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Basildon University Hospital

Inspection Summary


Overall summary & rating

Updated 19 November 2020

Inspection areas

Safe

Updated 19 November 2020

Effective

Updated 19 November 2020

Caring

Updated 19 November 2020

Responsive

Updated 19 November 2020

Well-led

Updated 19 November 2020

Checks on specific services

Maternity

Inadequate

Updated 19 November 2020

  • Staff did not always complete training in key skills, they did not identify and escalate safety concerns appropriately. The service did not always have enough staff to keep women safe and to provide the right care and treatment. Multidisciplinary team working continued to be dysfunctional which had impacted on further safety incidents reported. The service did not always use systems and processes to safely prescribe, administer and record medicines. Incidents were not always graded correctly according to the level of harm and lessons learnt were not being implemented fully. Staff collected safety information, but it was not routinely shared with women and visitors. However, staff kept detailed records of women’s care and treatment in line with good practice and records were stored securely.
  • Staff did not always work well together. Some staff did not feel able to approach some colleagues which was not to the benefit of women and babies. There was poor structure to the safety handover on the delivery suite and confusion to what constituted a safety huddle.
  • Leaders did not have the skills and abilities to effectively lead the service. The pace of change was ineffective, and the service did not operate effective governance processes. The service did not have an open culture where staff could raise concerns without fear of reprisal. Leaders and teams did not always use systems to manage performance effectively.