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Royal Cornwall Hospital Requires improvement

All reports

Inspection report

Date of Inspection: 23 May 2012
Date of Publication: 11 July 2012
Inspection Report published 11 July 2012 PDF

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

How this check was done

Our judgement

The provider is compliant with this standard.

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

User experience

The nurse in charge on Carnkie ward told us that the ward had recently gone through a difficult period but there were lots of improvements planned. She felt very positive about the development plan and thought it was realistic and achievable. She added that the need for annual appraisals and regular supervision (one to one) to take place had been added to the plan and were due to start taking place very soon.

We spoke to an assistant practitioner (a role developed from the health care assistant role to provide more complex support to the trained nurses). She told us that they carried out extensive training over a two year period. She added that the role has not been completely defined and so an educator had been appointed for three months to ensure the correct protocols were in place to define what an assistant practitioner can and cannot do. She felt supported by this move and enjoyed the role very much.

The provider might like to note that staff on Wheal Agar ward told us that they had not had any planned supervision (one to one meetings between a member of staff and their supervisor) for at least the last six months.

Staff on Phoenix ward told us that annual appraisals were taking place. They added that if you physically had to attend training there is no problem being released, but if the training was via e-learning then it was more difficult to get protected time to complete it.

A student nurse we spoke said that their learning contract had been agreed during their first 2 weeks on the ward. They added that they were now in their fourth week on the ward and enjoying the experience, benefiting from regular staff support and supervision.

The nurse in charge on Grenville ward told us that their annual appraisals take place. He added that the ward managers had an open door policy and encouraged staff to raise any concerns with them at any time. He said that all mandatory training was done and the ward manager was rigid about that. He added that specialist training for the staff group was encouraged and he felt that they had staff with good knowledge of dementia, diabetes and renal conditions.

Staff told us that some mandatory training had been cancelled due to staffing issues during a outbreak of infection but that they were now able to “catch up” with the training programme.

Other evidence

The Trust supplied us with the Grenville development plan following the inspection visit. It included ‘projects’ on effective rostering, increased compliance in professional development reviews (appraisal) and dementia care.