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Inspection Summary


Overall summary & rating

Good

Updated 14 March 2018

Our rating of services stayed the same. We rated them as good.

A summary of this hospital appears in the overall summary above.

Inspection areas

Safe

Good

Updated 14 March 2018

Effective

Good

Updated 14 March 2018

Caring

Good

Updated 14 March 2018

Responsive

Good

Updated 14 March 2018

Well-led

Good

Updated 14 March 2018

Checks on specific services

Maternity and gynaecology

Good

Updated 14 March 2018

Our rating of this service stayed the same. We rated it as good because:

  • The service had enough staff with the right qualifications, skills, training and experience to keep people safe from avoidable harm and abuse, and to provide the right care and treatment.
  • The service managed patient safety incidents well. Staff recognised incidents and reported them appropriately. Managers investigated incidents and shared lessons learned with the whole team and the wider service. When things went wrong, staff apologised and gave women and families honest information and suitable support
  • The service provided care and treatment based on national guidance and evidence of its effectiveness. Managers checked to make sure staff followed guidance, which was up to date.
  • Staff gave patients enough food and drink to meet their needs and improve their health. Women had access to snacks and light meals as they required. The service made adjustments for patients’ religious, cultural and other preferences.
  • Staff understood and respected the personal, cultural, social and religious needs of people and considered these when caring and supporting for women and families.
  • Staff cared for women and babies with compassion. Feedback from women confirmed that staff treated them well and with kindness, with almost all women providing positive feedback in Friends and Family test scores.
  • Services provided at St Mary’s Birth Centre reflected the needs of the population served and they ensured flexibility, choice and continuity of care.
  • St Mary’s Birth Centre provided extended postnatal care to all women, regardless of whether their babies had been born there. This was of particular benefit to women with complex needs, for example those with physical disabilities or mental health conditions.
  • Managers across the service promoted a positive culture that supported and valued staff, creating a sense of common purpose based on shared values. Staff felt valued and proud of the work they did.
  • The service had effective governance systems and identified risks, planning to eliminate or reduce them, and coping with both the expected and unexpected. The risk register was reviewed regularly and managers had a good understanding of the risks within the centre.

However:

  • The service had suitable premises; however, not all equipment had evidence of recent servicing.
  • Staff felt they were not kept well-informed about the decision making processes for St Mary’s Birth Centre and did not feel that local women had been sufficiently engaged in the process. Although the Maternity Services Liaison Committee was still active women’s representation was minimal. The Leicestershire National Maternity Voices group had not been developed.
  • We were not assured the profile of maternity services was sufficiently high at board level.