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Inspection Summary


Overall summary & rating

Updated 20 May 2014

Ilkeston Hospital provides general rehabilitation, end of life care and post-operative rehabilitation for adults following discharge from acute hospitals or from home. There are two 22 bedded inpatient wards, Hopewell and Heanor. Elective care services are provided at the Diagnostic and Treatment Centre.

Systems were in place to keep patients safe. Staff were confident about reporting serious incidents and poor practice. Learning took place as a result of serious incidents, and staff described changes that had come about following a significant medicines incident. Patients were assessed on admission and risk identified and managed appropriately, although some records were not accurately completed.

Although care delivery was predominantly nurse led, we saw effective collaboration and communication amongst all members of the multidisciplinary team (MDT) to support the planning and delivery of patient centred care. There was a good staff mix of skill and experience. In the diagnostic and treatment centre there was a clinical practice facilitator, who supported staff with learning and development and provided monthly supervision.

Patients and their relatives were positive about the care and treatment they had received. Patients and relatives were treated with dignity and respect, and involved in making decisions about their care and the support needed.

We found the organisation actively sought the views of patients and families. People from all communities could access services and effective multidisciplinary team working ensured people were provided with care that met their needs, at the right time.

Staff were aware of the Trust’s vision, the ‘DCHS Way’. There was good communication within teams. Most staff we spoke with felt well supported at a local level. They felt they could raise any concerns and were confident they would be listened to.

Inspection areas

Safe

Updated 20 May 2014

We saw that the care provided during our inspection was safe. Staff were confident about reporting serious incidents and providing information to the senior staff on duty if they suspected poor practice which could harm a person. Patients were assessed for risks on admission and appropriate measures were put in place when potential risks were identified, although some records were not accurately completed.

Effective

Updated 20 May 2014

Care was effectively delivered through the use of evidence based guidance and nationally recognised recording tools. Care plans and risk assessments were reviewed and updated as required. However, we saw that tools used to assess the risk of pressure ulcers and medication records were not always accurately completed. Effective rehabilitation was provided to facilitate discharge back into the community. Sufficient staff were provided to care for patients.

Caring

Updated 20 May 2014

Most of the patients we spoke with were very happy with the care and treatment at Ilkeston Hospital and said they felt involved in decisions about their care. Patients and relatives were treated with dignity and respect.

Responsive

Updated 20 May 2014

The multi-disciplinary team (MDT) worked effectively to support the planning and delivery of patient centred care. Weekly MDT meetings ensured patients’ needs were fully explored. The discharge and transfer of patients was well managed. Effective systems were in place to ensure that discharge arrangements met the needs of patients.

Patients attended the wards as outpatients to receive intravenous antibiotics. This meant that patients were able to remain in their own homes whilst receiving treatment, rather than being admitted to an acute hospital. Patients were referred to the diagnostic and treatment centre by their GP and could use the “choose and book” system to arrange their appointment.

Well-led

Updated 20 May 2014

Staff were aware of the Trust’s vision, the ‘DCHS way’ and were able to describe what this meant in practice. There was good communication within teams. Staff told us they were well supported by managers; they felt they could raise any concerns and that they were listened to

Checks on specific services

Community health inpatient services

Updated 20 May 2014

Systems were in place to keep patients safe. Staff were confident about reporting serious incidents and poor practice. Learning took place as a result of serious incidents, and staff described changed that had come about following a significant medicines incident. Patients were assessed on admission and risk identified and managed appropriately, although some records were not accurately completed.

Although care delivery was predominantly nurse led, we saw effective collaboration and communication amongst all members of the multidisciplinary team (MDT) to support the planning and delivery of patient centred care.

Patients and their relatives were positive about the care and treatment they had received. Patients had been asked their preferred name on admission and we observed staff respecting this. Patients and their families were involved in making decisions about their care and the support needed.

We found the organisation actively sought the views of patients and families. People from all communities could access services and effective multidisciplinary team working ensured people were provided with care that met their needs, at the right time.

Staff were aware of the Trust’s vision, the ‘DCHS Way’. The Trust Board members were visible and the Chief Executive communicated weekly via email with all staff. The majority of staff we spoke with felt well supported at a local level within the ward and the hospital. Staff felt they could raise any concerns locally and were confident they would be listened to.

Other CQC inspections of services

Community & mental health inspection reports for Ilkeston Hospital can be found at Derbyshire Community Health Services NHS Foundation Trust.