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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

There should be enough members of staff to keep people safe and meet their health and welfare needs (outcome 13)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by sufficient numbers of appropriate staff.

How this check was done

Our judgement

There were enough qualified, skilled and experienced staff to meet people’s needs.

The provider was meeting this standard.

User experience

Patients in ED told us “The staff are very busy”, “There seems to be a lot of staff about but we are all just waiting around” and “The staff know what they are doing. They have been very kind to me and I appreciate that. I feel that I am in safe hands”

.Patients in the assessment wards were asked about the availability of staff and how confident they felt that staff had the right skills. Comments included,” The care I have received has been impeccable. The nurses do not stop and it amazes me how they keep going".

Several patients made comments about how the staff 'never stop' and that although they felt 'well cared for and safe' they felt that staff were stretched too much. One relative we spoke with felt that a patient who had dementia was not monitored closely enough and was prone to falls. They expressed concerns about this and that observations charts were not being completed. We fed this back to the ward sister.

Other evidence

Staffing numbers throughout ED were varied throughout the day and were based upon predicted busier times. Throughout the morning period there was a staggered increase in the number of reception, nursing and clinical staff. Staff reported there was only two reception staff for a period during the day we visited when there was meant to be three. They intimated that this happened often but just meant they worked harder.

On the assessment wards there were many occasions where staffing levels were at the lower level to those they had been bench marked for. Staff that should be supernumerary often had to be counted in the rota, breaks were missed and staff were asked to extend their shifts. These comments from staff were given in a constructive professional way. Comments received from staff were constructive. It was clear that staff working for the trust were very proud of the services they provided and to be part of the trust itself. The provider may find it useful to note that prolonged staff shortages could potentially impact upon patient care.

In our feedback meeting we were assured by both the clinical matron and other senior Trust staff that recruitment of additional staff for both assessment wards was already underway.