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Corbett Hospital Requires improvement

Reports


Inspection carried out on 26 and 27 March 2014

During a routine inspection

We carried out this comprehensive inspection as part of the new hospital inspection programme and as a follow up to the Keogh review which took place in 2013.  Of the 14 trusts inspected under the Keogh review for the quality and safety of their services, The Dudley Group NHS Foundation Trust was one of only three trusts that were not put into special measures.  That review identified concerns regarding:

  • governance arrangements
  • the need to embed a culture of learning from incidents
  • how the trust uses and reviews mortality data
  • the system for bed management and patient flows
  • embedding patient experience in the organisation’s learning and strategy
  • staffing levels and skills mix
  • safety and equipment checks
  • pressure ulcer care.

Before the inspection conducted in March 2014, the Trust was identified in CQC’s intelligent monitoring system as a priority band 4 Trust.  There are six bands within the monitoring system so this Trust had a relatively lower risk.

We noted that the trust’s action plan to address the concerns following the Keogh review had been put into place and signed off.

Our inspection of The Dudley Group NHS Foundation Trust included Russells Hall Hospital, Corbett Outpatient Centre and Dudley Guest Outpatient Centre.  

The announced inspection took place between 26 and 27 March 2014, and unannounced inspection visits took place in the two weeks following this visit.  

Overall, this trust was found to require improvement, although we rated it good in terms of having caring staff, and effective services.

We saw much support for the trust, both from the public and from the local health economy.

We saw a trust that was a considerable way along its improvement journey and saw many areas of strong development. Whilst some of the core service areas within the trust required improvements in leadership, we found the executive team and the trust board had a clear focus on improvement and as such we rated this trust as good for its overall leadership.

The improvements required by the trust were within the grasp of the trust and its leaders. We were confident that these could be achieved quickly.Key findings related to the following:

  • The trust’s staff are seen as highly caring by many of the patients we spoke to and praised the staff for ‘going the extra mile’.
  • The trust’s leadership team is seen as highly effective by the staff; and is recognised to be clearly in touch with the experience of patients and the work of the staff.
  • Staff value the Dudley Group as a place to work and a team spirit is clearly evident.
  • The trust has responded well to the Keogh review in 2013.
  • There are a number of areas of good practice in the trust, which should be encouraged. Staff feel able to develop their own ideas and have confidence that the trust will support them.
  • The emergency department (A&E) is busy and overstretched. There remain challenges in the flow of patients, but much of this relates to flow across the rest of the hospital. Only a small proportion relates to the emergency department itself.
  • The trust does not always follow its own policy in relation to DNACPR (do not attempt resuscitation) notices.
  • The ophthalmology clinics require review to ensure that all patients are followed up as required and that there is capacity for these clinics.
  • The trust must review its capacity in phlebotomy clinics as this is seen as insufficient.

Professor Sir Mike Richards

Chief Inspector of Hospitals

Inspection carried out on 25 January 2011

During a routine inspection

During our visit on 25 January 2011, we spoke to people receiving a service at the Corbett Hospital. People were positive about their experiences of care and treatment. They told us that staff explained things to them and that they were kept informed and were involved in decisions. They told us that consent had been sought and different care and treatment options had been explained to them. Staff were described as caring and friendly and people found the hospital to be clean. People told us that they did not have to wait too long for their appointments and that their records were always available. The only thing that people told us was of concern to them was lack of car parking facilities.

People said:

“The treatment and cause of my problems were explained”

“They gave me information so I could choose”

“I was asked to give consent before my operation”

“The treatment here is first class”

“You see the person that you have the appointment with here”

“There are no problems getting information to my GP”

“Everywhere is all very clean”

“There are only three problems with this hospital, car parking, car parking and car parking”

“She is a really lovely doctor who puts things in detail and does not treat you like an idiot”

“The staff are really nice here”

“The staff are very competent”