The Care Quality Commission has rated the services provided by York Teaching Hospital NHS Foundation Trust as Requires Improvement following an inspection in June and July.
At this latest inspection, the trust was rated Requires Improvement for safe and well-led and Good, for caring, effective and responsive. Since their last inspection, September 2017, the trust rating has remained the same.
Overall, the report highlights the following:
- York Hospital was not inspected at this time; therefore, its ratings remained the same. In 2017 the hospital was rated as good overall.
- Scarborough Hospital was rated as requires improvement overall. It was rated Inadequate for safety, Requires Improvement for effective, responsive and well-led and Good for caring.
- Bridlington Hospital was rated as Good overall. CQC rated safe, effective, caring, and responsive as Good, and well-led as Requires Improvement. Community services were not inspected at this inspection therefore the rating remained the same as 2017.
- At Scarborough, safety was identified as inadequate in both the emergency department and medicine. The hospital must also ensure it has enough, suitably qualified, competent and experienced medical and nursing staff in its urgent and emergency care service at Scarborough hospital, to meet the RCEM recommendations, including enough staff who are able to treat children in an emergency care setting.
The trust had a number of outstanding areas of practice. The service had created and opened the same day emergency care centre (SDEC) department in December 2019, we saw this area was well utilised and was helping to manage capacity and flow problems to some degree. The introduction of a clinical educator for the department had resulted in there being a positive impact on nursing staff’s mandatory training compliance which had improved significantly.
Bridlington hospital had become one of a few hospitals in the country able to provide hip replacements for selected day case patients. Additionally, at Scarborough, within urgent and emergency care the department had a box containing products to support relatives of dying patients, this included an information leaflet, a blanket and a pillow, toiletries, a bottle of water and tissues.
At Scarborough, safety was identified as inadequate in both the emergency department and medicine. The hospital must also ensure it has enough, suitably qualified, competent and experienced medical and nursing staff in its urgent and emergency care service at Scarborough hospital, to meet the RCEM recommendations, including enough staff who are able to treat children in an emergency care setting.
CQC will continue to monitor the trust to ensure the quality of care is being maintained.
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For further information please contact CQC Regional Engagement Manager David Fryer by email david.fryer@cqc.org.uk by phone on 07754 438750 or Mark Humphreys,mark.humphreys@cqc.org.uk and 0191 201 1675
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