Royal Albert Edward Infirmary

We only assessed accident and emergency services at the Royal Albert Edward Infirmary as part of this assessment. The service had a positive safety-focussed culture. Safety incidents and complaints were managed well, and lessons learned. Care and support was planned and organised with people and stakeholders to maintain safety and continuity of care. The service had enough nursing and support staff to keep patients safe. However, during the inspection we identified 5 regulatory breaches relating to the key question for safe, where we have told the service it needs to make improvements. We found the service did not effectively manage risks for patients with sepsis. Parts of the service did not have suitable and well maintained furnishings. Key risks relating to consultant numbers and availability had not been effectively identified and mitigated. Mandatory training compliance in specific subjects was significantly below trust targets. Staff appraisal compliance was below trust targets.