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Some of the ratings of services provided at Liverpool Women's Hospital shown on this page are no longer relevant. Our latest ratings of specific services offered at the hospital are:

  • End of life care: Good  
  • Neonatal services: Good  
  • Gynaecology: Requires improvement  
  • Maternity: Good  

The other service ratings are from areas we now inspect as part of these. We will update this page to reflect this soon.

Read the latest inspection report for Liverpool Women’s Hospital.

All reports

Inspection report

Date of Inspection: 7, 8 July 2013
Date of Publication: 18 September 2013
Inspection Report published 18 September 2013 PDF | 86.66 KB

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Not met this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 7 July 2013 and 8 July 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff, reviewed information given to us by the provider and reviewed information sent to us by local groups of people in the community or voluntary sector. We took advice from our specialist advisors, were accompanied by a specialist advisor and used information from local Healthwatch to inform our inspection.

Our judgement

People were cared for by staff who were not always fully supported to deliver care and treatment to an appropriate standard.

Reasons for our judgement

Staff were not always supported in their roles and responsibilities and professional development. During discussions with women and their partners and relatives we asked them a range of questions about staff on the maternity ward including whether they felt confident in the skills and abilities of the staff. All of the people we spoke with gave us very positive feedback and staff were described as skilled, professional, approachable and friendly. People’s comments included: “The staff are amazing” and “They have been really nice, I couldn’t fault them.”

Staff reported good team work between the different disciplines and staff we spoke with were clear about their roles and responsibilities and those of their colleagues. Staff told us that they thought the skill mix was good in that there were always staff with appropriate skills and experience on duty. We found during the course of the inspection that staff at different levels were approachable and engaging. Staff presented as knowledgeable, confident and competent in their roles and presented as passionate about their work and dedicated to providing good quality and safe care, support and treatment to women and their babies.

We found that the staff induction training programme for new staff was comprehensive. Staff told us they had undergone a period of induction to the trust when they commenced work. The induction involved orientation to the area of work they would be working in and two weeks of training in topics such as safeguarding, equality and diversity, infection prevention and control and clinical practice such as basic life support. One member of staff described a six week training and shadowing programme when they started work and this included working alongside staff with a range of roles and responsibilities. Staff told us that they received additional training on aspects of clinical care following their induction and in line with their roles and responsibilities.

Staff told us that an appraisal of their work / professional development review (PDR) was carried out with them on an annual basis. A number of staff told us their last PDR appraisal was over two years ago and one person told us that they had to cancel a recent appraisal meeting because they hadn’t had the time to attend it. At our last inspection the trust reported that 80% of staff had undergone a review of their performance in the previous twelve months. The trust was asked to provide information on the current level of PDR achieved for staff on the maternity unit. This indicated that in May 2013 64% of staff were up to date with PDR. Therefore 36%, or over one in three members of staff did not have a current PDR. The figure for the trust overall was that 71% of staff had undergone a PDR within the past 12 months.

Staff did do not have any formal supervision sessions in between PDRs other than team meetings. Staff told us that the last three team meetings had been cancelled as a result of staff shortages. Staff did however report good communication on the ward. Each day a ‘briefing’ meeting for all staff took place at handover. The ward manager told us that they attended quality meetings every week and the outcomes from these meetings were discussed at the daily handover in the form of a daily brief to staff.

The supervision of midwives is a statutory function delivered by NHS England as the Local Supervisory Authority (LSA) which ensures that every midwife practicing in England is in receipt of appropriate support and guidance from a named supervisor of midwives (SoM). Midwives confirmed that they had regular and annual supervision with their supervisor. One person told us the last time they had an official meeting with their supervisor of midwives was over twelve months ago but generally the midwives told us that they had been able to achieve the requirement to meet their supervisor once per year. We heard from midwives that they felt that staffing shortages were making it difficult for superv