Real-time decoding is a major bottleneck in scaling quantum error correction (QEC) from noisy intermediate-scale quantum (NISQ) devices to fault-tolerant quantum computing. We present an adaptive confidence-gated decoding framework for the rotated surface code that treats decoding as a two-stage inference problem. A lightweight feed-forward neural network performs fast-path decoding for the majority of syndrome measurements, while only low-confidence predictions are escalated to a minimum-weight perfect matching (MWPM) refinement stage. We benchmark the framework on rotated surface codes with distances $d \in \{3,5,7,9,11\}$ under circuit-level depolarising noise using the Stim stabiliser simulator. The evaluation characterises logical accuracy, confidence-controlled accuracy-latency trade-offs, decoding throughput, per-shot latency, and decoding-graph resource scaling. Routing only 3.3%-6.2% of syndromes to the refinement stage improves logical accuracy from 99.21% for the neural-only baseline to 99.81% at a confidence threshold of 0.95 while incurring only a bounded increase in average decoding cost. Neural-decoder throughput saturates near $4.6 \times 10^{5}$ samples s$^{-1}$ at batch size 512 on commodity CPU hardware, indicating that the neural fast path is not the dominant throughput bottleneck beyond code distance $d=7$. We release the complete benchmarking pipeline, trained models, raw benchmark data, and source code, and explicitly distinguish the experimentally validated contributions from the broader hardware-aware QEC co-design roadmap, including hardware-constrained code discovery, GPU-accelerated inference, and multi-noise optimisation, which remain directions for future work.

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