Worcestershire Royal Hospital rating now good following CQC inspection of critical care

Published: 17 May 2024 Page last updated: 17 May 2024

The Care Quality Commission (CQC) has found improvements in the critical care service at Worcestershire Royal Hospital, run by Worcestershire Acute Hospitals NHS Trust, following an inspection in December.

This inspection was carried out as part of CQC’s continual checks on the safety and quality of healthcare services.

Critical care’s overall rating improved from requires improvement to good, which is the same for being safe, responsive and well-led. It was again rated good for being effective and caring.

Worcestershire Royal Hospital’s overall rating remains requires improvement.

The trust’s rating has not changed following the inspection, remaining requires improvement overall.

Charlotte Rudge, CQC deputy director of operations in the midlands, said:

“When we inspected the critical care service at Worcestershire Royal Hospital, we found a service where leaders and staff were working together well to ensure people received good care and there was a positive culture within the service.

“Leaders collaborated with partner organisations to help improve services. For example, the trust worked with in partnership with a local Aspergers Syndrome support group to find out how they could improve this community’s experience of critical care and worked with other local partners to develop an Autism policy for the trust.

“We found staff treated people with compassion and kindness. They took time to support people and their relatives and to understand what was important to them, ensuring they retained what was special in their lives.

“Additionally, staff built trusting relationships with people and their relatives, giving them help, emotional support and advice when they needed it. The nature of a critical care unit means that people can’t always be involved in decisions about their care. However, whenever possible, relatives were consulted on their loved ones’ care and their views were considered.

“Staff should be extremely proud of the care they’re providing to people using the service and their families. Other providers of similar services should look at this report to see if there’s anything they can learn.”

Inspectors found:

  • The service had enough staff to care for people and keep them safe
  • Staff had training in key skills, understood how to protect people from abuse, and managed safety well
  • The service controlled infection risk well
  • Staff mostly assessed risks, acted on them and kept good care records
  • Medicines were managed well
  • The service managed safety incidents well and learned lessons from them
  • Managers monitored the effectiveness of the service and made sure staff were competent
  • Staff felt respected, supported and valued. They were focused on the needs of people receiving care


  • The trust was not always compliant with national guidance
  • People weren’t always discharged in a timely way due to capacity across the hospital
  • There had been a delay submitting and validating the Intensive Care National Audit and Research Centre data which meant information about performance and benchmarking the service was not assured.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.