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Conquest Hospital

Type NHS Healthcare Organisation Region South East Last inspected 25 Jan 2023

Location rating: Outstanding  View location on CQC

Location ratings by domain

Five CQC key questions

Ratings held for this CQC location under the inspection framework, last inspected 25 January 2023. Ratings extracted from individual reports are shown separately below.

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

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 January 2023
Rating extracted from this report: Outstanding
Actions indexed: 4 must-do 3 should-do

Read this inspection PDF

AI-extracted 3 Jun 2026

Earlier inspection findings

pre-2024 framework · 4 must-do 3 should-do

Must-do actions (4)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 4
Must do
Safe
The trust MUST make sure that a formal prioritisation risk assessment tool is introduced on the triage telephone line and in the day assessment unit to safely assess women and pregnant people.
Regulation: Regulation 12
⚠ Staff in the day assessment unit did not use a consistent approach to assessing risk and had not yet implemented a triage assessment tool in triage.
Must-do action 2 of 4
Must do
Safe
The trust MUST make sure women who were waiting to be seen within the day assessment unit have arrival times noted and are regularly reviewed with observations completed.
Regulation: Regulation 12
⚠ Midwives did not always record actual arrival times of all women, and women waiting in the corridor were not regularly reviewed with observations completed.
Must-do action 3 of 4
Must do
Safe
The trust MUST make sure medical and midwifery staff meet the trust target of 90% for safeguarding level 3 training.
Regulation: Regulation 12
⚠ Trust data showed training compliance for safeguarding level 3 was low, with midwives and maternity staff at 81%, consultants at 74%, and other doctors at 36%, all below the 90% target.
Must-do action 4 of 4
Must do
Safe
The trust MUST make sure it improves 90% trust target staff compliance for basic life support, blood transfusion and mental capacity act training so that it meets trust targets.
Regulation: Regulation 12
⚠ Midwifery staff compliance for basic life support was 66% and blood transfusion training was 68%. Medical staff compliance for basic life support was 40% and mental capacity act training was 55%, all below the 90% trust target.

Should-do actions (3)

Recommended improvements to enhance service quality.

Should-do action 1 of 3
Should do
Well-led
The trust SHOULD make sure there is a standard operating procedure for the day assessment unit and for staff to be aware of the guidelines.
Should-do action 2 of 3
Should do
Safe
The trust SHOULD makes sure all medicines are stored securely and safely.
Should-do action 3 of 3
Should do
Well-led
The trust SHOULD make sure all incidents are reviewed within 72 hours.