safe care and treatment) · 8 Oct 2025
Breach Safe
We found breaches in regulation 12 in relation to safe care and treatment, regulation 15 premises and equipment and regulation 17 good governance.
Regulation: Regulation 12 (Safe care and treatment) · 8 Oct 2025

Earlier inspection findings

pre-2024 framework · 3 must-do 5 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 they fully implement a system to assess risks to women attending the triage unit and prioritise their care appropriately.
Regulation: Regulation 12 (Safe care and treatment)
⚠ The maternity triage system was overburdened, leading to a risk of delayed treatment and patients not being seen within appropriate timeframes according to the BSOTs system (e.g., only 29% of yellow category patients seen within 1 hour, 1% of orange category within 15 minutes).
Must-do action 2 of 3
Must do
Safe
The service must ensure that medical staff complete mandatory and safeguarding training and ensure compliance with the trust target.
Regulation: Regulation 12 (Safe care and treatment)
⚠ Medical staff did not meet the trust target for mandatory training (e.g., consultants 84.6% vs 90% target) and safeguarding training (e.g., medical staff 43.58% vs 90% target).
Must-do action 3 of 3
Must do
Safe
The service must ensure all steps are taken to appropriately manage and maintain safe staffing in the maternity unit.
Regulation: Regulation 18 (Staffing)
⚠ The service did not have enough nursing and midwifery staff, consistently short-staffed (e.g., 84.1% day, 79.1% night fill rates in Feb 2023), and one-to-one care in active labour was not consistently provided in line with national recommendations.

Should-do actions (5)

Recommended improvements to enhance service quality.

Should-do action 1 of 5
Should do
Safe
The trust should ensure all areas are secure and only authorised personnel have access.
Should-do action 2 of 5
Should do
Safe
The trust should ensure patient and staff records are stored securely to maintain confidentiality and compliance with the trust policy and national legislation.
Should-do action 3 of 5
Should do
Safe
The trust should ensure medicines are managed and stored appropriately, and medicine storage temperatures are monitored and recorded in line with trust requirements.
Should-do action 4 of 5
Should do
Safe
The trust should ensure staff adhere to control measures to protect women, themselves, and others from infection.
Should-do action 5 of 5
Should do
Well-led
The trust should ensure senior leadership is visible and actively work to improve staff morale.

Location details

CQC ID: RDEE4
Local authority: Essex
Region: East

Inspection report

Type: Location
Date: 5 May 2023
Rating: Requires improvement
Actions: 3 must-do 5 should-do
AI-extracted 3 Jun 2026