Let me describe a situation where your statement is true.
Let $X \subset \mathbb{P}^n$ be any smooth, projectively normal subvariety of the projective space and let $C(X)$ be the projecting cone over $X$, with vertex the point $p$. Then $C(X)$ is factorial (i.e. the coordinate ring of $C(X)$ is a UFD) if and only if the following condition holds:
(1) every irreducible codimension one subvariety of $X$ is cut out (scheme theoretically) by a hypersurface of the ambient space.
Since the localization of a noetherian UFD is still a UFD, this implies that if (1) holds then $C(X)$ is also locally factorial, i.e. the local ring at the vertex $\mathscr{O}_{X, p}$ is a UFD. Notice that the local rings at the smooth points are automatically UFDs, since they are regular local rings (Auslander-Buchsbaum theorem).
Condition (1) is satisfied in the following cases:
(1a) $X \subset \mathbb{P}^3$ is very general surface of degree $d \geq 4$ (Noether-Lefschetz theorem);
(1b) $X \subset \mathbb{P}^n$ is a smooth, complete intersection with $\dim X \geq 3$ (Lefschetz theorem on hyperplane sections);
(1c) $X$ is a Grassmannian embedded by the Plucker embedding.
One can also ask when $C(X)$ is analitically locally factorial, i.e. when the complete ring $\widehat{\mathscr{O}}_{X, p}$ is a UFD. By a theorem of Mori, this condition implies local factoriality, but in general the converse is not true. If (1) holds, a sufficient condition for analytic local factoriality is the following:
(2) $H^1(X, \mathscr{O}_X(n))=0$ for all $ n >0$.
Condition (2) is satisfied, for instance, when $X$ is a complete intersection and $\dim X \geq 2$.
For further details you can look at Lipman's paper Unique factorization in complete local rings, in Algebraic geometry (Proc. Sympos. Pure Math., Vol. 29, Humboldt State Univ., Arcata, Calif., 1974), pp. 531–546. Amer. Math. Soc., Providence, R.I., 1975.
The paper is freely available on the web.