You are here

Provider: Milton Keynes University Hospital NHS Foundation Trust Good

Inspection Summary


Overall summary & rating

Good

Updated 30 July 2019

Our rating of the trust stayed the same. We took into account the current ratings of services not inspected this time. We rated it as good because:

  • We rated effective, caring, responsive and well- led as good and safe as requires improvement.
  • We rated seven of the trust services as good and one, which was surgery as requires improvement overall.
  • We rated well led for the trust as good overall.
  • During this inspection, we did not inspect critical care, outpatients diagnostic imaging, services for children and young people or end of life care. The ratings we published following the previous inspections are part of the overall rating awarded to the trust this time
Inspection areas

Safe

Requires improvement

Updated 30 July 2019

Our rating of safe stayed the same. We rated it as requires improvement because:

  • Urgent and emergency care and surgery were rated as requires improvement. Not all staff had completed mandatory training, prevent and control infection processes were not always followed, emergency equipment was not always checked daily as per trust policy, medicines were not always stored correctly and not all safety results and performance met the expected standard.
  • Medical care including older people’s care service and maternity services were rated as good on this inspection.
  • Critical care, outpatients diagnostic imaging, services for children and young people and end of life care were rated as good at previous inspections

Effective

Good

Updated 30 July 2019

Our rating of effective stayed the same. We rated it as good because:

  • Urgent and emergency care, surgery, medical care including older people’s care service and maternity services were rated as good on this inspection. The trust provided care and treatment based on national guidance and evidence of its effectiveness, staff assessed and monitored patients regularly to see if they were in pain, staff were competent for their roles, staff understood their roles and responsibilities in relation to consent and under the Mental Health Act (MHA)1983, the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS).
  • Critical care, outpatients diagnostic imaging, services for children and young people and end of life care were rated as good at previous inspections

Caring

Good

Updated 30 July 2019

Our rating of caring stayed the same. We rated it as good because:

  • Urgent and emergency care, surgery, medical care including older people’s care service and maternity services were rated as good on this inspection.
  • Staff cared for patients with compassion. Feedback from patients confirmed that staff treated them well and with kindness. Staff provided emotional support to patients to minimise their distress. Staff involved patients and those close to them in decisions about their care and treatment.
  • Critical care, outpatients diagnostic imaging, services for children and young people and end of life care were rated as good at previous inspections

Responsive

Good

Updated 30 July 2019

Our rating of responsive stayed the same. We rated it as good because:

  • Urgent and emergency care, surgery, medical care including older people’s care service and maternity services were rated as good on this inspection, the trust mostly planned and provided services in a way that met the needs of local people, patients’ individual needs were taken into account, the trust treated concerns and complaints seriously, investigated them and learned lessons from them, although some complaints were not always responded to within the time lines of the trust’s complaints policy.
  • Critical care, outpatients diagnostic imaging, services for children and young people and end of life care were rated as good at previous inspections.

Well-led

Good

Updated 30 July 2019

Assessment of the use of resources

Use of resources summary

Requires improvement

Updated 30 July 2019

Combined rating