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Inspection Summary


Overall summary & rating

Good

Updated 2 December 2015

Worcestershire Acute Hospitals NHS Trust (WAHNHST) was established on 1 April 2000 to cover all acute services in Worcestershire with approximately 900 beds. It provides a wide range of services to a population of around 570,000 people in Worcestershire as well as caring for patients from surrounding counties and further afield.

The Trust includes four hospital sites, Worcestershire Royal Hospital (WRH), Alexandra Hospital in Redditch (AHR) Kidderminster Treatment Centre (KTC) and one day ward and a theatre at Evesham Community Hospital (ECH), which is run by Worcestershire Health and Care NHS Trust

Worcestershire Acute Hospitals NHS Trust, maintain one operating theatre, and a surgical ward Burlingham Ward on Evesham Community Hospital site. These services are provided by Worcestershire Acute Hospitals NHS Trust staff.

We carried out this inspection between14th and 17th July 2015 as part of our comprehensive inspection programme.

We found the surgical services at Evesham Community Hospital to be good for safety, effectiveness, caring, responsiveness and leadership.

Our key findings were as follows:

  • The theatre and surgical ward were clean and free from clutter in patient areas
  • All patients are screened for Methicillin-resistant staphylococcus aureus (MSRA) prior to attending for surgery. There had been no outbreaks of (MRSA) and Clostridium Difficile at ECH during the previous twelve months
  • The theatre team was small and there were a high number of vacancies. This meant that the trust relied on staff from other clinical areas either within Evesham Community Hospital or from its sister hospitals, agency staff or supervisors giving up their protected time to achieve safe staffing.
  • ECH only provided day case surgery so most patients were required to fast prior to surgery, although drinks and snacks were available for after their operation

There was an area of poor practice where the trust needs to make improvements.

The trust should:

  • Review its arrangements for utilising its full theatre capacity to ensure patients are treated sooner

Professor Sir Mike Richards

Chief Inspector of Hospitals

Inspection areas

Safe

Good

Updated 2 December 2015

Effective

Good

Updated 2 December 2015

Caring

Good

Updated 2 December 2015

Responsive

Good

Updated 2 December 2015

Well-led

Good

Updated 2 December 2015

Checks on specific services

Medical care (including older people’s care)

Updated 2 December 2015

Specialist burns and plastic services

Updated 2 December 2015

Urgent and emergency services (A&E)

Updated 2 December 2015

Minor injuries unit

Updated 2 December 2015

Transitional services

Updated 2 December 2015

Surgery

Good

Updated 2 December 2015

Processes were in place to keep people safe and procedures were based on recognised pathways of care.

Staff were skilled and knowledgeable, and had access to information to enable them to provide effective care

Readmission rates were very low

Theatres did not work at their full capacity, meaning people had to wait longer to be treated

People were treated with respect and kindness. Patients and their relatives or carers appeared happy in the presence of staff and described how they and their partners or carers had been fully involved in discussions about their condition and options for treatment.

The services met the needs of the local community. Although the range of treatments available to patients was limited, this was appropriate and in line with national guidance, dictated by the facilities available.

The level of support for supervisors in theatre meant that administrative tasks did not always get the attention they required. Supervisors often found themselves in clinical roles covering for staff vacancies or absences.

Intensive/critical care

Updated 2 December 2015

Services for children & young people

Updated 2 December 2015

End of life care

Updated 2 December 2015

Outpatients

Updated 2 December 2015