Management failing
CQC 2016 inspection of Countess of Chester
The Care Quality Commission inspects the Countess of Chester Hospital NHS Foundation Trust. The resulting report identifies service-level concerns about neonatal unit capacity, staffing and governance. The inspection does not investigate individual patient deaths because that is not within the CQC's remit. The Trust subsequently uses the CQC touchpoint as part of a rhetorical 'everything has been looked at' package to avoid escalating to police.
Source: CQC inspection report 2016; Thirlwall Inquiry evidence bundles