Source · CQC inspection

Samuel Johnson Community Hospital

Provider Burton Hospitals NHS Foundation Trust Type NHS Healthcare Organisation Region West Midlands

Overall rating: Good  View full CQC report

Domain ratings

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

Earlier inspection findings

pre-2024 framework · 3 must-do 5 should-do

Must-do actions (3)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 3
Must do
Responsive
The trust must review arrangements for responding to patients with mental health needs in the minor injuries unit.
⚠ The hospital did not have good support arrangements for people with mental health issues, especially at night. There was no joined up working with some other specialists such as the mental health crisis team.
Must-do action 2 of 3
Must do
Responsive
The trust must review arrangements for access to x-ray imaging after 5pm weekdays and on Saturday afternoons and Sundays or MIU patients.
⚠ There was no access to x-ray imaging after 5pm weekdays or on Saturday afternoons or Sundays.
Must-do action 3 of 3
Must do
Well-led
The trust must support the MIU to audit its performance in order to assess the effectiveness of their own practice and to identify and manage risks.
⚠ Managers regularly collected monitoring information but they did not use it and it could help them to understand and manage risks more effectively.

Should-do actions (5)

Recommended improvements to enhance service quality.

Should-do action 1 of 5
Should do
Safe
The trust should review arrangements for the storage of stock in the MIU to ensure it is not stored in a manner that could be a potential hygiene risk
Should-do action 2 of 5
Should do
Safe
The trust should develop a long-term strategy for staffing the MIU overnight to ensure staff and patients are kept safe.
Should-do action 3 of 5
Should do
Effective
The trust should ensure the outcomes of women transferred because they need medical assistance in labour or after birth is routinely recorded in order to assess the effectiveness of the unit’s own practice.
Should-do action 4 of 5
Should do
Responsive
The trust should review the scanning facilities for pregnant women to ensure the service is responding to and meeting local need.
Should-do action 5 of 5
Should do
Responsive
The trust should routinely monitor the time patients wait for their appointment in out-patients to ensure services are responsive to peoples’ needs and identify any issues and/or associated risks.

Location details

CQC ID: RJF04
Local authority: Staffordshire
Region: West Midlands

Inspection report

Type: Comprehensive inspection
Rating: Good
Actions: 3 must-do 5 should-do
AI-extracted 2 Jun 2026