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Queen's Hospital Requires improvement

We are carrying out a review of quality at Queen's Hospital. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 28, 29 November and 5 December 2012
Date of Publication: 15 May 2013
Inspection Report published 15 May 2013 PDF | 81.9 KB

Overview

Inspection carried out on 28, 29 November and 5 December 2012

During an inspection to make sure that the improvements required had been made

The accident and emergency department (known as the Emergency Department) has not met most of the national quality indicators as a result of extensive delays in the care of patients. Five percent of patients who need to be admitted to the hospital are waiting for more than 11 hours in the department. The Trust should be aiming to transfer 95% of patients who are being admitted to wards within four hours of their arrival.

This has led to poor care for patients in the �Majors� area where seriously ill patients are cared for. The �Majors� environment is unsuitable for patients to be nursed in for long periods of time for a variety of reasons such as, lack of privacy/dignity, no washing facilities, no storage space for personal belongings and no bedside tables. There is a limited range of food and drink available.

We found that many patients, who were there for a long period of time, including over-night, were nursed on trolleys when they should have been moved onto a bed. This increases the risk of them developing pressure damage, dehydration, and an increase in falls.

There are not enough consultant or junior doctors to provide medical care for the number of people who attend Queen�s ED. In the �Majors� area there are not enough nurses to provide adequate care for patients.

The Emergency Department Medical Unit (EDMU) had the names, dates of birth and diagnosis of patients on �white boards� which were visible to both the public and other patients.