Maternity services at Nottingham University Hospitals Trust have been downgraded to inadequate over safety fears by the care watchdog the Care Quality Commission.
The regulator has taken enforcement action against Nottingham University Hospitals Trust, including imposing conditions on the trust and issuing it with a formal warning notice.
Tracy Taylor, chief executive at the trust, said: “We want to provide the best maternity services for local people, and the priority of our maternity team is to provide safe care to the families they come into contact with every day but we know we haven’t always got this right, and we are very sorry.
“We accept the report from the CQC and have already made some immediate changes and will continue to make further improvements.”
Summary of the reports findings below:
Our overall rating of this service went down. We rated it as inadequate because:
• Staff had not completed training in key skills and did not always understand how to keep women and babies safe. The service did not always have enough midwifery staff to keep women and babies safe and provide the right care and treatment. Staff did not always risk assess women appropriately and in line with national and local guidance, and records were not always well maintained. Incidents were not always reported due to clinical demands on staff and the ineffective feedback and escalation, and lessons were not being learnt.
• There was limited evidence of managers monitoring the effectiveness of care and treatment and driving improvement. Managers did not ensure all staff were competent for their role.
• Leaders did not have the skills and abilities to effectively lead the service. The service did not have an open culture where staff felt confident raising concerns without fear. Leaders did not operate an effective governance process to continually improve the quality of the service and safeguard the standards of care.
• The service mostly had enough medical staff with the right qualifications, skills, training and experience to keep women and babies safe from avoidable harm.
• Doctors, midwives, nurses and other healthcare professionals worked together as a team to benefit women. They supported each other to provide good care.
• Staff were focused on the needs of women receiving care despite the challenges they faced. The service promoted equality and diversity in daily work.