Neighbourhood Midwives

NM’s CQC Inspection Report

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From the very first day we launched our midwifery service 4 years ago, we have been committed to providing safe, high quality to all the women in our care and to supporting and nurturing our midwives to enjoy and develop a rich and varied range of skills and experience. We have now completed our first CQC inspection which was from the 11th – 13th of April this year.

You can read the whole report here: http://www.cqc.org.uk/provider/1-484403625/services

Here are a few of the comments from the women we have cared for; about the midwives who are at the heart of our organisation and some of the areas of good practice highlighted by the report:

  • Women we spoke with were positive about their care. They told us their midwives were kind, caring and compassionate and described the care they received as wholly individualised.
  • They said they particularly valued the opportunity to build a close relationship with their midwives, and told us the familiarity reduced their fears and anxieties.
  • One woman told us, “seeing the same midwife means they get to know me – I don’t have to repeat myself.” Another said, “my midwife makes me feel that my baby and I are the most important people to her.”
  • The service had a clear vision and strategy.
  • They used a hub and spoke structure designed to ensure the midwives had the support and governance framework they needed to deliver safe and high quality care.
  • Communication amongst staff was good and was facilitated by frequent meetings and the use of information technology.
  • This model promotes a sense of inclusiveness and ownership for practice staff in the process of developing practice learning experiences for the whole team as a whole.
  • All staff shared a vision of high quality care and service provision and demonstrated a high degree of loyalty to the service.

 

The CQC also found the following areas of good practice:

  • We saw evidence that incident reporting, investigation and dissemination of learning were well embedded with incidents being seen as a tool for driving improvement.
  • The provider had a robust safer recruitment process in place to ensure that all safety checks were carried out before a member of staff commenced work.
  • Compliance with mandatory training was high and was monitored by the central support team.
  • Caseloads were capped at a level which ensured safe and consistent care for women
  • Care and treatment was provided in line with policies which reflected guidance from the National Institute of Health and Care Excellence (NICE) and Royal College of Midwives.
  • We saw that midwives had access to and used evidence-based guidelines to support the delivery of effective treatment and care.
  • There was evidence of multidisciplinary working.
  • Staff were competent in their roles and undertook appraisals and supervision.
  • Women had 24 hour access to their midwives throughout their pregnancy.
  • We observed that women were treated with kindness, dignity and respect by midwives.
  • Women told us they felt safe in the care of their midwife.
  • Feedback from mothers and those close to them was consistently positive.
  • Women told us they were partners in care with their midwives and they felt involved in decisions and well informed at all times.
  • Women’s’ individual needs and preferences were considered when planning and delivering services.
  • People for whom English was their second language were offered translation services.
  • Service provision was flexible and provided choice and continuity of care.
  • Complaints were managed and resolved in a timely manner.
  • There was strong leadership provided by the central support team.
  • There were risk management processes in place.
  • There was a high level of engagement with those who used the service.

Thanks to every single member of our small team for working so hard to provide consistent, high quality care for women and their babies – we are delighted to have that recognised in our CQC report and we are working hard on those areas which need to improve. We look forward to continuing to provide our unique and innovative midwifery service to a growing number of women over the coming years.

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