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Provider: University Hospitals of Leicester NHS Trust Good

On 05 February 2020, we published a report on how well University Hospitals of Leicester NHS Trust uses its resources. The ratings from this report are:

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

Read more about use of resources ratings

Inspection Summary


Overall summary & rating

Good

Updated 5 February 2020

Our rating of the trust improved. We rated it as good because:

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

Inspection areas

Safe

Requires improvement

Updated 5 February 2020

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

  • Not all services had enough staff to care for patients and keep them safe. Not all staff had received up to date training in key skills.
  • Staff did not always assess risks to patient’s, act on them and keep good care records.

However:

  • All services understood how to protect patients from abuse. They managed medicines well. Most services managed infection risk well. Services managed safety incidents well and learned lessons from them. Staff collected safety information and used it to improve services.

Effective

Good

Updated 5 February 2020

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

  • Services 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 and advised them on how to lead healthier lives.
  • Managers monitored the effectiveness of services and good outcomes for patients were mostly achieved across all services.

However:

  • Staff did not always support patients to make decisions about their care as they did not always complete mental capacity assessments.
  • Not all key services were available seven days a week.

Caring

Good

Updated 5 February 2020

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

  • Services 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

Good

Updated 5 February 2020

Our rating of responsive improved. We rated it as good because:

  • Most services planned care to meet the needs of local people and took account of patients’ individual needs.
  • Services treated concerns and complaints seriously.

However:

  • People could not always access services when they needed it and had to wait too long for treatment.

Well-led

Good

Updated 5 February 2020

Our rating of well-led improved. We rated it as good because:

  • We rated well-led (leadership) from our inspection of trust management as good.
  • Leaders had the skills and abilities to run services. Most staff we spoke to felt respected, supported and valued.
  • Staff understood the trust’s vision and values, and how to apply them in their work. They were focused on the needs of people receiving care.

However:

  • Information systems were not always effective in some services.
  • Not all services had reliable systems to manage performance effectively. Some services had not identified and escalated all relevant risks and issues and identified actions to reduce their impact.