eastbourne hospital admissions

There was openness at risk meetings and learning from incidents was shared across the team in a variety of ways. AAA Team Home . The service struggled with staffing numbers and staff did not always have the right qualifications, skills, training and experience to keep children, young people and their families safe from avoidable harm and to provide the right care and treatment. All staff received a quarterly newsletter called you said, we said and gives staff information of common risks and examples of learning from incidents. A regular trolley service, with a selection of newspapers, magazines and confectionery, is available on most wards. Appraisals were consistently carried out, fit for purpose and focused on staff achievements and goals. The service had enough medical staff with the right qualifications, skills, training and experience to keep children, young people and their families safe from avoidable harm and to provide the right care and treatment. To begin the process, all you have to do is pick up the phone and call our Patient Services department. A new training programme was being rolled out. Not all complaints were answered within 30 days of their receipt as per trust policy and people were not made aware of the trusts complaints response deadline. There were systems in place to support learning, improvement and innovation. Medicines management had been added to the safety thermometer as an additional performance measure. Have you found an error with this catalogue description? Each report covers findings for one service across multiple locations. The incidence of both pressure damage and falls had shown a sustained improvement over time. The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD 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. Options for food and drink had improved for patients in the clinical decisions unit but audits of the use of the malnutrition universal scoring tool (MUST) noted poor compliance with trust standards. ACTs provide high quality and appropriate care and liaise with STAR . Staff had an understanding of what informed consent entailed. There were clear and effective processes for managing risk and performance. The trusts urgent and emergency care Friends and Family Test performance (percentage recommended) was better in comparison to the England average. We also looked at a wide range of documents including standard operating procedures, meeting minutes, risk assessments and recently reported incidents. Some policies we viewed on line for example the acute asthma in children, Abdominal pain in children: managing children with gastroenteritis and managing fluids in children needed review as they were up to two years out of date. Our reports are here: Conquest Hospital Maternity Unit: https://www.cqc.org.uk/location/RXC01. The environment had improved since our previous inspection all areas were visibly clean and equipment was well maintained. EMU accepted low risk women and pregnant people over 37 weeks for childbirth. We are dedicated to the wellness of INDIVIDUALS, their FAMILIES and the COMMUNITY through prevention, intervention and treatment via our inpatient and . We saw respectful and confident interaction between BME staff and white British staff on the wards we visited. Conquest Hospital There are vending machines outside most wards. Staff were clear about their roles and accountabilities. We look at the needs of all patients when making these decisions and we will discuss with you prior to any move. Record all patient activity in EDs, urgent treatment centres and SDECs using same day emergency care data sets. Theatres staffing met the recommendations of the AfPP and ward level planned nursing staffing versus actual staffing was usually met, albeit with temporary staff. the service is performing well and meeting our expectations. The practice development nurse also supported healthcare assistants to achieve the national care certificate and had helped to develop a new initial training and support programme for newly qualified nurses. EMU accepted women from the main acute site once they had given birth and were able to be transferred to receive extra support if required. Following our report in January 2017 it was highlighted that the outpatient service must develop play services in line with national best practice guidance. No rating/under appeal/rating suspended If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. We accept all major insurances as well as Medicare and all AHCCCS plans. Services offered were antenatal care, day assessment unit which ran on Mondays, Wednesdays and Fridays, telephone triage assessment line and low risk childbirth, pregnancy vaccination and postnatal clinics. Smoking, vaping or using e-cigarettes is not allowed anywhere on any trust site, including in outside areas or in vehicles, to protect the health of the people using and working in our services. 0300 131 4500, Provided and run by: The service did not have a major incident policy for the mortuary, although they had started work to produce this. They managed medicines well. Any other browser may experience partial or no support. Staff knew where to access support and information. Staff were aware of the duty of candour and gave patients honest information and support. Let us know. Patients and relatives said staff go above and beyond and the care received exceeded their expectations. We reviewed 3 sets of patient care records. In some of the records we looked at we found missing referrals, no evidence of consistent risk assessment and evidence of the discharge of a patient at significant risk of self-harm or suicide. