Worcestershire Acute Hospitals NHS Trust response to the CQC inspection reports
The Care Quality Commission (CQC) has today (Wednesday, January 17) published its report on Worcestershire Acute Hospitals NHS Trust following their inspection in November 2017. The inspection assessed the core services of urgent and emergency care and medical care (including older people’s care) at the Alexandra and Worcestershire Royal Hospitals.
The report shows that all four of the core services inspected have improved from ‘inadequate’ to ‘requires improvement’ in the safe domain, urgent and emergency care at the Worcester site now rated ‘good’ in the effective domain and three of the four services have improved their overall rating from ‘inadequate’ to ‘requires improvement’. Given that only four of the twenty-two core services were rated in this inspection, there have been no changes to the overall ratings of the hospitals individually or the Trust overall as a result of this inspection.
The CQC identified outstanding services in this review including medicines safety work by the Pharmacy Team in the Emergency Department (ED) at Worcestershire Royal Hospital, and care for patients with mental health conditions in the ED at the Alexandra Hospital. Evergreen Ward at Worcestershire Royal Hospital, which provides a rehabilitation area for inpatients waiting for discharge, was also singled out for praise for its outstanding work in promoting holistic care and timely discharge of patients.
The CQC also identified areas that the Trust needs to continue to improve. This includes further improvement in the levels of mandatory training, VTE risk assessments at 24 hours post admission, improved responsiveness by specialist doctors for patients in the Emergency Departments, timeframes for resolution of complaints and risk management processes.
Trust Chief Executive Michelle McKay said: “We welcome this report. It confirms that we are making progress and it also helps us to identify those areas where further work is needed over the coming weeks and months.
“Our improved ratings in a number of key areas reflect the hard work done by colleagues across the Trust and our focus on improving safety and quality in our hospitals.
“The Trust’s leadership team are clear about the challenges which we still face. We understand that local people want to see more progress made, and we share their desire.
“However, we also hope that this report provides some welcome reassurance to all our hardworking and dedicated colleagues, and the people they care for, that we are moving the Trust in the right direction and making solid, sustainable improvements, underpinned by our ambitious Trust-wide three year culture change programme.”
Michelle McKay added: “We will use this report to refine and refocus our quality improvement plan and we will continue to talk openly and honestly about the progress we are making, as well as the challenges that have to be overcome.”
Notes to editors:
In November and December 2016, the CQC made an announced inspection of the Trust as part of its programme of checking that NHS services meet certain standards. The CQC report following this inspection (which was published in June 2017) gave the full details of the findings and rated the Trust 'inadequate' overall.
A focused inspection which was carried out in April 2017 was to specifically assess whether the Trust had made the necessary improvements in the six weeks from January to March 2017 as required by the Care Quality Commission following the CQC placing a section 29A compliance notice on the Trust. No services were rated as a result of that inspection.
Four core services were inspected in November 2017 – Medicine and Urgent and Emergency Care at the Alexandra and Worcestershire Royal Hospitals. While the overall ratings of these services improved, there have been no changes to the overall ratings of the hospitals individually or the Trust overall as a result of this inspection.
The CQC will return over the next six weeks and conduct further core service inspections, followed by a ‘well-led’ review at the end of February 2018.