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Provider: United Lincolnshire Hospitals NHS Trust Requires improvement

On 17 October 2019, we published a report on how well United Lincolnshire Hospitals NHS Trust uses its resources. The ratings from this report are:

  • Use of resources: Inadequate  
  • Combined rating: Requires improvement  

Read more about use of resources ratings

We are carrying out checks on locations registered by this provider. We will publish the reports when our checks are complete.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 October 2019

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

  • We rated safe, effective, responsive and well-led as requires improvement, and caring as good.
  • In rating the trust, we took into account the current ratings of the 14 services not inspected this time.
  • We rated three of the core services we inspected at this inspection inadequate overall, four as requires improvement and three as good.
  • We rated well-led for the trust overall as requires improvement.

Inspection areas

Safe

Requires improvement

Updated 17 October 2019

  • Some services did not always have enough staff to care for patients and keep them safe. In three out of five services some staff had not had training in key skills. Some services did not always control infection risk well. Staff did not always assess risks to patients, act on them and keep good care records. Not all services managed safety incidents well and learned lessons from them.

However:

  • Most staff understood how to protect patients from abuse.

Effective

Requires improvement

Updated 17 October 2019

  • Managers did not routinely monitor the effectiveness of services and did not always achieve good outcomes for patients. Managers did not always make sure staff were competent. Issues, identified at our last inspection, threatening the safety and effectiveness of care, had not been not progressed in an acceptable timeframe. Staff had access to information however, this was not always up to date. In some services key services were not available seven days a week.

However:

  • Most staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives and supported them to make decisions about their care.

Caring

Good

Updated 17 October 2019

  • Most staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.

Responsive

Requires improvement

Updated 17 October 2019

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

  • Services did not always plan care to meet the needs of local people or take account of patients’ individual needs. People could not always access some services when they needed it and had to wait too long for treatment.

However:

  • Services made it easy for people to give feedback.

Well-led

Requires improvement

Updated 17 October 2019

Our rating of well-led stayed the same. We rated it as requires improvement because:

  • Leaders did not always run services well using reliable information systems. Not all staff felt respected, supported and valued, were clear about their roles and accountabilities and supported to develop their skills. Services did not always engage well with patients and the community to plan and manage services and not all staff were committed to improving services continually.

However:

  • Most staff understood the service’s vision and values, and how to apply them in their work. Most staff were focused on the needs of patients receiving care.