Source · CQC inspection

Queen Alexandra Hospital

Provider Portsmouth Hospitals University NHS Trust Type NHS Healthcare Organisation Region South East Last inspected 1 Oct 2025

Overall rating: Good  View full CQC report

Domain ratings

Five CQC key questions
Safe
Good
Effective
Good
Caring
Good
Responsive
Good
Well-led
Good

Current CQC assessment

Single Assessment Framework

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

Good Assessed 1 October 2025
The service is performing well and meeting our expectations.
We assessed Queen Alexandra Hospital from 6 to 10 May 2025.At this inspection we inspected 2 assessment service groups: urgent and emergency care and medical care including older persons’ medicine. We also reviewed progress made against a warning notice served on the provider following the inspection of urgent and emergency care in October 2019. We found that the service had made improvements and had met the actions of the warning noticesWe visited the following areas as part of the assessment:Urgent and emergency services, medical wards and the endoscopy department.We rated …

Ratings by service

Medical care (Including older people's care)
Good
Mar 2025
Urgent and emergency services
Requires Improvement
Mar 2025
Medical care (Including older people's care)
Good
Mar 2025
Urgent and emergency services
Requires Improvement
Mar 2025

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.

Warning notice Overall
We also reviewed progress made against a warning notice served on the provider following the inspection of urgent and emergency care in October 2019.
· 1 Oct 2025 · CQC source
Warning notice Overall
We found that the service had made improvements and had met the actions of the warning notices We visited the following areas as part of the assessment: Urgent and emergency services, medical wards and the endoscopy department.
· 1 Oct 2025 · CQC source

Breaches identified (3)

Breach Safe
However, we found 5 breaches of the regulations in relation to premises and equipment (waiting rooms and escalation areas), staffing (training), person centred care (learning disability), and good governance (contemporaneous records and identifying and assessing risks).
Regulation: Regulation 15 (Premises and equipment) · 1 Oct 2025
Breach Responsive
At this inspection, we found the service breached legal regulations about staffing and person-centred care.
Regulation: Regulation 9 (Person-centred care) · 1 Oct 2025
Breach Safe
The hospital was in breach of legal regulations in relation to premises and equipment (waiting and escalation areas in the emergency department), staffing (training), person centred care (learning disability), and good governance (contemporaneous records and identifying and assessing risks).
Regulation: Regulation 15 (Premises and equipment) · 1 Oct 2025

Earlier inspection findings

pre-2024 framework · 5 should-do

Should-do actions (5)

Recommended improvements to enhance service quality.

Should-do action 1 of 5
Should do
Safe
The service should ensure staff complete timely reviews for each woman in triage in line with the trust policy.
Should-do action 2 of 5
Should do
Safe
The service should continue to ensure that staff are up to date with the maternity and safeguarding mandatory training modules.
Should-do action 3 of 5
Should do
Safe
The service should ensure staff complete and document fresh eyes and fresh ears observations in line with national guidance.
Should-do action 4 of 5
Should do
Safe
The trust should continue to monitor the post-partum audit action plan to help improve compliance in the activation of the major obstetric haemorrhage call and full completion of the women and birthing people PPH proforma and records.
Should-do action 5 of 5
Should do
Well-led
The service should address the delay in the accessing of electronic records by staff.

Location details

CQC ID: RHU03
Local authority: Portsmouth
Region: South East

Inspection report

Type: Location
Date: 9 February 2024
Rating: Good
Actions: 5 should-do
AI-extracted 2 Jun 2026