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Royal Preston Hospital Requires improvement

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Inspection report

Date of Inspection: 14, 15, 18 November 2013
Date of Publication: 8 January 2014
Inspection Report published 08 January 2014 PDF | 105.86 KB

Overview

Inspection carried out on 14, 15, 18 November 2013

During a routine inspection

This was an unannounced inspection carried out over several days. During the inspection we visited a variety of areas including the hospital�s accident and emergency (A&E) department, the medical assessment unit (MAU), rapid assessment unit (RAU) and a number of medical wards.

We spoke to 31 people who were either using the service at the time of our inspection or had recent experience of it. We also spoke with over 40 staff members who included domestic assistants, nurses, health care assistants, doctors and senior managers.

The vast majority of discussions we held were very positive. Most people who were using or who had recently used the service, expressed satisfaction with their care and treatment. However, we did receive a small number of negative comments. The things people told us included:

��I have had absolutely first class care. They have all been brilliant!��

��The staff have been very kind and caring.��

��I cannot thank them enough. They have been wonderful.��

��The doctors have been fine and the nurses have been very friendly.��

��The bay in A & E wasn�t very private, people can hear everything!��

��They need to improve the way they communicate with patients!��

��I felt forgotten about while I was waiting but when I did see the consultant he was brilliant.��

During the inspection we looked at the care people received and how their welfare was promoted. We found that the vast majority of patients received safe and effective care that met their needs. However, we also found people�s experiences were variable in relation to having a lot of ward moves or not being on the correct ward to meet their needs.

We inspected the area of cleanliness and infection control and found the Trust had good arrangements in place to help ensure that people were cared for in a clean, hygienic environment and were protected from the risk of infection.

We assessed staffing levels. We found there were safe staffing levels in most areas and that the Trust had implemented a number of positive measures to maintain safe staffing levels. However, we did find that not all areas of the service used procedures for responding to unexpected, short notice requirements effectively.

Arrangements for the monitoring of quality and safety were assessed. We saw there were good processes in place that enabled managers to monitor standards, identify risk and respond appropriately to adverse incidents.

We looked at how the Trust enabled people to raise concerns and their processes for responding. We found this area was in need of improvement.