Source · CQC inspection

Crowborough Birthing Centre

Provider Maidstone and Tunbridge Wells NHS Trust Type NHS Healthcare Organisation Region South East Last inspected 16 Feb 2024

Overall rating: Requires Improvement View full CQC report

Domain ratings

Five CQC key questions

Safe

Requires Improvement

Effective

Not Yet Rated

Caring

Not Yet Rated

Responsive

Not Yet Rated

Well-led

Requires Improvement

Earlier inspection findings

pre-2024 framework · 4 must-do 6 should-do

Must-do actions (4)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 4

Must do

Safe

The service must ensure that staff complete mandatory evacuation of the pool skills and drills training.

Regulation: Regulation 12

⚠ Staff on the unit told us they had not had any poolevacuation orbabyabductionskillstraining at the birthing centre.

Must-do action 2 of 4

Must do

Well-led

The service must ensure all policies and procedures are up to date and in line with best practice.

Regulation: Regulation 17

⚠ Staff did not follow up-to-date policies to plan and deliver high quality care according to evidence-based practice and national guidance, and leaders did not always monitor policy review dates. For example, we found the following policies were out of date. Criteria for giving birth in the birth centre or at …

Must-do action 3 of 4

Must do

Well-led

The service must ensure the governance processes and informationsystems fully identify and manage incidents, risks, and performance to reduce the recurrence of incidents and harm.

Regulation: Regulation 17

⚠ The maternity service governance processes and information systems did not fully identify and manage incidents, risks, and performance to reduce the recurrence of incidents and harm.

Must-do action 4 of 4

Must do

Well-led

The service must ensure it completes regular clinical audits to demonstrate compliance to the Clinical Negligence Scheme for Trusts and Saving Babies lives care bundles.

Regulation: Regulation 17

⚠ There was a lack of clinical audit to check any improvement needed had been achieved.

Should-do actions (6)

Recommended improvements to enhance service quality.

Should-do action 1 of 6

Should do

Safe

The service should ensure it continues to improve staff compliance to mandatory skills and drills training.

Should-do action 2 of 6

Should do

Safe

The service should ensure it completes a simulated baby abduction training to ensure baby safety within the unit.

Should-do action 3 of 6

Should do

Safe

The service should ensure they have enough maternity staff deployed to keep women and birthing people safe from harm.

Should-do action 4 of 6

Should do

Safe

The service should ensure all fridges containing medicines or solutions should be kept locked and secure.

Should-do action 5 of 6

Should do

Safe

The service should ensure all women and birthing people booked into Crowborough Birthing Centre from the local NHS trust are put on to the electronic bookings system.

Should-do action 6 of 6

Should do

Well-led

The service should review incidents related to health inequalities.