12 July 2019
The Dudley Group NHS Foundation Trust is a combined acute and community trust based in the borough of Dudley in the West Midlands. The Dudley Group currently serve a population of around 450,000 people from three hospital sites at Russells Hall Hospital, Guest Outpatient Centre in Dudley and Corbett Outpatient Centre in Stourbridge.
Corbett hospital provides day case treatment alongside a range of outpatient services which include radiology, pharmacy, gynaecology, women’s, physiotherapy, rehabilitation and a wheelchair service.
12 July 2019
We rated it them as inadequate because:
- Our rating of safe was inadequate overall. Risks to patients using the diagnostic imaging services were not routinely assessed, including risks to the deteriorating patient. There was no processes in place for learning from incidents and when things went wrong and staff were working with out of date regulations. Staff in the theatre recovery area did not have the appropriate level of life support training in line with Association of Anaesthetists of Great Britain and Ireland (AAGBI) guidance. The outpatient’s department did not consistently have enough staff with the right qualifications, skills, training and experience to keep people safe from avoidable harm and provide the right care and treatment. Records were not always available to all staff providing care. Records were not stored safely or securely within the department.
- Our rating of effective was good overall. The services provided care and treatment based on national guidance and evidence of its effectiveness. Managers checked to make sure staff followed guidance
- Our rating of caring was good overall. Staff cared for patients with compassion. Feedback from patients confirmed that staff treated them well and with kindness.
- Our rating of responsive was good overall. The services planned and provided services in a way that met the needs of most local people. Services took account of patient’s individual needs and they could access services when they needed them.
- Our rating of well led was inadequate overall. Diagnostic services were not managed appropriately, leaders did not understand the challenges to the quality and sustainability of the service and had little oversight or understanding of the significant issues in the service. Not all risks in the outpatient’s department were fully recognised or mitigated.
12 July 2019
We rated it as good because:
- Staff kept patients safe from harm. Staff had a good understanding of safeguarding, assessed an understood patient risks and managed patient safety incidents well and learnt lessons from incidents.
- Staff maintained a safe and clean environment. The premises and equipment were suitable and well maintained. Staff kept themselves, equipment and the unit clean at all times.
- Staffing levels were appropriate and staff were well trained. Nursing and medical staffing levels and skill mix were always appropriate on the unit and staff had completed mandatory training.
- Staff were competent in their roles and worked well together as a team. Managers regularly appraised staff and provided them with lots of opportunities to learn and develop. Staff on the unit worked well together.
- The trust ensured staff followed best practice and guidance. Trust systems ensured staff were always aware of new guidance. Staff always followed best practice around patient capacity and consent.
- Staff cared for patients with kindness and compassion. The unit had consistently high scores on the friends and family test. All patients told us staff treated them with kindness, understanding and compassion at all times. Staff always provided emotional support.
- Staff were responsive to patient’s individual needs. Staff could access all the specialist teams that could be required and respected patients cultural, religious and personal preferences at all times.
- Staff learned lessons from patient feedback and complaints. The unit actively sought as much patient feedback as possible. Staff took all patient feedback and complaints seriously and made changes to the service as a result.
- Leaders at the service supported staff and created a positive culture for staff. All leaders and staff at the service spoke of a good morale and working environment. All staff members felt well supported by leaders within the service.
- The trust had good governance systems in place and responded well to risk. Staff were all aware of their roles and responsibilities within the governance system and staff could explain what the risks in the service were.
- Staff in the recovery area did not have the appropriate level of life support training in line with Association of Anaesthetists of Great Britain and Ireland (AAGBI) guidance.
- Some flammable liquids were incorrectly stored in wooden cupboards.
- There was no major incident plan on the day case unit and most staff were not aware of the plan.