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. Staff completed and updated risk assessments for each child and young person and removed or minimised risks. Patients and relatives we spoke with gave positive feedback about the care they received on the unit. Holliers Hill, Bexhill-on-Sea, East Sussex, TN40 2DZ We support protected meal times. However, changes to the clinical unit management team led to a lack of engagement with ITU staff, making it difficult for clinical staff to develop plans for the future. East Sussex Healthcare NHS Trust. / 50.7864829; 0.2697638. Aurora East. Every effort will be made to find an appropriate bed in a single sex area as soon as possible dependent on your clinical requirements. Provision for patients with mental health needs was variable. Other series are not available for consultation until 30 years from the last date of the document. Black and minority ethnic (BME) reported that they felt supported and accepted as part of the hospital workforce. Large amounts of money or valuables, such as jewellery or electronic devices etc. There was a dedicated practice development nurse in post who provided support to all members of the emergency department team. Acute Admissions Unit - Level 3. Provided and run by: East Sussex Healthcare NHS Trust. The department performed similarly to or better than national averages in the Emergency Department Survey 2016 and between November 2016 and December 2017 in the time from arrival to initial assessment. Staff delivered patient care in line with evidence based care and best practice guidance. We appreciate your support in asking your friends and relatives to only visit during visiting times. The plan for your discharge from hospital will start on your admission to hospital. This enabled staff to use escalation areas and additional spaces for patients whilst they waited for diagnosis and treatment. / 50.7864829; 0.2697638. We inspected the Maternity service as part of our national maternity inspection programme. Strong clear leadership seen, staff felt well managed and well led. If you have a card detailing any current treatment, particularly a steroid card or Warfarin booklet, please bring this with you and inform one of the nurses. We observed safeguarding folders, which identified the safeguarding lead and the referral process. From Cineworld 322 min From Brighton Pier 120 min From Gatwick Airport 156 min From University Of Brighton - Falmer Campus 116 min From Churchill Square Shopping Centre 117 min From Brighton Infection prevention and control measures had improved since our previous inspection. The key aims of these services are the prevention of unnecessary hospital admission, to facilitate early hospital discharge, to prevent premature or unnecessary care home admissions, and to enable people to live as independently as possible. 05 November to 12 December 2019 During a routine inspection. Recruitment continued to provide challenges and whilst the trust had taken many steps to address this, the problem of recruiting sufficient permanent staff continued. Latest data is for the East Sussex Healthcare NHS Trust, which covers the DGH, Conquest and Bexhill Hospital. the service is performing exceptionally well. of hospital observation status and an admissions process that is transparent and administratively simple. Ward and departmental safety thermometer results showed improvements across the service. privacy policy, NATIONAL HEALTH SERVICE: EASTBOURNE DISTRICT HEALTH AUTHORITY. This included greater emphasis on evidence-based practice and training. We saw staff monitor patients national early warning signs (NEWS) scores and discuss patients within safety huddle meetings that had consistently high scores. In the same survey the trust performed in line with the national average for 13 questions relating to how they involved patients in their care and worse than the national average in 11 questions. The reason for these was not documented in most cases. the service is performing well and meeting our expectations. Current mandatory and statutory training for nursing and medical staff did not meet trust targets. Aurora Behavioral Health Systems Patient Services team can also answer questions regarding funding. We saw minutes of meetings where incidents including never events were discussed and learning fed back to staff via ward meetings and newsletters, which were available in hard copy and circulated by email. Meals times are scheduled at varying times, depending on your unit, during the following time blocks: Breakfast: 7:00 a.m. - 9:00 a.m. . We don't rate every type of service. Where the NEWS score was elevated to a higher level there was automatic review by the medical emergency team. Browser Support Hand hygiene audits showed sustained high levels of compliance with results maintained above 97% since February 2016. Good 0300 131 4500, Admissions Unit Eastbourne DGH Information for the day of your surgery, Admissions