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Archived: Frenchay Hospital Requires improvement

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Inspection report

Date of Inspection: 15 May 2012
Date of Publication: 15 June 2012
Inspection Report published 15 June 2012 PDF | 46.55 KB

Overview

Inspection carried out on 15 May 2012

During an inspection in response to concerns

We carried out this focused review of the Emergency Department (ED) and the two assessment wards (105 and 107) because concerns had been raised with us about difficulties with patient flow in and out of the department. The main issues of concern were that patients were being kept waiting in ambulances outside of the ED, that patients were waiting longer than they should in waiting areas, and that hospital beds were not available when patients needed to be admitted to wards.

We spent time with nursing and clinical staff in the ED and visited both wards and spoke to staff and patients. We were told nursing and medical staff treated people with respect and staff included them in the decision making process. Comments included, “We are waiting to see what the X-ray results are and then the doctor will come back and tell us what happens next”, “I have been waiting for a while but you expect to wait in A&E. The staff are all very helpful” and “The staff are always cheerful and helpful even though it is very busy in here”.

Trust staff reported that there had been recent occasions when the department had experienced exceptional surges in demand. Appropriate escalation measures were taken when there were higher than normal numbers of patients visiting the department. We were assured that all patients had received the care, treatment and support that they had needed and the Trust had not received any concerns as a result of these situations.

We found that ED provided care and treatment to a significant number of people who could have been seen by healthcare professionals from other services, for example minor injuries units or walk in centres. Despite this the care delivered by ED staff was professional and appropriate.

We found that all staff we spoke with were committed to their jobs, were hard working and competent. The Trust had protocols in place to deal with fluctuating demand for the services the department provided and these measures had been instigated when needed.