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Scarborough Hospital 'Requires Improvement'

Scarborough Hospital 'Requires Improvement'

Published by Jon Burke at 12:05am 16th October 2019.

The Care Quality Commission has rated the services provided by York Teaching Hospital NHS Foundation Trust as 'Requires Improvement', after 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, 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.

Here is a link to the full report:

https://www.cqc.org.uk/provider/RCB

CQC will continue to monitor the trust to ensure the quality of care is being maintained.

Here is a statement sent to us by York Teaching Hospital NHS Foundation Trust:

The report highlights many positive observations of the services the Trust is providing, with Scarborough Hospital’s maternity services and Bridlington Hospital achieving a rating of ‘Good’ overall, demonstrating improvement since the last inspection. 

York Hospital and the Trust’s community services were not re-inspected and retain their rating of ‘Good’.

The inspection team raised a number of concerns about safety and these are reflected in the overall safety rating for Scarborough Hospital.  These concerns relate in the main to nursing and medical staffing levels and the Trust’s ability to meet key access targets.

Medical Director, Mr James Taylor, said:

“Our recruitment challenges are well documented and we recognise the CQC’s concerns regarding staffing.  

Following feedback from the CQC we responded with a number of immediate actions including increasing the number of doctors on shift overnight.

Our medical recruitment position has improved, and the vacancy rate has halved since the summer of 2018.

It is also reassuring to see the CQC describe how patients are monitored and risk assessed to ensure they are kept safe despite the pressure facing the emergency department at times.”

Chief Nurse, Heather McNair, said:

“In response to the CQC’s observations we have reviewed nurse staffing levels on key medical wards, and have increased the number of nurses in these areas in line with the CQC’s recommendations.

We have recruited more nurses this year than last year, with 60 new nurses joining us in the coming months.

We continue to have agency staff supporting our wards - however the report acknowledges that staffing levels and skill mix are regularly reviewed, and that bank and agency staff are given a full induction when they arrive on site.” 

Chief Executive, Simon Morritt, said:

“The efforts of staff shine through in this report, and every area without exception is rated as ‘Good’ for caring. It is pleasing to see that Scarborough’s maternity services, and Bridlington Hospital overall, have seen improvements since the last inspection and are now rated as good. 

Whilst there is much for staff to be proud of in this report, the CQC has also identified a number of areas for improvement.  The areas highlighted by the CQC mirror our own priorities, and we are working hard to address them, both in the immediate and longer term. 

It is now widely acknowledged that small, rural hospitals have their own unique challenges, and we are actively working as part of a national network to help develop solutions for this. 

Our recruitment picture is improving, and we have longer-term plans for the site which include a £40million investment in Scarborough’s emergency department to help transform how we assess and treat emergency patients.”

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