Source · CQC inspection
Calderdale Royal Hospital
Provider Calderdale and Huddersfield NHS Foundation Trust
Type NHS Healthcare Organisation
Region Yorkshire & Humberside
Last inspected 27 Aug 2026
Location rating: Requires Improvement View location on CQC
Location ratings by domain
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Good
Well-led
Requires Improvement
CQC assessments indexed
Requires Improvement
The service is not performing as well as it should and we have told the service how it must improve.
Ratings by service
Outpatients
Good
Medical care (Including older people's care)
Requires Improvement
Urgent and emergency services
Requires Improvement
Regulatory breaches & enforcement
Breaches identified (9)
Breach
Well-led
We also found breaches in regulation 17 (good governance) relating to inconsistent record keeping on the electronic patient record and non adherence to trust policy.
Breach
Safe
We found new breaches in regulation 12 (safe care and treatment), regulation 18 (staffing) relating to safe staffing.
Breach
Well-led
We also found breaches in regulation 17 (good governance) relating to inconsistent record keeping on the electronic patient record and nonadherence to trust policy.
Breach
Safe
However, we found continued breaches of legal regulations in relation to regulation 12 safe care and treatment relating to mandatory and safeguarding training compliance and medicines management (see specific headers for summary).
Breach
Overall
We identified new breaches of regulation.
Breach
Overall
We found continued breaches of regulations in relation to recording and administration of medicines and the management of patients presenting with poor mental health.
Breach
Safe
The service was in breach of the legal regulations relating to Staffing, Safe Care and Treatment, Consent and Good Governance.
Breach
Safe
We found one breach of regulation relating to premises and equipment at this assessment.
Breach
Overall
After our completed assessment, we issued the trust the following breach of regulation; The trust must ensure all outpatient environments, equipment and staff facilities are appropriate for the delivery of safe care.
Most recent report indexed for actions
Type: Location
Date: 25 August 2023
Rating extracted from this report: Good
Actions indexed:
2 must-do
5 should-do
AI-extracted 2 Jun 2026
Earlier inspection findings
Must-do actions (2)
Must-do action 1 of 2
Must do
Safe
The service must ensure all staff are up to date with all relevant training, such as training around the emergency evacuation of the birthing pools on the labour ward for midwifery staff and safeguarding level 3 training for all medical staff.
Must-do action 2 of 2
Must do
Safe
The service must ensure there are at all times sufficient numbers of suitably qualified staff to meet the needs of women, birthing people and babies across the maternity service.
Should-do actions (5)
Should-do action 1 of 5
Should do
Safe
The service should ensure that they continue to monitor and drive improvement around compliance with documentation such as CTG fresh eyes and MEOWS.
Should-do action 2 of 5
Should do
Caring
The service should consider the location of the bereavement room as part of planned reconfiguration works in line with best practice guidance and the feedback and fundraising efforts of the local community.
Should-do action 3 of 5
Should do
Safe
The service should consider the regular reviews of ligature risk assessments across the service.
Should-do action 4 of 5
Should do
Well-led
The service should continue to improve on the appraisal rates for all staff.
Should-do action 5 of 5
Should do
Well-led
The service should continue to develop systems to ensure policies reflect current evidence-based best practice.