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Kingston Hospital

Type NHS Healthcare Organisation Region London Last inspected 14 Dec 2022

Location rating: Good  View location on CQC

Location ratings by domain

Five CQC key questions

Ratings held for this CQC location under the inspection framework, last inspected 14 December 2022. Ratings extracted from individual reports are shown separately below.

Safe
Good
Effective
Good
Caring
Outstanding
Responsive
Good
Well-led
Good

Most recent report indexed for actions

The date and rating here are from an individual report, not necessarily the location's latest assessment. Report ratings are extracted with AI; verify the original PDF.

Type: Location
Date: 14 December 2022
Rating extracted from this report: Good
Actions indexed: 6 must-do 1 should-do

Read this inspection PDF

AI-extracted 2 Jun 2026

Earlier inspection findings

pre-2024 framework · 6 must-do 1 should-do

Must-do actions (6)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 6
Must do
Safe
staff are uptodate with maternity mandatory training modules.
Regulation: Regulation 12(1)(2)(c)
⚠ The service provided mandatory training in key skills to all staff, but staff were not uptodate with training updates. The summary maternity workforce training database for October 2022 showed all 14 maternity mandatory training modules were below 75% compliance against a trust target of 90%.
Must-do action 2 of 6
Must do
Safe
staff complete regular skills and drillstraining.
Regulation: Regulation 12(1)(2)(c)
⚠ Staff did not always complete regular skills and drills training. For example, the last birth pool evacuation training on the birth centre was in November 2019 and the trust did not provide evidence of a recent skills training to test the security of newborn infant’s policy.
Must-do action 3 of 6
Must do
Safe
the security of the unit is reviewed in line with national guidance.
Regulation: Regulation 12(1)(2)(a)(d)
⚠ The maternity unit was not fully secure. While there was a monitored buzzer entry system to the maternity unit. People then had access to the whole of the first-floor maternity unit which included unrestricted access to central delivery suite, the birth centre and maternity triage. It was possible to exit …
Must-do action 4 of 6
Must do
Safe
staff completedaily checksof emergency equipment.
Regulation: Regulation 12(1)(2)(a)(d)
⚠ Staff did not always complete daily safety checks of specialist equipment. For example, adult resuscitation equipment outside maternity theatres was not checked on several dates including the day of inspection. On day assessment unit the defibrillator had not been checked.
Must-do action 5 of 6
Must do
Safe
medical staffing for maternity triage is reviewed so there are sufficient numbers of suitably qualified, competent staff to deliver the service in line with national guidance.
Regulation: Regulation 18(1))
⚠ Staffing in maternity triage was not sufficient to fully implement an evidence-based, standardised risk-assessment tool for triage effectively as maternity triage was staff by only 1 midwife and there was no dedicated medical cover. Shortages of medical staff on maternity triage and day assessment unit impacted negatively on the safety …
Must-do action 6 of 6
Must do
Safe
staff have access to appropriate safeguarding supervision to carry out their duties
Regulation: Regulation 18(2)(a)
⚠ Midwives did not always receive safeguarding supervision on a quarterly basis. This was due to lack of trained staff to deliver safeguarding supervision as only 1 midwife was a trained supervisor and they worked 0.5 WTE.

Should-do actions (1)

Recommended improvements to enhance service quality.

Should-do action 1 of 1
Should do
Safe
The trust should ensure that paper and electronic records are stored securely.
Regulation: Regulation 17(2)(d)