Window to the Womb Reading

We found a breach of the legal regulations related to governance, Regulation 17 as some areas of governance were not sufficiently robust to ensure effective oversight of the service. The hand washing sink, was not risk assessed to ensure it was solely used for hand washing. Incident and complaint files did not include follow up information and some policies contained irrelevant information.

The culture at the service was open and honest. Staff enjoyed working at the clinic and were overwhelmingly positive about their immediate leadership team. Staff felt empowered to make suggestions and felt able to contact the service Freedom to Speak Up Guardian if they had an issue or concern. All staff were aware of the services vision.