23 February 2023
During a routine inspection
We rated this location as requires improvement because:
- Mandatory training completion rates for patient safety was below the provider target.
- Storage of controlled drugs did not meet national guidance.
- Disposal of pregnancy remains was not respectful.
- Women did not receive treatment within the timeframes as stated in national guidance.
However:
- Staff understood how to protect women from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to women, acted on them and kept good care records. The service managed incidents well and learned lessons from them.
- Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of women.
- Staff treated women with compassion and kindness and respected their privacy and dignity. They provided emotional support to women and their families.
- The service planned care to meet the needs of local women, took account of women’s individual needs, and made it easy for women to give feedback.
- Staff understood the service’s vision and values. Staff felt respected, supported and valued. The service engaged well with women and the community to plan and manage services and all staff were committed to improving services.