Source · CQC inspection
UHBW Bristol Campus
Provider University Hospitals Bristol and Weston NHS Foundation Trust
Type NHS Healthcare Organisation
Region South West
Last inspected 1 Aug 2025
Overall rating: Requires Improvement View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Good
Caring
Outstanding
Responsive
Good
Well-led
Outstanding
Current CQC assessment
Requires Improvement
The service is not performing as well as it should and we have told the service how it must improve.
Ratings by service
Urgent and emergency services
Requires Improvement
Urgent and emergency services
Requires Improvement
Regulatory breaches & enforcement
Breaches identified (2)
Breach
Overall
This assessment was to follow up on actions the service had taken after we identified breaches of 2 legal regulations at our last assessment in June 2024.
Breach
Safe
We found 2 breaches of legal regulations in relation to safe care and treatment and safe staffing.
Earlier inspection findings
Must-do actions (4)
Must-do action 1 of 4
Must do
Safe
The service must ensure staff complete daily checks of emergency equipment.
Must-do action 2 of 4
Must do
Safe
The service must ensure medical staff have completed an appropriate level of safeguarding training to carry out their duties.
Must-do action 3 of 4
Must do
Safe
The service must ensure that 'red flag' midwifery staffing incidents are monitored effectively, including delays to induction of labour, in line with national guidance.
Must-do action 4 of 4
Must do
Well-led
The service must ensure incidents are reviewed in a timely manner.
Should-do actions (8)
Should-do action 1 of 8
Should do
Safe
The service should ensure that 'red flag' midwifery staffing incidents are monitored in line with national guidance.
Should-do action 2 of 8
Should do
Safe
The service should ensure that hand hygiene audits are completed every month.
Should-do action 3 of 8
Should do
Responsive
The service should ensure timeliness of doctor review in maternity triage.
Should-do action 4 of 8
Should do
Responsive
The service should ensure there is a dedicated maternity triage phoneline.
Should-do action 5 of 8
Should do
Effective
The service should complete record audits to ensure the quality of record keeping in maternity services.
Should-do action 6 of 8
Should do
Safe
The service should ensure staff are aware of the location of ligature cutters.
Should-do action 7 of 8
Should do
Safe
The service should ensure there are enough midwifery staff to provide a full range of maternity choices including use of the midwifery-led unit.
Should-do action 8 of 8
Should do
Safe
The service should ensure emergency grab boxes are checked and ready for use.