- NHS hospital
Jessop Wing
Registration details
CQC register Jessop Wing to carry out these legally regulated activities. Contact us if you think Jessop Wing is operating services not listed here.
Type of service
- Community services - Healthcare
- Hospital
Service specialism
- Caring for adults under 65 yrs
- Caring for children (0 - 18yrs)
- Caring for people whose rights are restricted under the Mental Health Act
- Eating disorders
- Learning disabilities
- Mental health conditions
- Physical disabilities
- Sensory impairments
- Substance misuse problems
Local authority
Sheffield
Monitored services
CQC register Jessop Wing to carry out the following legally regulated services here:
Maternity and midwifery services
Ms Kirsten Amanda Major is responsible for these services.
Condition of this registration relating to carrying out this regulated activity
The registered provider must implement an effective system for managing and responding to patient risk to ensure all mothers and babies who attend Jessop Wing are cared for in a safe and effective manner and in line with national guidance.
The registered provider must operate an effective clinical escalation system to ensure every woman attending the Jessop Wing is triaged, assessed and streamlined by appropriately skilled and qualified staff
The registered provider must implement an effective risk and governance system on Jessop Wing which ensures that:
i. There is oversight at service, division and board level in the management of the maternity services;
ii. There are effective quality assurance systems in place to support the delivery of safe and quality care;
iii. Risk and occurrence of incidents are properly identified and managed, to include an effective system of recording actions taken and ensuring learning from any incidents;
iv. Serious incidents are reflected and reported correctly in line with national guidance and adequately investigated.
v. Ensuring learning is shared from the investigation.
vi. Incident grading is reviewed to ensure it is accurate and in line with national guidance.
The registered provider must implement an effective system on Jessop Wing to ensure that medical and midwifery staff have the qualifications, competence, skills and experience to care for and meet the needs of women and babies safely within all areas of the Maternity Services including any area where women are waiting to be seen. Training must include, but is not limited to, cardiotocograph (CTG) interpretation, to include Dawes Redman, and use of auscultation and multidisciplinary emergency skills training.
By 4pm on the 12 April 2021, in addition to a detailed action plan, the registered provider must provide the following:
i. A detailed plan of how it will ensure patients have an appropriate assessment of their health needs including risk assessments to reflect the care they require. The plan must identify how it will achieve this in the short to medium term, including any immediate actions taken.
ii. A detailed plan of how you will ensure patients are clinically prioritised and their health needs are managed appropriately. The plan must identify how you will achieve this in the short to medium term, including any immediate actions taken.
iii. Summary report of the actions taken to address the immediate risk to patients, this should include detailed evidence of how you will achieve and monitor this.
iv. Detailed plan of how you are routinely monitoring patient harm on the Jessop Wing – this should include documentary evidence such as governance framework, incidents, audits, performance data, meeting minutes, terms of reference of all relevant meetings and evidence of trust board oversight. This should include how it will be communicated with all staff.
v. A report providing details of the systems and processes that are implemented to comply with the conditions, for ensuring effective systems to ensure that medical and midwifery staff are suitably qualified, skilled and competent to care for and meet the needs of women and babies within all areas of the Maternity Services.
vi. The action plan must include assigned responsibilities, timelines for completion, measurable and appropriate actions.
By 4pm on the 12 May 2021 and thereafter on the 12th day of every month the registered provider must provide the following:
i. An updated copy the action plan that covers all conditions on your restriction that are contained within this notice.
ii. All reports written to provide assurance to the senior leadership team and/or trust board to demonstrate compliance with the conditions.
iii. Update on training figures, to include separated into each individual module of learning (including trust compliance figure)
iv. Maternity dashboard
Termination of pregnancies
Ms Kirsten Amanda Major is responsible for these services.
Family planning
Ms Kirsten Amanda Major is responsible for these services.
Treatment of disease, disorder or injury
Ms Kirsten Amanda Major is responsible for these services.
Assessment or medical treatment for persons detained under the Mental Health Act 1983
Ms Kirsten Amanda Major is responsible for these services.
Surgical procedures
Ms Kirsten Amanda Major is responsible for these services.
Diagnostic and screening procedures
Ms Kirsten Amanda Major is responsible for these services.
Management of supply of blood and blood derived products
Ms Kirsten Amanda Major is responsible for these services.