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Watford General Hospital Requires improvement

All reports

Inspection report

Date of Inspection: 17 December 2013
Date of Publication: 21 January 2014
Inspection Report published 21 January 2014 PDF

Overview

Inspection carried out on 17 December 2013

During a routine inspection

We visited the emergency department, acute admissions unit (AAU,) a surgical ward, a medical ward, the stroke ward, a dementia ward, an orthopaedic ward and reviewed the governance services. We spoke to 29 patients who used service, 40 members of staff and members of the executive team.

People were mostly satisfied with the care they received. In most cases people were complimentary about the attitude of staff. We found that the trust had responded to concerns around mortality at the trust. Overall mortality rates at the trust had improved.

We found concerns with cleanliness and infection control across four departments visited. We found blood stains on the floor in one area that has not been cleaned. We noted it had dried to the floor at the time of being seen, therefore had been there for some time.

On the AAU we found areas of concern around staffing that were not consistent with our findings in the other areas visited. We were told by the executive team that the day of our visit was one of the busiest days for admissions.

We found that the governance and quality monitoring services were not effective. Concerns were identified about whether appropriate action in relation to risk management had been taken by the trust.

We found that the organisation was well led. The Executive team had responded well to areas of concern. Whilst reactive improvements were noted, long term sustainability will be monitored by the Commission.