15, 16 and 23 August 2023
During an inspection looking at part of the service
Pages 1 to 3 of this report relate to the hospital and the ratings of that location, from page 4 the ratings and information relate to maternity services based at Royal Derby Hospital.
We inspected the maternity service at Royal Derby Hospital as part of our national maternity services inspection programme. The programme aims to give an up-to-date view of hospital maternity care across the country and help us understand what is working well to support learning and improvement at a local and national level.
The Royal Derby Hospital provides maternity services to the population of Derby and the surrounding areas.
Maternity services at Royal Derby Hospital include antenatal, intrapartum (care during labour and delivery) and postnatal maternity care.
The maternity unit includes an obstetric consultant-led delivery suite, maternity pregnancy assessment unit, and a ward for antenatal and postnatal care. The alongside midwifery-led birth centre provides intrapartum care for women and birthing people who meet the criteria and are assessed to have lower risk pregnancies. The birth centre has four birthing rooms, one of which has a birthing pool. In the year January to December 2022 there were 5850 births at Royal Derby Hospital.
We carried out a short notice announced focused inspection of the maternity service, looking only at the safe and well-led key questions.
We will publish a report of our overall findings when we have completed the national inspection programme.
Our rating of this hospital went down. We rated it as Requires Improvement because:
- Our rating of Inadequate for maternity services changed the rating for the hospital overall. We rated safe as Requires Improvement and well-led as Requires Improvement.
We also inspected 1 other maternity service run by University Hospitals of Derby and Burton NHS Foundation Trust. Our reports are here:
- Queens Hospital - https://www.cqc.org.uk/location/RTGX1
How we carried out the inspection
We provided the service 2 working days’ notice of our focused inspection of the maternity service, looking only at the safe and well-led key questions.
We visited antenatal clinics, pregnancy assessment unit (triage), labour ward, the midwifery-led birth centre alongside the labour ward, obstetric theatres, and ward 314 antenatal and postnatal ward.
During the inspection, we spoke with 36 staff including the clinical director of obstetrics, head of midwifery, obstetricians, doctors and midwives.
We reviewed 10 patient records including observation charts and medicines records.
We spoke with 3 women, birthing people and families. We received 568 'give feedback on care' forms through our website of which 277 were positive, and 291 raised concerns about the service. Where women and birthing people raised concerns, themes included: postnatal care, delays to induction of labour and pain management.
Following our onsite inspection, we spoke with senior leaders within the service; we also looked at a wide range of documents including standard operating procedures, guidelines, meeting minutes, risk assessments, recent reported incidents as well as audits and action plans. We then used this information to form our judgements.
You can find further information about how we carry out our inspections on our website: https://www.cqc.org.uk/what-we-do/how-we-do-our-job/what-we-do-inspection.