Care Quality Commission Report Published
On 9th September 2016, the Care Quality Commission published a report following an inspection of Bradbury Day Hospice.
On 26th March the Care Quality Commission published a report following an inspection of some of the Trust’s services in October 2014.
Response to CQC Quality Report for Sandwell and West Birmingham Hospitals NHS Trust
Toby Lewis, the Trust’s Chief Executive, said: “The CQC report from their inspection in October last year tells us that our staff are caring and compassionate, and work very hard to provide effective services.
I am pleased that our adult community-based teams, maternity services, critical care and end of life services achieved a “good” rating.
The report also tells us that there is room for improvement in what we do.
“Each year we provide care to patients on about one and half million separate occasions and over 7,000 staff work across our sites. During the CQC visit, inspectors saw some individual examples of poor practice in some departments around hand washing, security of medicines and completion of patient records.
“These individual examples are not acceptable and it is up to everyone who works here – especially those of us in leadership roles – to ensure we get the basics right, first time, every time for every patient.
We are working hard to make sure that everyone in our Trust feels able to expect that of each other, and to challenge and identify errors when they think that they may have arisen.
“Care across our organisation is safe and the report confirms our low rates of infection and mortality. We have made significant progress on cutting serious incidents and improving standards of care, ward by ward. Our services meet or exceed national guidelines on safe staffing levels and we have increased the numbers of nurses working overnight.
“The areas of improvement identified in the report are not a surprise to us at the Trust, even where they are disappointing, or make difficult reading. In each case we have been working hard already to address the issues.
“We have today published our Improvement Plan that sets out what we will do over the coming weeks and months. We have already completed many of these actions and we will continue to be open with local residents about our progress. We will also continue seeking feedback from patients and visitors to tell us how we are doing.”
Chief Nurse, Colin Ovington said “Areas singled out for particular praise include our innovative iCARES service which provides support for people living with long term health conditions to keep them safe and well in their own homes. The CQC describe iCARES as ‘an excellent example of a service providing the right care, at the right time.’
“Supporting patients with conditions like diabetes, asthma, arthritis or chronic heart disease is one of the biggest challenges the NHS faces in the 21st Century. The CQC have rightly praised the efforts of our community teams to support their patients and given our adult community services an overall rating of Good.
“This praise reflects our long term 2020 vision of being a truly integrated care organisation, providing lifelong health care for patients in our hospitals and in their homes – as do the positive comments about our maternity services and care for patients nearing the end of their lives.
“There are other aspects of the report that make uncomfortable reading, but much of what the CQC have identified we already knew about and have been working on. Our Improvement Plan sets out in detail how much we have done and how much more we are going to do in the next six months.
“We agree with the inspectors’ finding that there is more we can do to provide information and advice in languages other than English, and to work with local community representatives to develop mutual understanding.
“We accept that there is more to do to secure our medicines and we are purchasing state of the art computerised storage cupboards. New lockable trolleys for patient notes arrive in April.”
“We have completed a comprehensive review of nurse staffing levels, undertaken in October and November, and since January 2015 have implemented those changes. We have more recruitment to do, and must address rates of sickness among all professional groups but our staffing levels exceed the standards set out by national bodies.”
Commenting further, Toby Lewis, Chief Executive, added “The report paints a mixed picture of leadership in our organisation. It describes good practice, strong rates of incident reporting, and lots of communication. The direction of travel is clear and is welcomed by the CQC. But it also confirms the view of the Board that we have more to do to achieve visibility among all senior leaders and a culture of rapid improvement in local teams.
“In addition to existing plans and projects, from April one half day each month will be allocated to organisation-wide learning and non-essential services will be stopped. The intention of these Quality Improvement Half Days is to ensure that the best of what we already do here, happens more consistently across our Trust.
“The NHS is the best health service in the world. At our best we provide quality care, and staff report how rewarding that work is. But as a Trust we have to do more, and will do more, to reduce the pressures on staff, from how we work and how we manage change.
“This report, and our Improvement Plan, does not herald a change of direction, but it does ask us to pick up the pace of improvement in some parts of our service. We cannot wait for the Midland Met Hospital to improve acute hospital care in Sandwell and West Birmingham, even though a single emergency site is fundamental to improving outcomes for local people.”