Source · CQC inspection

Tolworth Hospital

Provider South West London and St George's Mental Health NHS Trust Type NHS Healthcare Organisation Region London

Overall rating: Not Yet Rated  View full CQC report

Domain ratings

Five CQC key questions
Safe
Not Yet Rated
Effective
Not Yet Rated
Caring
Not Yet Rated
Responsive
Not Yet Rated
Well-led
Not Yet Rated

Earlier inspection findings

pre-2024 framework · 2 must-do 3 should-do

Must-do actions (2)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 2
Must do
Safe
Ensure that suitable storage, recording and monitoring systems are in place to ensure medications are handled safely and appropriately.
Regulation: Regulation 13 HSCA 2008 (Regulated Activities) Regulations 2010 Management of Medicines
⚠ People were not protected against the risks associated with medicines because the provider did not have appropriate arrangements in place to record medicines administered. The reasons why sedative drugs prescribed ‘as required’ were given were not recorded in people’s records. This means that we could not be assured that people …
Must-do action 2 of 2
Must do
Caring
On Azaleas, access to the bathroom and toilet required female patients' to walk through an area for male patients. The trust must ensure that these arrangement comply with Delivering same sex accommodation in mental health and learning disability service: Briefing from the NHS Confederation (January 2010).
Regulation: Regulation 9 HSCA 2008 (Regulated Activities) Regulations 2010 Care and welfare of people who uses services
⚠ This regulation was not being met as patients were not always cared for in an environment that assured their safety and welfare. On Azaleas, while there were separate sleeping areas and toilets for male and female patients', access to the bathroom and toilet required female patients' to walk through an …

Should-do actions (3)

Recommended improvements to enhance service quality.

Should-do action 1 of 3
Should do
Effective
Ensure that specialist training is provided to all staff working in specialist areas of the trust.
Should-do action 2 of 3
Should do
Safe
Develop and implement the falls recording and learning system to ensure that falls are recorded and learning is put into practice.
Should-do action 3 of 3
Should do
Caring
Develop the electronic patient notes system to ensure that is supports and evidences true patient involvement in the planning of their care.

Location details

CQC ID: RQY08
Local authority: Kingston upon Thames
Region: London

Inspection report

Type: Location
Date: 6 December 2014
Actions: 2 must-do 3 should-do
AI-extracted 3 Jun 2026