Source · CQC inspection
Frimley Park Hospital
Provider Frimley Health NHS Foundation Trust
Type NHS Healthcare Organisation
Region South East
Last inspected 28 Aug 2025
Overall rating: Good View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Good
Caring
Outstanding
Responsive
Outstanding
Well-led
Outstanding
Current CQC assessment
Good
The service is performing well and meeting our expectations.
Ratings by service
Medical care (Including older people's care)
Outstanding
Urgent and emergency services
Good
Medical care (Including older people's care)
Outstanding
Urgent and emergency services
Good
Earlier inspection findings
Must-do actions (3)
Must-do action 1 of 3
Must do
Safe
The service must ensure all staff have completed mandatory training.
Must-do action 2 of 3
Must do
Safe
The service must ensure that infection prevention and control measures are carried out effectively and the clinical environment and equipment is clean and fit for use.
Must-do action 3 of 3
Must do
Safe
The service must ensure that medicines are checked and stored safely.
Should-do actions (9)
Should-do action 1 of 9
Should do
Safe
The service should ensure correct and effective use of MEOWS and NEWTT charts to accurately identify deteriorating patients.
Should-do action 2 of 9
Should do
Safe
The service should ensure safety huddles and handovers are conducted in a standardised way, in a suitable environment free from interruptions.
Should-do action 3 of 9
Should do
Safe
The service should ensure records are completed in full, and that effective audits take place using reliable data.
Should-do action 4 of 9
Should do
Well-led
The service should continue to ensure there is an accurate overview of risks faced, including how assurance is gained in the absence of a live maternity dashboard or ability to extract all suitable data from IT systems.
Should-do action 5 of 9
Should do
Well-led
The service should ensure all staff have annual appraisals.
Should-do action 6 of 9
Should do
Safe
The service should ensure incidents are graded appropriately.
Should-do action 7 of 9
Should do
Well-led
The service should ensure policies and guidelines are up-to-date, and that there are effective processes in place to manage them.
Should-do action 8 of 9
Should do
Safe
The service should consider the addition of a supernumerary co-ordinator to oversee staff and acuity across the whole maternity unit effectively.
Should-do action 9 of 9
Should do
Safe
The service should continue work on completing guidelines for maintaining safe levels of inhalational nitrous oxide on the maternity unit.