Hey Baby 4D Hull

We rated this location as requires improvement because:

• The service did not have clear training records which included all staff. It did not ensure all staff had completed safeguarding training, which included female genital mutilation (FGM) awareness training. There were significant safety concerns found in the kitchen and staff were not trained to check the safety of a helium gas cylinder. The service did not complete risk assessments for supplying women with nutritional supplements.
• Although the manager collected audit data of performance metrics, the service did not always use these results to understand performance, make decisions and improvements or achieve good outcomes for women. They did not always make sure staff were competent for their roles.
• The service did not always operate effective governance processes. We found discrepancies within staff records. For example, the list of employed staff did not match with the personnel and training records. We found differences between the training audits and training requirements listed for each staff.
• The manager did not always identify risks or recognise associated actions to reduce their impact. The service did not have a process to safely supply, track, or store nutritional supplements. It did not have a vision for what it wanted to achieve or a strategy to turn it into action. Policies were not always version controlled and did not always reflect current operational procedures.

However:

• The service provided mandatory training to cover all key skills to staff. It had enough staff to care for women and keep them safe, kept good care records and staff understood how to protect women from abuse. The service controlled infection risk well, managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment and worked well together for the benefit of women. They advised women on how to lead healthier lives, supported them to make decisions about their care, and had access to good information.
• Staff treated women with compassion and kindness, provided emotional support and respected their privacy and dignity. They helped women understand their scan results.
• The service planned care to meet the needs of local people who could access the service when they needed it and provided same day scan results. Staff took account of women's individual needs and women were encouraged to leave feedback.
• The manager supported staff to develop their skills. Staff felt respected and valued. They were focused on the needs of women receiving care and were committed to improving services continually. They were clear about their roles and accountabilities. The service engaged well with women to plan and manage services.