Source · CQC inspection
Addenbrooke's and the Rosie Hospitals
Type NHS Healthcare Organisation
Region East
Last inspected 4 Sep 2023
Overall rating: Good View full CQC report
Domain ratings
Safe
Good
Effective
Good
Caring
Outstanding
Responsive
Requires Improvement
Well-led
Outstanding
Earlier inspection findings
Must-do actions (1)
Must-do action 1 of 1
Must do
Safe
The trust must ensure that there are enough suitably qualified competent staff to meet the needs of the service and any shortfall is mitigated as much as possible.
Should-do actions (13)
Should-do action 1 of 13
Should do
Safe
The trust should ensure that medical staffing in triage is reviewed and improved to deliver care in safe time frames and complete regular audits on waiting times for doctor reviews.
Should-do action 2 of 13
Should do
Safe
The service should ensure that it makes improvements to the induction of labour process so that women and pregnant people do not experience the current level of delays cited in annual data.
Should-do action 3 of 13
Should do
Responsive
The service should ensure that it continues to make the necessary improvements and implement administrative staff to the triage area so that access and flow are improved especially in the afternoons and evenings.
Should-do action 4 of 13
Should do
Responsive
The trust should ensure that there is a designated ‘triage’ line so that women in the most need of help and advice are able to contact the service within safe time frames.
Should-do action 5 of 13
Should do
Responsive
The service should consider reviewing the signage to each department and consider changing the ward names, so they reflect the nature of each department.
Should-do action 6 of 13
Should do
Safe
The service should continue to look at strategies and training to improve the postpartum haemorrhage rate.
Should-do action 7 of 13
Should do
Effective
The service should ensure the electronic records management system had the ability to transfer electronic patient record from multiple systems and community and could be reorganised easily to meet the needs of patients.
Should-do action 8 of 13
Should do
Caring
The service should ensure appropriate prearranged translation service was available for non-English speaking women and birthing people.
Should-do action 9 of 13
Should do
Safe
The service should ensure to improve on their post-partum haemorrhage rates for both vaginal births and instrumental deliveries.
Should-do action 10 of 13
Should do
Safe
The service should ensure to improve on the commencement of planned inductions of labour.
Should-do action 11 of 13
Should do
Safe
The service should continue to improve staff compliance to completing VTE assessments in line with national guidance.
Should-do action 12 of 13
Should do
Safe
The service should ensure that it completes regular audits on compliance of fetal monitoring during labour.
Should-do action 13 of 13
Should do
Well-led
The service should improve staff training and appraisal rates to ensure staff are competent in their roles.