Source · CQC inspection
Wexham Park Hospital
Provider Frimley Health NHS Foundation Trust
Type NHS Healthcare Organisation
Region South East
Last inspected 28 Aug 2025
Overall rating: Outstanding View full CQC report
Domain ratings
Safe
Good
Effective
Good
Caring
Outstanding
Responsive
Good
Well-led
Outstanding
Current CQC assessment
Outstanding
The service is performing exceptionally well.
Ratings by service
Medical care (Including older people's care)
Outstanding
Medical care (Including older people's care)
Outstanding
Urgent and emergency services
Good
Urgent and emergency services
Good
Earlier inspection findings
Must-do actions (2)
Must-do action 1 of 2
Must do
Safe
The trust must ensure that all staff complete the required mandatory training.
Must-do action 2 of 2
Must do
Well-led
The service must ensure data showing poor performance is investigated, monitored, and acted upon in a timely way.
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
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 3 of 9
Should do
Safe
The service should ensure there are bespoke guidelines in place for women presenting in advanced labour to the maternity assessment centre.
Should-do action 4 of 9
Should do
Well-led
The service should ensure maternal and baby readmissions are reported and reviewed separately.
Should-do action 5 of 9
Should do
Well-led
The service should ensure all staff have had an appraisal.
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 there are effective processes in place to manage them.
Should-do action 8 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.
Should-do action 9 of 9
Should do
Well-led
The service should consider the addition of a supernumerary co-ordinator to oversee staff and acuity across the whole maternity unit effectively.