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Inspection report

Date of Inspection: 31 July and 1 August 2013
Date of Publication: 13 September 2013
Inspection Report published 13 September 2013 PDF

Overview

Inspection carried out on 31 July and 1 August 2013

During a routine inspection

York Hospital is part of the York Teaching Hospital NHS Foundation Trust. A team of inspectors and a specialist advisor visited the site between 31 July and 1 August 2013.

The focus for the inspection was to look at the patient journey through accident and emergency (A&E) and admission to the hospital. We spent time observing practice and interactions between staff and people visiting the department. We spoke with a range of staff, including doctors and nurses, and with people who had been admitted to a ward following assessment and treatment in A&E. We visited Ward 14, the rapid assessment unit (RAU) and the medical assessment unit (MAU).

We found that people were treated with respect by the staff. People were aware of their treatment options and plans and they felt that they had been fully consulted and involved. One patient told us, �The staff are wonderful, they have explained everything to me.� We saw that care and treatment was planned and delivered in a way that ensured people�s safety and welfare.

We found the clinical areas in the departments we visited were clean and well maintained and there were systems in place to monitor this.

At the time of our visit we found there were sufficient staff in all of the areas and wards we visited and that systems were in place for monitoring staffing levels and the skills mix. However, several nursing and medical staff we spoke with told us that they felt there were insufficient staff available at times to deal with the workload, particularly if A&E was busy. To put this into context it is worth stating that during our inspection we were told the department was �unusually quiet� so we were unable to assess what �busy� would look and feel like.

We saw that there were systems in place to record and monitor comments and complaints.

We found that risks and untoward incidents were recorded and audited by staff at both departmental and board level. The provider had effective systems in place to identify, assess and manage risks to the health, safety and welfare of peoples who used the service and others.