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Mount Gould Hospital

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

Location rating: Requires Improvement  View location on CQC

Location ratings by domain

Five CQC key questions

Ratings held for this CQC location under the Single Assessment Framework, assessed 27 May 2025. Ratings extracted from individual reports are shown separately below.

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

CQC assessments indexed

Single Assessment Framework

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

Requires Improvement
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

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: 25 November 2016
Rating extracted from this report: Requires improvement
Actions indexed: 2 must-do 5 should-do

Read this inspection PDF

AI-extracted 3 Jun 2026

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.
Should-do action 5 of 5
Should do
Responsive
Ensure staff comply with annual leave policy when cancelling sessions with less than six weeks notice to patients.