Source · CQC inspection
The Royal London Hospital
Type NHS Healthcare Organisation
Region London
Last inspected 15 Nov 2022
Overall rating: Requires Improvement View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement
Earlier inspection findings
Must-do actions (12)
Must-do action 1 of 12
Must do
Safe
The service must ensure that staffing in triage is effectively monitored, and that clinical staff are supported with the clerical tasks to support the recording of arrival times and patient demographics when women and pregnant people arrive for care.
Must-do action 2 of 12
Must do
Safe
The service must ensure that there is a ‘round the clock’ supernumerary shift coordinator on labour ward.
Must-do action 3 of 12
Must do
Safe
The service must ensure that pharmacy provision is increased, and that all medication is stored safely so that it is tamperproof.
Must-do action 4 of 12
Must do
Safe
The trust must implement an appropriate triage system and it is monitored within set times frames.
Must-do action 5 of 12
Must do
Safe
The trust must ensure that GapGrow practice reflects national guidance all the time
Must-do action 6 of 12
Must do
Well-led
Leaders must ensure that it improves its digital care record systems to make sure that patient records are completed contemporaneously, and data is accessible across the trust and stored safely.
Must-do action 7 of 12
Must do
Well-led
The service must ensure that patient records are stored securely and monitor staff compliance to this. in line with the general data protection act.
Must-do action 8 of 12
Must do
Safe
The service must ensure that that there is a clear guideline for storing and handling fetal remains and monitor its effectiveness.
Must-do action 9 of 12
Must do
Well-led
The service must ensure that it completes thorough reviews of serious incidents to ensure that all incidents are categorised in line with national guidance to improve long term outcomes for mothers and babies.
Must-do action 10 of 12
Must do
Safe
The trust should ensure that there are enough suitably qualified competent staff to meet the needs of the service.
Must-do action 11 of 12
Must do
Safe
The service must ensure that they complete a risk assessment about the lack of resuscitaires in each room to mitigate the risk of delays in emergency care.
Must-do action 12 of 12
Must do
Well-led
The service must ensure that staff receive their annual appraisal within trust target and that staff are given time to complete their mandatory training to improve staff morale.
Should-do actions (9)
Should-do action 1 of 9
Should do
Well-led
The trust should ensure that clinical staff receive clerical support to ease the non-clinical burden.
Should-do action 2 of 9
Should do
Well-led
The service should ensure that it completes thorough reviews of all serious incident to ensure that all incidents are categorised in line with national guidance to improve long term outcomes for mothers and babies.
Should-do action 3 of 9
Should do
Safe
The service should ensure that they make the implementation of centralised cardiotocograph (CTG) monitoring a priority in line with national guidance.
Should-do action 4 of 9
Should do
Safe
The service should ensure that it implements RAG rated newborn risk assessments completed at birth to identify those babies most at risk and ensure that staff provide the correct level of care to reduce admissions to the neonatal unit.
Should-do action 5 of 9
Should do
Safe
The service should ensure that clinical staff complete all aspects of the SBAR tool.
Should-do action 6 of 9
Should do
Safe
The service should ensure that triage wait times are monitored effectively.
Should-do action 7 of 9
Should do
Safe
Should consider introducing human factors training is included in the multi-professional skills and drills training in line with the Ockenden immediate and essential actions.
Should-do action 8 of 9
Should do
Effective
The service should consider allocating antenatal staff longer appointment times to make sure that women are risk assessed at each appointment and staff have time to record this.
Should-do action 9 of 9
Should do
Well-led
Leaders should ensure that all staff receive their annual appraisal on time.