Source · CQC inspection

Royal Cornwall Hospital

Provider Royal Cornwall Hospitals NHS Trust Type NHS Healthcare Organisation Region South West Last inspected 29 Aug 2025

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

Current CQC assessment

Single Assessment Framework

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

Requires Improvement Assessed 29 August 2025
The service is not performing as well as it should and we have told the service how it must improve.
Date of assessment: 8 to 9 April 2025. Royal Cornwall Hospital provides a range of NHS hospital services. The assessment looked at medical care services and urgent and emergency care services as part of the System Pathway Pressures programme. We rated medical care services and urgent and emergency care services as requires improvement. The rating for medical care services and urgent and emergency care services 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 …

Ratings by service

Medical care (Including older people's care)
Requires Improvement
Feb 2025
Medical care (Including older people's care)
Requires Improvement
Feb 2025
Urgent and emergency services
Requires Improvement
Feb 2025
Urgent and emergency services
Requires Improvement
Feb 2025
Medical care (Including older people's care)
Requires Improvement
Jun 2024
Urgent and emergency services
Requires Improvement
May 2024

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.

Breaches identified (3)

Breach Caring
We found 5 breaches of the legal regulations in relation to safe delivery of care and treatment, premises and equipment, staffing, dignity and respect, and good governance.
Regulation: Regulation 10 (Dignity and respect) · 29 Aug 2025
Breach Overall
We found three breaches of regulation where care and treatment was not always provided in a safe and timely way in line with clinical guidance.
· 29 Aug 2025
Breach Overall
We found two breaches of regulation where care and treatment was not always provided in a safe and timely way in line with clinical guidance and in an area of the department or correct specialty where it is safe to do so.
· 23 Oct 2024

Earlier inspection findings

pre-2024 framework · 6 should-do

Should-do actions (6)

Recommended improvements to enhance service quality.

Should-do action 1 of 6
Should do
Safe
The serviceshouldensuredailychecksarecompletedandaccurate,includingensuringthatmedicineandequipmentischeckedforexpirydates.
Should-do action 2 of 6
Should do
Safe
The serviceshouldensureallrecordsaredocumentedinfull,includingstafftoidentifytheirdesignation,signanddateallentries.
Should-do action 3 of 6
Should do
Safe
The serviceshouldevaluatecurrenttrainingprovisionforemergencyevacuationofthebirthpoolandensurebirthpoolevacuationsimulationsarecarriedouttoensureallstaffareconfidentandproficienttocarryoutthisprocedureinanemergency.
Should-do action 4 of 6
Should do
Safe
The serviceshouldensurestaffareawareofthebabyabductionpolicy,thepolicyisstrengthenedtoincludepreventativemeasures,andthatstaffofalllevelsareinvolvedinlivesimulations.
Should-do action 5 of 6
Should do
Safe
The serviceshouldconsiderthefacilitiesavailableandanywaytoimproveandmodernisethespaceavailabletoensurethesafestlayouttoprovidecare,includingdecluttering.
Should-do action 6 of 6
Should do
Safe
The serviceshouldensurecleardocumentationandguidanceisavailabletostaffregardingmidwifeexemptionandpatientgroupdirectivemedicine.

Location details

CQC ID: REF12
Local authority: Cornwall
Region: South West

Inspection report

Type: Location
Date: 27 February 2023
Rating: Requires Improvement
Actions: 6 should-do
AI-extracted 3 Jun 2026