CQC issues warning to Leeds Teaching Hospitals NHS Trust following inspection
29 March 2012
Regulator demands hospital trust takes action to improve.
The Care Quality Commission (CQC) has issued a formal warning to Leeds Teaching Hospitals NHS Trust stating that it must do more to improve standards of care or face further action.
The warning follows an unannounced CQC inspection at Leeds General Infirmary, Great George Street, on 29 February and 1 March 2012.
Inspectors visited to check on what progress had been made in relation to concerns raised with the trust at the time of an earlier inspection.
On their latest visit CQC found that improvements were still needed. Inspectors observed that people’s needs were not always being met and this was due to poor care and sometimes insufficient staff.
- Some patients told inspectors that they were dissatisfied with the care and support they had received, and they related this to there being a shortage of staff.
- Inspectors saw that the needs of some elderly patients in orthopaedic wards were not responded to appropriately or promptly.
- Inspectors saw that some patients’ wishes were ignored by nursing staff.
- A review of staffing rotas on wards 53 and 55 revealed that both wards had been frequently operating under the Trust’s planned staffing levels.
- It was unclear whether all patients had been properly involved in discussions with staff about their individual needs.
- Nursing and medical notes were not well organised and this made it more difficult for nursing staff to adequately meet patients’ needs.
Jo Dent, CQC Regional Director for Yorkshire and Humberside, said:
“The law says that these are the standards that everyone should be able to expect. Providers have a duty to ensure they are compliant.
“We will be returning to the trust to follow up on progress and, when we do, we will expect the trust to be able to demonstrate it has made improvements.
“This warning sends a clear message that Leeds Teaching Hospitals NHS Trust needs to address these issues or face serious consequences.
“CQC has a range of legal powers it can use if it is found the required progress has not been made. Where necessary we will use these powers to protect the people who use this service.”
For further information please contact the CQC Regional Communications Team, David Fryer 07901 514 220 or Kirstin Hannaford 0191 233 3629.
The CQC press office can be contacted on 0207 448 9401 or out of hours on 07917 232 143.
Notes to editors
CQC will publish further details of the inspectors’ findings in a review of compliance on its website at a later date.
CQC has issued a warning notice to Leeds Teaching Hospitals NHS Trustrequiring action to meet:
- Regulation 9 Health and Social Care Act (Regulated Activities) Regulations 2010, (outcome 4) Care and welfare of people who use services
- Regulation 22 Health and Social Care Act (Regulated Activities) Regulations 2010, (outcome 13) Staffing
A deadline of 31 March 2012 has been given for improvement. If this deadline is not met, CQC has a range of enforcement powers which include restricting the services that a provider can offer, or, in the most serious cases, suspending or cancelling a service. CQC can also issue financial penalty notices and cautions or prosecute the provider for failing to meet essential standards. Any regulatory decision that CQC takes is open to challenge by a registered person through a variety of internal and external appeal processes.
About the Care Quality Commission
The Care Quality Commission (CQC) is the independent regulator of health and social care in England. We make sure that care in hospitals, dental practices, ambulances, care homes, people’s own homes and elsewhere meets national standards of quality and safety – the standards anyone should expect whenever or wherever they receive care. We also protect the interests of vulnerable people, including those whose rights are restricted under the Mental Health Act.
We register services if they meet national standards, we make unannounced inspections of services – both on a regular basis and in response to concerns – and we carry out investigations into why care fails to improve. We continually monitor information from our inspections, from information we collect nationally and locally, and from the public, local groups, care workers and whistleblowers. We put the views, experiences, health and wellbeing of people who use services at the centre of our work and we have a range of powers we can use to take action if people are getting poor care.