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Barnsley Hospital

Type NHS Healthcare Organisation Region Yorkshire & Humberside Last inspected 1 Sep 2023

Overall rating: Good  View full CQC report

Domain ratings

Five CQC key questions
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Good
Well-led
Good

Earlier inspection findings

pre-2024 framework · 2 must-do 2 should-do

Must-do actions (2)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 2
Must do
Safe
The service must ensure staff are up to date with maternity mandatory training modules including safeguarding level 3 adults and children training.
Regulation: Regulation 12(1)(2)(c)
⚠ Compliance to safeguarding training was low, with not all staff having received training specific for their role on how to recognise and report abuse. Training records showed that only 66.6% of the maternity establishment had completed Level 3 safeguarding children training, and only 60.1% had completed safeguarding Level 3 adults …
Must-do action 2 of 2
Must do
Safe
The service should ensure midwifery staff have an annual appraisal to support their learning and development.
Regulation: Regulation 12(1)(2)(c)
⚠ Seventy percent of nursing and midwifery staff had a recent appraisal although it was not possible to know the exact number of midwives as the percentage was amalgamated with nursing staff for gynaecology.

Should-do actions (2)

Recommended improvements to enhance service quality.

Should-do action 1 of 2
Should do
Safe
The service should ensure staff check neonatal resuscitaires daily and replace any used or out-of-date stock or equipment immediately.
Should-do action 2 of 2
Should do
Well-led
The service should ensure they re-audit following completed action plans to address compliance gaps to policy.

Location details

CQC ID: RFFAA
Local authority: Barnsley
Region: Yorkshire & Humberside

Inspection report

Type: Location
Date: 1 September 2023
Rating: Good
Actions: 2 must-do 2 should-do
AI-extracted 2 Jun 2026

Related PFD reports

2020-0231 — Carolyne Senior (Nov 2020)
2016-0368 — Captain James Bedforth (Oct 2016)