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Birmingham Heartlands Hospital

This service was previously managed by a different provider - see old profile


Inspection carried out on 23 July 2019

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

Birmingham Heartlands Hospital was acquired by University Hospitals Birmingham NHS Foundation Trust on 1 April 2018.

The medical care service at the trust provides care and treatment for ten specialities across four sites; Queen Elizabeth Hospital Birmingham, Birmingham Heartlands Hospital, Good Hope Hospital and Solihull Hospital. The trust had 1,579 inpatient medical beds across the four sites, with 462 of these beds based at Birmingham Heartlands Hospital.

We carried out an unannounced focused inspection of ward 29 (elderly care) at Birmingham Heartlands Hospital on 23 July 2019, in response to concerning information we had received in relation to the care of patients in this ward.

We did not inspect any other core service or wards at this hospital or any other locations provided by University Hospitals Birmingham NHS Trust. During this inspection we inspected using our focused inspection methodology. We did not cover all key questions or key lines of enquiry and we did not rate this service at this inspection. We inspected elements of safe, caring and well-led.

Our inspection was unannounced (staff did not know we were coming) to enable us to observe routine activity.

During this inspection we;

  • Spoke with seven patients who were using the service and eight relatives.
  • Spoke with 12 members of staff including registered nurses, health care assistants, reception staff, medical staff, and senior managers.
  • Reviewed 10 complete medical and nursing care records relating to physical health.
  • Reviewed five additional patient records relating to observations and sepsis screening pathways.

Our key findings were as follows;

  • Staff understood how to protect patients from abuse and the service worked well with other agencies to do so.
  • The service had robust systems in place to ensure the safety of patients. this included risk assessments and monitoring of clinical outcomes.
  • Staff kept appropriate records of patients’ care and treatment.
  • The service prescribed, gave, recorded and stored medicines well.
  • Staff cared for patients with compassion.
  • Staff provided emotional support for patients to minimise their distress.
  • Staff involved patients and those close to them in decisions about their care and treatment.
  • The service had managers with the right skills and abilities to run a service providing high-quality sustainable care.
  • Managers across the service promoted a positive culture that supported and valued staff.
  • The service was committed to improving services by learning from when things went well and when they went wrong.

Heidi Smoult

Deputy Chief Inspector of Hospitals (Midlands Region)

Inspection carried out on 8 October to 29 November 2018

During a routine inspection

Birmingham Heartlands Hospital was previously managed by Heart of England NHS Foundation Trust. On 1 April 2018 a merger by acquisition took place of Heart of England NHS Foundation Trust by University Hospitals of Birmingham NHS Foundation Trust. As such Birmingham Heartlands Hospital is now part of University Hospitals of Birmingham NHS Foundation Trust.

We have not taken the previous ratings of services at Heart of England NHS Foundation Trust into account when aggregating the trust’s overall rating. CQC’s revised inspection methodology states when a trust acquires or merges with another service or trust in order to improve the quality and safety of care, we will not aggregate ratings from the previously separate services or providers at trust level for up to two years. During this time, we would expect the trust to demonstrate that they are taking appropriate action to improve quality and safety.

At this inspection we did not inspect all eight core services, therefore we are unable to provide an aggregated location rating. We will return in due course to carry out inspections of those core services we didn’t inspect this time. We will then aggregate all of the core service ratings to provide overall key question and location rating for Birmingham Heartlands Hospital.

For an overview of our findings at this inspection please see overall summary above.