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King’s College Hospital shows improvement says CQC

Published:
29 June 2017
Provider:
King's College Hospital NHS Foundation Trust
Categories:
  • Media,
  • Hospitals

The Care Quality Commission has published a report on services provided at King’s College Hospital NHS Foundation Trust, Denmark Hill, Camberwell, south-east London.

The Quality Report follows an October 2016 focused inspection, carried out to review the progress made by the trust following a comprehensive inspection in April 2015. CQC asked the trust to make improvements in a number of areas.

CQC did not change the rating of the trust following this focused inspection - which remains at Requires Improvement.

There were areas of improvement across the majority of the concerns raised during the previous inspection.

When inspectors visited in October 2016 they found:

At King’s College Hospital:

The hospital had rectified the storage of IV and renal dialysis fluids on Fisk Ward.

Maintenance had resolved problems with flooding in both renal and endoscopy areas.

Outpatients services for patients with liver disease had been moved to a new area and had appropriate space for patients and their families.

Staff had completed a significant amount of work on improving the use of the World Health Organisation “Five steps to safer surgery” checklist.

Maternity services had improved the flow of patients through the department.

A new critical care unit was under construction, and was due for completion in March 2019. Infection prevention and control was a key priority in the Critical Care Units.

Audits were completed on hand hygiene, infection numbers and cleanliness.

At Princess Royal University Hospital:

The provision of patient records availability in outpatients had improved greatly.

There has been improvement to staffing levels and consultant cover now reaching 16 hours per day in the Emergency Department.

CQC inspectors reviewed the work which had been undertaken to improve over booking in the outpatients department. Sizes of clinics had been reduced, over booking of clinics had stopped. Patients were being kept informed of waiting times.

However, there were also areas of poor practice where the trust still needs to make improvements.

At King’s College Hospital - the trust must:

  • Improve safeguarding training completion rates.
  • Ensure the documentation of the use of mechanical restraints mitten in CCU is recorded in patient care records. 

At Princess Royal University Hospital the trust must:

  • Work with key stakeholders to improve patient flow throughout the hospital to reduce waiting times in the Emergency Department, cancellation of operations and delayed discharges.
  • Review and improve record documentation to ensure it is fully completed and in line with national guidance including do not attempt cardio-pulmonary resuscitation orders.

CQC did not visit the Orpington Hospital site but we spoke with staff and reviewed information provided by the trust. 

The Chief Inspector of Hospitals, Professor Sir Mike Richards, said:

“It is good to see that King’s College Hospital NHS Foundation Trust has been working to make the improvements we recommended at our last comprehensive inspection."

“I hope that this work and further steps in the right direction in future will lead to an improvement to the trust’s Require Improvement overall rating.”

Ends

For further information please contact Ray Cooling, Regional Engagement Manager (London), on 020 7448 9136 or call the press office on 020 7448 9401 during office hours. 

Journalists wishing to speak to the press office outside of office hours can find out how to contact the team here.

Please note: the press office is unable to advise members of the public on health or social care matters. For general enquiries, please call 03000 61 61 61.

Last updated:
28 June 2017

Notes to editors

King's College Hospital NHS Foundation Trust is a large provider of acute and specialist services that serves a population of over 1,000,000 in south east London and Kent. The trust operates from three acute sites; King's College Hospital Denmark Hill, Princess Royal University Hospital Bromley and Orpington Hospital.

The Chief Inspector of Hospitals, Professor Sir Mike Richards, is leading significantly larger inspection teams than before, headed up by clinical and other experts including trained members of the public.
Whenever CQC inspects it will always ask the following five questions of every service:
  • Are they safe?
  • Are they effective?
  • Are they caring?
  • Are they responsive to people’s needs?
  • Are they well-led?
Since 1 April, registered providers of health and social care services have been required to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily.
 

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.


We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.


We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.