Source · CQC inspection

King's Mill Hospital

Type NHS Healthcare Organisation Region East Midlands Last inspected 23 Feb 2023

Overall rating: Outstanding View full CQC report

Domain ratings

Five CQC key questions

Safe

Good

Effective

Good

Caring

Outstanding

Responsive

Good

Well-led

Outstanding

Earlier inspection findings

pre-2024 framework · 2 must-do 4 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 trust must ensure staff complete mandatory, safeguarding and maternity specific training in line with the Trust’s own target.

Regulation: Regulation 12 (1)(2)

⚠ Not all staff had completed mandatory training. Not all staff were compliant with safeguarding training, and staff did not always receive training specific for their role on how to recognise and report abuse.

Must-do action 2 of 2

Must do

Safe

The trust must ensure they implement a robust system in maternity triage to include escalation process, monitoring and documentation.

Regulation: Regulation 12(1)(2)

⚠ The use of risk assessments in triage was inconsistent, and systems and processes had the potential to lead to delays in women being assessed and their needs escalated. Not all staff were aware of what systems they should be using in triage. Escalation of clinical concerns was not always clearly …

Should-do actions (4)

Recommended improvements to enhance service quality.

Should-do action 1 of 4

Should do

Safe

The trust should ensure all medicines are stored safely and appropriately in line with trust policy.

Should-do action 2 of 4

Should do

Well-led

The trust should continue to implement their new electronic system. To support auditing the quality of the service.

Should-do action 3 of 4

Should do

Well-led

When issues are identified from audits action is taken further auditing cycles are undertaken to demonstrate if improvements and changes in practice have improved patient outcomes and improved practice.

Should-do action 4 of 4

Should do

Well-led

Leaders should continue to implement improvements to how they effectively communicate any changes in service provision with staff.