Source · CQC inspection

Ludlow Community Hospital

Provider Shrewsbury and Telford Hospital NHS Trust Type NHS Healthcare Organisation Region West Midlands Last inspected 16 Aug 2017

Overall rating: Requires Improvement  View full CQC report

Domain ratings

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

Earlier inspection findings

pre-2024 framework · 3 must-do 3 should-do

Must-do actions (3)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 3
Must do
Safe
The trust must ensure patient records include all required information about the patient.
⚠ Patient records did not include all required information such as patient observations. We found that in one of the three patient records an early warning score was inaccurate due to missing observations, and in another, the early warning score was not recorded.
Must-do action 2 of 3
Must do
Safe
The trust must ensure there is an appropriate record of all medicines administered.
⚠ Not all records of medicine administration were up to date and accurate. Midwives had not consistently prescribed medicines given in labours, such as Entonox, on treatment charts, which is against medicines legislation and NMC practice standards.
Must-do action 3 of 3
Must do
Safe
The trust must review the risks relating to the environment of the MLU to ensure it is fit for the purpose of providing a homely environment for low risk women to give birth.
⚠ The environment was in poor condition, some equipment was not clean or dust free, and identified risks such as the poor condition of the building and possible infection risks were not adequately responded to in a timely way. The MLU did not fully reflect a 'home from home' environment, and …

Should-do actions (3)

Recommended improvements to enhance service quality.

Should-do action 1 of 3
Should do
Safe
The trust should ensure there is an effective system in place to keep Ludlow MLU clean and dust free.
Should-do action 2 of 3
Should do
Safe
The trust should ensure a record of the temperature where medicines are stored is maintained.
Should-do action 3 of 3
Should do
Well-led
The trust should ensure the unit safety dashboard is available and shared with staff.

Location details

CQC ID: RXWML
Local authority: Shropshire
Region: West Midlands

Inspection report

Type: Location
Date: 16 August 2017
Rating: Requires improvement
Actions: 3 must-do 3 should-do
AI-extracted 3 Jun 2026