2 December 2022
Scunthorpe General Hospital (SGH) is one of the three hospital sites for Northern Lincolnshire and Goole NHS Foundation Trust. It is located in Scunthorpe and provides acute hospital services to the local population.
SGH is the trust’s second largest hospital. It offers a range of inpatient and outpatient services including urgent and emergency care, medical care, surgery, critical care, maternity, end of life and outpatients and diagnostic services for children, young people and adults primarily in the North Lincolnshire area.
7 February 2020
Our rating of this service went down. We rated it as requires improvement because:
- Some concerns we told the trust it must address at our last inspection in 2018 were not actioned by the leadership team. For example, staff did not receive the mental health training which we told the trust it must provide, following our last inspection in 2018.
- There was limited assurance staff consistently completed and updated mental health risk assessments for each child and young person with mental health issues and removed or minimised environmental risks. This was because they had not received appropriate mental health training.
- The service still did not always have enough nursing or medical staff with the right qualifications, skills, training and experience to comply with national guidance.
- Mandatory training compliance by medical staff had dropped since our last inspection in 2018.
- Local audits for sepsis, hand hygiene and paediatric early warning scores (PEWS) provided limited assurance. This was because sepsis tools were not always completed, departments did not consistently submit hand hygiene data and improvement was still required in clinical record keeping.
- Staff did not always keep detailed records of children and young people’s care and treatment.
- Some staff we spoke with were unaware of the child abduction policy on the intranet and did not know when it was last tested.
- Mental capacity training data for medical staff indicated poor compliance.
- Senior leaders were not always visible.
- The service had a vision for what it wanted to achieve but no clear strategy to turn it into action.
However, we also found that:
- There was improved mandatory training compliance by nursing staff since our last inspection in 2018.
- Safeguarding training compliance had improved since our last inspection in 2018.
- Appraisal compliance had improved since our last inspection in 2018.
- The service provided care and treatment based on national guidance and evidence-based practice.
- Doctors, nurses and other healthcare professionals worked together as a team to benefit children, young people and their families.
- Staff treated children, young people and their families with compassion and kindness and respected their privacy and dignity.
- People could access the service when they needed it.
- Staff felt respected, supported and valued.
- All staff were committed to continually learning and improving services.