On Thursday 16th February 2017 The Care Quality Commission (CQC) published a report recognising the progress that Buckinghamshire Healthcare NHS Trust has made since its last inspection in 2015.
The report follows the unannounced and focused inspections into specific services (medical care, surgery and end of life care) which took place over two days in September 2016 at Stoke Mandeville and Wycombe hospitals and the inpatient ward at Buckingham Community Hospital.
The CQC inspection report stated: ‘In all areas, patients and relatives were positive about the caring attitude of staff, their kindness and compassion‘ and ‘Staff worked effectively within their team and with other teams to provide co-ordinated care to patients, which focused on their needs.‘
The Trust has an ambition to be one of the safest healthcare systems in the country and the reports recognise both the work undertaken to foster a culture of safe, high quality care in the inspected services and the improvements made.
While each of the four services retained their overall ‘requires improvement’ rating, many individual elements were rated as good. In particular all services were rated as ‘good’ for caring.
Out of a total of 35 service domain ratings, the Trust received 21 good, 14 requires improvement and 0 inadequate ratings. In 2015 just seven services were rated as good.
Significant improvements in the majority of areas inspected were highlighted, including:
- The Excellence Reporting initiative – reporting and learning from excellent care to ensure that ‘success breeds success’ – has been highlighted as an area of outstanding practice.
- Safeguarding knowledge of staff is good and people understand the actions required to protect the safety of patients in vulnerable situations.
- Multidisciplinary working is embedded across all wards: ‘Staff worked effectively within their team and with other teams to provide co-ordinated care to patients, which focused on their needs.‘
- Services are responsive to the needs of local people: ‘working in partnership with local commissioners to plan and deliver services to meet the needs of local people.‘ The development of the stroke unit at Wycombe Hospital being a good example of this.
- Our use of the National Early Warning Score to identify when a patient’s condition is deteriorating.
- Our values and vision for the Trust are understood by staff. We have ‘an open and transparent culture‘ and that ‘the leadership of the Trust and within the division were visible and supportive.‘
Further development was also identified in the report includinf improvements in the management of medicines, environmental improvements, consistency in record keeping, governance processes, learning from incidents, and training.
Chief Executive of the Buckinghamshire Healthcare HNS Trust, Neil Dardis, said: ‘We welcome this latest report from the CQC. We are pleased that they acknowledge that some tough challenges have been tackled and improvements made since their last inspection.
It is clear though that there is still more work to do and the report rightly highlighted those areas where we are not getting it right all the time for our patients and staff. We have an ambition to become one of the safest healthcare systems in the country and the recommendations made in these reports will help us with our ongoing quality improvement programme.
Importantly however I am proud that the inspection team has once again recognised the caring and compassionate attitude of staff. I want to thank all staff whose hard work and dedication have made a real difference to the care and experience we provide to our communities.‘
The overall results for 2017 are as follows:
|Hospital||No. of areas inspected||Good||Requires Improvement||Inadequate|
|Stoke Mandeville||15||9 (was 2 in 2015)||6 (was 12 in 2015)||0 (was 1 in 2015)|
|Wycombe||15||9 (was 5 in 2015)||6 (was 9 in 2015)||0 (was 1 in 2015)|
|Buckingham||5||3 (was 0 in 2015)||2 (was 5 in 2015)||0 (was 0 in 2015)|
The full report will be available on the CQC website from Thursday 16th February 2017.