Unit - Eastbourne DGH - Information for the day of your surgery. This included a workforce development plan, additional consultant shifts and better utilisation of resource plans for access and flow. Kings Drive, Eastbourne, East Sussex, BN21 2UD 0300 131 4500. The sepsis link nurse developed a think Sepsis poster which highlighted monthly audit results and a Stop sticker when the pathway was no longer appropriate, to ensure staff used the screening tool and cascaded results to the clinical leads and matron. Senior staff told us most wards have full establishment of staff at the start of a shift. People could access the service when they needed it. Provide an acute frailty service at least 70 hours a week, with the aim to complete a clinical frailty assessment within 30 minutes of arrival in the ED/SDEC unit. Quality improvement work had begun within speciality clinics and there were plans to develop this across outpatients as a whole. The safeguarding team had recently been expanded and was addressing specific areas of the trust where shortfalls in practice were identified. There had been times when these staff were not specialist trained in paediatric care. Our ratings reflected low levels of consultant cover, variable compliance with hand hygiene, inconsistent pain management, limited paediatric services and delays to triage, assessment and treatment. There were systems that ensured children with long term medical conditions were seen by paediatric consultants with specialist interests, for example diabetes. All those we spoke with were clear who their immediate manager was; this was not the case on the last inspection visit in 2015. Facilities in the department included a dedicated area for patients with mental health needs and for children. Friends and Family Test results showed a higher than average response rate and the scores were higher than the England average. The trust was compliant with the intercollegiate document, safeguarding children and young people: role and competences for health care staff (March 2014). . Some aspects of service planning were expanding to meet increased patient demand. Suspended ratings are being reviewed by us and will be published soon. We will involve you and, with your consent, your family, carers or friends as appropriate. This maternity thematic review was a focused inspection; we inspected the domains of safe and well led using the CQCs established key lines of enquiries (KLOES). It has a number of medical and surgical wards and specialist units, a 24-hour Emergency Department and a full range of diagnostic services including Magnetic Resonance Imaging (MRI), Computer Tomography (CT) and Interventional Radiotherapy. After the inspection we requested further documentary evidence to support our judgements including policies and procedures, staffing rotas and quality improvement initiatives. At the time of our inspection visit it was partially rolled out with a clear timeline for continued introduction of key aspects of the framework.The triumvirate management structure for the division gave clear lines of reporting, clear accountabilities and responsibilities and was known to staff. The service had a vision for what it wanted to achieve and a strategy to turn it into action, developed with all relevant stakeholders. Patient records were available, kept secure and up to date. Budding medics have a doctor overseeing them, with workshops, hospital practice and work . This was evidenced through a few incident reports, such as when a patient remained in the emergency department for 19 hours when multidisciplinary medical teams failed to identify an appropriate care pathway. Call us today, 24/7, for a free, confidential assessment. Please speak to the nurse in charge of your care or area. Hospitals. Clinical leadership on the unit was strong and supported staff development. Earlier recognition and identification resulted in more timely review by the critical care outreach team, who had oversight of all NEWS Scores for all patients in the hospital. . The unit operated 24 hours a day for low risk mothers. We also inspected one other Maternity service run by East Sussex Healthcare NHS Trust. We carried out a short notice announced focused inspection of the Maternity service, looking only at the safe and well led key questions. TN40 2DZ. We visited the telephone triage area and the community midwives office. there are some services which we cant rate, while some might be under appeal from the provider. Bexhill-on-sea, There was a system in place to identify patients who might be a little confused and need careful support in decision making.The coloured butterfly markers allowed staff to differentiate these patients from those with more advanced dementia.The dental team provided exemplary planning of care for patients with learning difficulties who needed dental surgery. The trust had participated in a national benchmarking programme for outpatient departments and the womens health service had achieved successful accreditation from the British Society of urogynaecology in 2017. Inadequate Operated by Southern Service and Stagecoach South East, the . The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD The service made it easy for people to give feedback.

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