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Addenbrooke's and the Rosie Hospitals

Type NHS Healthcare Organisation Region East Last inspected 4 Sep 2023

Location rating: Good  View location on CQC

Location ratings by domain

Five CQC key questions

Ratings held for this CQC location under the inspection framework, last inspected 4 September 2023. Ratings extracted from individual reports are shown separately below.

Safe
Good
Effective
Good
Caring
Outstanding
Responsive
Requires Improvement
Well-led
Outstanding

Most recent report indexed for actions

The date and rating here are from an individual report, not necessarily the location's latest assessment. Report ratings are extracted with AI; verify the original PDF.

Type: Location
Date: 4 September 2023
Rating extracted from this report: Good
Actions indexed: 1 must-do 13 should-do

Read this inspection PDF

AI-extracted 2 Jun 2026

Earlier inspection findings

pre-2024 framework · 1 must-do 13 should-do

Must-do actions (1)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 1
Must do
Safe
The trust must ensure that there are enough suitably qualified competent staff to meet the needs of the service and any shortfall is mitigated as much as possible.
Regulation: Regulation 18(1)(2)
⚠ The service did not always have enough medical staff with the right qualifications, skills, training and experience to keep women and babies safe from avoidable harm and to provide the right care and treatment.

Should-do actions (13)

Recommended improvements to enhance service quality.

Should-do action 1 of 13
Should do
Safe
The trust should ensure that medical staffing in triage is reviewed and improved to deliver care in safe time frames and complete regular audits on waiting times for doctor reviews.
Should-do action 2 of 13
Should do
Safe
The service should ensure that it makes improvements to the induction of labour process so that women and pregnant people do not experience the current level of delays cited in annual data.
Should-do action 3 of 13
Should do
Responsive
The service should ensure that it continues to make the necessary improvements and implement administrative staff to the triage area so that access and flow are improved especially in the afternoons and evenings.
Should-do action 4 of 13
Should do
Responsive
The trust should ensure that there is a designated ‘triage’ line so that women in the most need of help and advice are able to contact the service within safe time frames.
Should-do action 5 of 13
Should do
Responsive
The service should consider reviewing the signage to each department and consider changing the ward names, so they reflect the nature of each department.
Should-do action 6 of 13
Should do
Safe
The service should continue to look at strategies and training to improve the postpartum haemorrhage rate.
Should-do action 7 of 13
Should do
Effective
The service should ensure the electronic records management system had the ability to transfer electronic patient record from multiple systems and community and could be reorganised easily to meet the needs of patients.
Should-do action 8 of 13
Should do
Caring
The service should ensure appropriate prearranged translation service was available for non-English speaking women and birthing people.
Should-do action 9 of 13
Should do
Safe
The service should ensure to improve on their post-partum haemorrhage rates for both vaginal births and instrumental deliveries.
Should-do action 10 of 13
Should do
Safe
The service should ensure to improve on the commencement of planned inductions of labour.
Should-do action 11 of 13
Should do
Safe
The service should continue to improve staff compliance to completing VTE assessments in line with national guidance.
Should-do action 12 of 13
Should do
Safe
The service should ensure that it completes regular audits on compliance of fetal monitoring during labour.
Should-do action 13 of 13
Should do
Well-led
The service should improve staff training and appraisal rates to ensure staff are competent in their roles.