Source · CQC inspection
Southmead Hospital
Provider North Bristol NHS Trust
Type NHS Healthcare Organisation
Region South West
Last inspected 6 Nov 2024
Overall rating: Good View full CQC report
Domain ratings
Safe
Good
Effective
Good
Caring
Outstanding
Responsive
Requires Improvement
Well-led
Outstanding
Current CQC assessment
Good
The service is performing well and meeting our expectations.
Ratings by service
Medical care (Including older people's care)
Good
Surgery
Good
Earlier inspection findings
Should-do actions (10)
Should-do action 1 of 10
Should do
Safe
The service should ensure that it improves safeguarding training compliance for medical staff, especially doctors in training.
Should-do action 2 of 10
Should do
Safe
The service should ensure that all areas are visibly clean, and cleaning takes place on Percy Phillips ward in line with cleaning schedules.
Should-do action 3 of 10
Should do
Safe
The service should ensure all staff complete daily checks of emergency equipment.
Should-do action 4 of 10
Should do
Safe
The service should ensure fridges used for storage of items other than medicines are maintained in line with manufacturers guidance and temperatures are checked daily.
Should-do action 5 of 10
Should do
Well-led
The service should ensure that triage wait times audits include data for wait times for a medical review so the service has full oversight.
Should-do action 6 of 10
Should do
Safe
The service should ensure that it continues to maintain the safe storage and monitoring of medication throughout the unit.
Should-do action 7 of 10
Should do
Well-led
The service should ensure the occurrence of medical ward rounds is recorded using an appropriate audit tool.
Should-do action 8 of 10
Should do
Well-led
The service should ensure that potential patient safety events are reported to external systems such as the Learning from Patient Safety Events or National Reporting and Learning System.
Should-do action 9 of 10
Should do
Effective
The service should act to reduce the number of women experiencing third and fourth degree tears at birth.
Should-do action 10 of 10
Should do
Responsive
The service should continue to make improvements to the induction of labour process, to minimise delays to women and birthing people once the induction of labour has started.