Source · CQC inspection

Mount Gould Hospital

Provider University Hospitals Plymouth NHS Trust Type NHS Healthcare Organisation Region South West Last inspected 27 May 2025

Overall rating: Requires Improvement View full CQC report

Domain ratings

Five CQC key questions

Safe

Good

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 27 May 2025

The service is not performing as well as it should and we have told the service how it must improve.

Date of assessment: 26 February to 18 March 2025. Mount Gould Hospital provides a range of NHS hospital services. This assessment looked at diagnostic imaging services, which we rated as good. The rating from diagnostic imaging 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 services at Mount Gould Hospital. The rating of Mount Gould Hospital remains requires improvement. In our assessment of diagnostic imaging services, we found people were kept safe and protected …

Ratings by service

Diagnostic imaging

Good

Feb 2025

Earlier inspection findings

pre-2024 framework · 2 must-do 5 should-do

Must-do actions (2)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 2

Must do

Well-led

Reduce the number of clinics cancelled and consistently capture the reasons why

Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance (2)(a)

⚠ The processes and systems to monitor the number of clinics cancelled was not effective, and the reasons for last minute cancellations were not recorded consistently or reviewed by senior staff.

Must-do action 2 of 2

Must do

Safe

Take action to reduce the numbers of patients waiting past their to be seen date on follow-up and pending waiting lists.

Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance (2)(b)

⚠ The processes and systems in place to identify and assess risks to the health and safety of people who use the service were not effective or timely. The numbers of patients at risk of harm due to the backlog of new and follow up appointments was continuing to increase. This …

Should-do actions (5)

Recommended improvements to enhance service quality.

Should-do action 1 of 5

Should do

Safe

Consider reviewing cleaning audits carried out by external companies in relation to the environment in the outpatient, diagnostic imaging and pain management.

Should-do action 2 of 5

Should do

Well-led

Review its systems and process which give assurance that services delivered by external companies are carried out in a way that keeps people safe.

Should-do action 3 of 5

Should do

Responsive

Consider reviewing secretarial staff numbers to help clear the typing backlog of Mount Gould clinic letters.

Should-do action 4 of 5

Should do

Responsive

Ensure the digital dictation system is fully implemented to help reduce typing delays at Mount Gould Hospital.