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St Helens Hospital Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 20 March 2019

Our rating of services stayed the same. We rated it them as outstanding because:

  • Safe, effective and responsive were rated as good.
  • Caring and well led were rated as outstanding however it should be noted that we did not inspect the outpatients service at this inspection and the outstanding ratings were awarded at the previous inspection in August 2015.
  • The surgery services were rated as good in all domains.
  • Marshalls Cross Medical Practice required improvement in safe, effective and well led but were rated good in caring and responsive.
Inspection areas

Safe

Good

Updated 20 March 2019

Effective

Good

Updated 20 March 2019

Caring

Outstanding

Updated 20 March 2019

Responsive

Good

Updated 20 March 2019

Well-led

Outstanding

Updated 20 March 2019

Checks on specific services

Medical care (including older people’s care)

Good

Updated 19 January 2016

The medical services at St Helens Hospital were rated as good because patients received compassionate care and their views were considered as to how services were designed and provided.

Staff were aware of how to report incidents and could clearly show how and when incidents had been reported. Lessons were learned from incidents and staff felt confident about reporting them. Feedback was shared and discussed in team meetings and learning applied. A monthly patient safety first newsletter was disseminated to staff and the trust had committed to the national sign up to safety campaign.

Staff received their appraisals in a timely way and felt supported to do their job. There was evidence of good multidisciplinary team working and staff were aware of their responsibilities around the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards.

Meetings on bed availability were held four times a day to determine priorities, capacity and demand for all specialities. These were attended by both senior management staff and senior clinical staff. As part of managing the admission and discharge processes there was a daily board round on Duffy suite attended by members of the multidisciplinary team. The Allen Day unit would change appointment times at short notice to try to accommodate patients’ needs and at times were able to rearrange for the same day.

The hospital was visibly clean and staff followed good hygiene practices. Staffing levels were largely sufficient to meet the needs of patients safely. Care was provided in line with national best practice guidelines and medical services participated in the majority of clinical audits.

The friends and family test showed that 100% of people would recommend the hospital to friends or a relative for inpatient care.

Staff were enthusiastic about their job and looked forward to going to work. There was good staff engagement with staff being involved in making improvements for services.

Outpatients and diagnostic imaging

Outstanding

Updated 19 January 2016

There was a clear process for reporting and investigating incidents. We saw evidence that incidents were being reported and staff we spoke with were aware of the system and how to use it. We saw evidence of learning from incidents and how this learning was shared across the service and trust wide. We saw evidence of change to practice following learning from incidents.

The trust had electronic medical records that were easily accessible in a timely manner when patients visited the service. A contingency plan was in place to have access to patient information should the information technology system fail.

Staff were aware of their role in safeguarding, a reporting process was in place, and staff knew how to escalate concerns. Staff were aware of the policies and procedures to protect and safeguard children and adults. There was good practice in the outpatient and imaging departments to promote the safety of patients and staff.

The general environment was safe, passageways and waiting rooms were free from clutter and trip hazards.

Staff followed good practice guidelines in relation to the control and prevention of infection.

Cleanliness and hygiene was of a high standard throughout the hospital departments and staff followed good practice guidance in relation to the control and prevention of infection

Staff attended mandatory training and were trained and skilled to perform their role The trust had a clear training need analysis which identified mandatory training required and was role specific. Staff were positive about the access and quality of training provided.

Staffing levels were appropriate to meet the needs of patients. Managers were proactive in managing staffing pressures such as reviewing nursing staffing levels and sharing of radiologists across other providers.

Surgery

Good

Updated 20 March 2019

Our rating of this service stayed the same. We rated it as good because:

  • Mandatory training compliance rates were good and above trust target in some areas.
  • The service had a good staffing ratio and ensured the correct skill mix was accounted for.
  • Staff were competent in their roles and managers encouraged professional development of junior staff.
  • Staff had good awareness of the Mental Capacity Act, 2005 and patients were supported to make informed decisions about their care.
  • Staff involved patients and their relatives in decisions about care and treatment.
  • Patients we spoke to and feedback forms reflected good levels of satisfaction in the service.
  • Patients felt listened to in the department.
  • The department took complaints seriously and learning from complaints was evident.
  • The service had managers at all levels with the right skills and abilities to run a service providing high-quality sustainable care.
  • The trust had a vision for what it wanted to achieve and workable plans to turn it into action developed with involvement from staff, patients, and key groups representing the local community. Services at the hospital were aware of the vision and strategy and how it affected surgery at St Helens.
  • The services delivered met the needs of patients well.