NUH News SPRING 2016 WEB

8
SpotlightOn
CQC information
A team of over 60 inspectors visited
QMC, City and Ropewalk House and
community facilities where we deliver
services (announced and unannounced) in
September 2015.
They closely examined 8 pathways:
• Urgent and emergency care
• Medicine and surgery
• Critical care
• Children and young people
• Maternity and gynaecology
• Outpatients and diagnostics
• End of life care
The CQC assessed five domains:
• Safety
• Caring
• Well-led
• Effectiveness
• Responsiveness
and rated NUH in each area (and overall).
We’ve received a ‘good’ overall rating
from the Care Quality Commission (CQC).
NUH was rated as 'outstanding' in the well-led domain,
and good in the caring, effective and responsive domains.
The CQC’s Chief Inspector of Hospitals, Professor Sir Mike
Richards, said: “Overall, NUH provides good care to the
population it serves. The trust can be proud of the services
that it manages and we were impressed by most areas we
visited.
“We found staff to be dedicated, kind, caring and patientfocused.
Overwhelmingly, staff were positive about
working at the trust and they talked about being proud of
their workplace, the facilities they had and about the care
they delivered.”
We are disappointed that we 'require improvement' in
the safe domain. The CQC found a strong safety culture
across our hospitals, including a good reporting culture for
safety incidents/near misses. However, they had concerns
about some relatively localised staffing and specialist
training issues. We were aware of these ahead of the
inspection and have accelerated our action plans.
Peter Homa, NUH Chief Executive, said: “The CQC praised
our staff for working together in the best interests of
patients and delivering kind and compassionate care. They
found NUH to be an open and honest organisation, with
outstanding leadership and a strong patient safety culture;
all of which are important hallmarks of NUH.
“As an organisation committed to continuous
improvement and learning, we will celebrate the areas of
good practice (not least our caring and proud staff) and
importantly, use this inspection to further improve patient
safety, care and experience for those we serve.”
The CQC identified a number of areas where we must
take rapid action:
• Strengthen training and empowerment of staff in
non-specialist (ward) areas to give the best end-of-life
experience to patients, their families and their carers,
and ensure we fully, and clearly, document Do Not
Attempt Resuscitation (DNAR) decisions
• More consistently apply the principles of the Mental
Capacity Act
• Improve compliance with checks of emergency
equipment
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