Due to the challenges COVID-19, compliance rates with this training was low.
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Not all staff received training specific for their role on how to recognise and report abuse. Whilst there were pockets of good incident reporting, learning and some improvements, this wasn’t consistent. The service did not have enough staff to care for women and keep them safe. Home births were being cancelled and women’s planned care and treatment was delayed due to staffing issues. Throughout both maternity departments, inspectors found there were concerns around women’s access to services and the assessment of risk once they were seen. Hospital trust apologises after admitting it 'let down' family of baby who died They also did not feel assured that staff reported all incidents and near misses, and workers did not always receive feedback. Staff did not always keep good care recordsĪcross the sites, inspectors found that staff did not always keep good care records and did not always manage medicines well. “Staff did not always assess all risks to women, and we were not assured staff acted upon concerns in a timely way.” Not all staff had training in key skills. This includes seeing women quickly if they attend the units because they were concerned.Īt both maternity units, the CQC concluded that while staff tried to provide good care: “The service did not have enough staff to care for women and keep them safe. The CQC has taken enforcement action by issuing a warning notice in relation to how the trust is managing observations of women, with basic checks not being carried out that would tell if a woman was deteriorating. Nottingham University Hospitals NHS Trust Credit: Emma Coles/PA The rating for being effective has gone up from inadequate to requires improvement, being responsive has gone down from good to requires improvement and caring remains good. In its new reports, the CQC said overall maternity services at the two Nottingham sites remained inadequate and were also inadequate for being safe and well-led. To date, dozens of babies are believed to have died or been left with serious injuries as a result of care at the trust, which runs Nottingham City Hospital and Queen’s Medical Centre (QMC). Nottingham University Hospitals says it is working hard to make the necessary improvements but recognises it has "more to do". It follows unannounced inspections at the trust in March and comes as senior midwife Donna Ockenden was appointed to chair an independent inquiry into maternity issues at the trust. The latest inspection says both Nottingham City Hospital and Queen’s Medical Centre require improvement and maternity services at both sites remain rated inadequate overall.
The Care Quality Commission (CQC) told Nottingham University Hospitals NHS Trust it must make “significant and immediate improvements” to its maternity services as it said women and babies may not be safe.
A healthcare regulator has issued a safety warning to an NHS trust in Nottingham embroiled in a scandal over baby deaths.
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