- SERVICE PROVIDER
Cambridgeshire and Peterborough NHS Foundation Trust
This is an organisation that runs the health and social care services we inspect
Report from 6 September 2024 assessment
Contents
Ratings - Acute wards for adults of working age and psychiatric intensive care units
Our view of the service
Cambridgeshire and Peterborough NHS Foundation Trust acute wards for adults of working age are based at the Fulbourn Hospital in Cambridge, and the Cavell Centre in Peterborough. The trust operated a 3-3-3 pathway model of assessment, treatment and recovery. The model consists of three days of assessment, three weeks of treatment and three months of recovery. Each acute ward had a designated function, providing services for adults aged 18 years old and over. During this assessment the team visited all six acute wards. We did not visit the psychiatric intensive care unit (PICU). We looked at eight quality statements: learning culture, safeguarding, involving people to manage risks, safe environments, safe and effective staffing, delivering evidence-based care and treatment, Independence, choice and control and equity in experiences and outcomes. During our assessment, we found concerns around Mandatory training, supervision, appraisal and staffing levels which resulted in a breach of regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The accuracy, timeliness and accessibility of patient information including risk assessments, care plans, handover notes and observation records which resulted in a breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Maintenance and record keeping for some equipment which resulted in a breach of regulation 15 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can find more details of our concerns in the evidence category findings.
People's experience of this service
We spoke with 10 patients. Patient feedback was positive overall. Most told us, they felt involved in their care, treatment and discharge planning, felt safe on the wards, felt engaged by staff, staff listened to them and supported them and that there were a range of activities on the wards. Patients said there were enough staff on the wards, that were mostly kind, caring and compassionate. However, some patients we spoke with told us they did not have advocacy in place and had not been given a copy of their care plan. We spoke with six carers. Carers told us the ward environments were clean, tidy and felt safe when they visited. Most carers we spoke with told us they felt involved in care and treatment decisions. Carers told us that staff were generally kind, caring and supportive. Carers we spoke with knew how to raise a concern or complaint, should they need to. However, some carers told us that they felt they hadn't been listened to when they had raised a concern and did not feel confident that action would be taken as a result.