Source · CQC inspection

King George Hospital

Type NHS Healthcare Organisation Region London Last inspected 22 Dec 2023

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

Earlier inspection findings

pre-2024 framework · 3 must-do 13 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 service must ensure that staff follow policy to identify and document patients who are on time critical medicines.
Regulation: Regulation 12 (Safe care and treatment)
⚠ The service did not always follow systems and processes to safely prescribe, administer, and record medicines. Staff did not follow processes to identify patients on time critical medicines. Although we did not see patients miss time critical medicines on inspection, we did not see the colour coded stickers being used. …
Must-do action 2 of 3
Must do
Safe
The service must ensure that mandatory training is regularly updated and plans to improve compliance are implemented.
Regulation: Regulation 12 (Safe care and treatment)
⚠ The service provided mandatory training in key skills, including the highest level of life support training to all staff, however not all training modules had a good completion rate... There was a small amount of training modules that had low completion rates and require action by the service. We identified …
Must-do action 3 of 3
Must do
Well-led
The service must ensure that the administration of rapid tranquilisation is recorded as an incident in line with national guidance.
Regulation: Regulation 17 (Good governance)
⚠ We saw staff following protocols when de-escalating patients so that their behaviour was not controlled by excessive and inappropriate use of medicines. However, agency mental health nurses told us that they would not report rapid tranquilisation as an incident. There was a risk that leaders did not have oversight of …

Should-do actions (13)

Recommended improvements to enhance service quality.

Should-do action 1 of 13
Should do
Responsive
The service should ensure national standards of care such as triage, handover and admission standards are met in line with legislation.
Should-do action 2 of 13
Should do
Safe
The service should ensure that all paper patient records are labelled with patient details including allergy status are per policy.
Should-do action 3 of 13
Should do
Safe
The service should ensure that patients who are self-administering their medications are clearly risk assessed and this is documented, and these patients are identifiable in the ED to staff.
Should-do action 4 of 13
Should do
Responsive
The service should continue to work with partner organisations to ensure mental health patients are provided with timely assessments.
Should-do action 5 of 13
Should do
Safe
The service should continue to find solutions to minimise environmental risks to mental health patients.
Should-do action 6 of 13
Should do
Safe
The service should continue to work on implementing a standard patient electronic records system. The system should have the capacity to integrate with other records systems such as those used for mental health patients.
Should-do action 7 of 13
Should do
Well-led
The service should update their standard operating procedures for clinical areas such as RAFT and SDEC to include all areas in the department where care is being provided.
Should-do action 8 of 13
Should do
Safe
The service should continue to review and implement existing strategies to decrease the reliance on bank and agency staff.
Should-do action 9 of 13
Should do
Caring
The service should consider further ways in which to improve privacy and dignity for all patients attending the ED.
Should-do action 10 of 13
Should do
Caring
The service should provide all staff working in the department with name badges.
Should-do action 11 of 13
Should do
Caring
The service should be clear to mental health patients about their admission status whilst in the department.
Should-do action 12 of 13
Should do
Effective
The service should consider using protected time slots for all staff groups to ensure training and development opportunities are equally accessible to all staff.
Should-do action 13 of 13
Should do
Safe
The service should remove signage that references older pathways or formerservice provision arrangements.

Location details

CQC ID: RF4DG
Local authority: Redbridge
Region: London

Inspection report

Type: Location
Date: 22 December 2023
Rating: Requires Improvement
Actions: 3 must-do 13 should-do
AI-extracted 3 Jun 2026