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The James Cook University Hospital Requires improvement

All reports

Inspection report

Date of Inspection: 7, 14 November 2013
Date of Publication: 21 December 2013
Inspection Report published 21 December 2013 PDF

Overview

Inspection carried out on 7, 14 November 2013

During a routine inspection

We completed the visit with a specialist advisor who is a board level nurse who specialises in patient safety, human factors and clinical governance. Our focus was to look at whether the hospital met the treatment needs of older patients. So, we reviewed clinical areas that were more likely to be providing medical and nursing care to these patients. We followed the patient journey from admission to discharge. We went to the Accident and Emergency department, the Acute Admission's Units, wards 11 and 12, the discharge lounge. We also visited the trauma, plastics, orthopaedics and cardiothoracic outpatients as well as the radiology department.

We spoke with 22 patients, 11 relatives and 24 staff from across these wards and departments. Some of the patients were not able to discuss their experiences so we observed how these people�s needs were met. Patients and relatives told us that they thought the care they received was of a very high standard. People said, �The staff have been so caring and understanding� and �We have never felt like a nuisance, they have all been so lovely.�

We found that the Trust had looked at how to decrease waiting times across the hospital. We saw that there was a clear process from patients being admitted, being examined and assessed and treatment plans being formulated in a timely way. We found that staff actively looked at the way they discharged patients and had taken action to ensure this was completed in a safe way.