The service struggled with staffing numbers and staff did not always have the right qualifications, skills, training and experience to keep children, young people and their families safe from avoidable harm and to provide the right care and treatment. Nursing staff shared concerns with the level of staffing on most medical wards. We observed clear referral pathways for patients who were displaying or had mental health conditions. In most wards there is a bedside television, radio and telephone system called Hospedia. we have taken enforcement action. Kings Drive, Eastbourne, East Sussex, BN21 2UD Patient records were available, kept secure and up to date. Apply to Nhs Trust Hospital jobs now hiring in Eastbourne on Indeed.com, the worlds largest job site. Managers monitored the effectiveness of the service and made sure staff were competent. Our rating of this service improved. Data provided by the trust showed improvements in the implementation of the sepsis pathway. ACTs provide high quality and appropriate care and liaise with STAR . Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. Our rating of the Eastbourne Midwife Unit was requires improvement. The trust had participated in a national benchmarking programme for outpatient departments and the womens health service had achieved successful accreditation from the British Society of urogynaecology in 2017. Leaf Hospital, St. Annes Road, Eastbourne, East Sussex, BN21 2HW. Senior staff told us most wards have full establishment of staff at the start of a shift. Slippers or shoes that fit properly, to avoid slips or falls during your stay in hospital. Doctors, nurses and allied health professionals worked together to provide integrated care that met the needs of patients. When things went wrong, staff apologised and gave patients honest information and suitable support. Published Leadership, governance and culture were used to drive and improve the delivery of high-quality person-centred care. There were clear and effective processes for managing risk and performance. We accept all major insurances as well as Medicare and all AHCCCS plans. Conquest Hospital
Your information helps us decide when, where and what to inspect. There was openness at risk meetings and learning from incidents was shared across the team in a variety of ways. Meals times are scheduled at varying times, depending on your unit, during the following time blocks: Breakfast: 7:00 a.m. - 9:00 a.m. . Standards for the completion of safeguarding training were variable with all staff meeting the requirement for level 1 training. It will also include any special instructions personal to you. Aurora Behavioral Health System works to make the admission process for our patients as easy as possible. Staff were caring and compassionate, working to maintain privacy and dignity of their patients. Black and minority ethnic (BME) reported that they felt supported and accepted as part of the hospital workforce. the service is performing exceptionally well. Staff worked well together for the benefit of children and young people, advised them and their families on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Hospital admissions (narrow measure) to be similar to national average by 2026 (Appendix 2.3) Alcohol specific mortality in Hastings to be similar to the East Sussex average . Good Multidisciplinary working was apparent across a range of specialities within outpatients. Our rating of this service stayed the same. Some aspects of service planning were expanding to meet increased patient demand. Comprehensive risk assessments were carried out on patient admission and kept in the patient records. The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD
30-32, Gildredge Road, Eastbourne, East Sussex, BN21 4SH . Records were clear, up-to-date, stored securely and easily available to all staff providing care. However, the trust has supplied information to show these policies were in date but these were not displaying when accessed on the inspection. Staff were aware of the duty of candour and gave patients honest information and support. There was evidence of effective multidisciplinary working with the hospital intervention team the security team and specialties when these were available. Have you found an error with this catalogue description? 6 June 2018. Staff delivered patient care in line with evidence based care and best practice guidance. Recent audits took place for JAG (joint advisory group on gastrointestinal endoscopy) accreditation, which they are currently awaiting the outcome. Staff said matrons and senior nurses were visible and supportive within the department, they felt valued, listened to and respected and felt confident to raise any concerns with their line managers. Medicines management had been added to the safety thermometer as an additional performance measure. Any other browser may experience partial or no support. Staff kept detailed records of children and young peoples care and treatment. However, staff are taken from the ward they are based in to work in other areas that do not have a full establishment and staff shortages. We noted that whilst the rating remained the same, there were noticeable improvements in many aspects of care. If you have any dietary requirements, please speak to the nursing staff and they will assist you. Those series are affected are indicated in their catalogue entries. Staff we spoke to were able to demonstrate an understanding of their responsibilities to safeguarding vulnerable adults. Staff provided good care and treatment, gave children and young people enough to eat and drink, and gave them pain relief when they needed it. There's no need for the service to take further action. There were clinical side rooms and a community midwifery hub. Records for patients with mental health needs required improvement to assure us of patient safety. Following our report in January 2017 it was highlighted that the outpatient service must develop play services in line with national best practice guidance. Our rating of this service improved. To contact PALS at this hospital: phone 0300 131 4784. email esh-tr.palse@nhs.net. The nursing staffing levels had improved since our previous inspection visit in September 2014. The incidence of both pressure damage and falls had shown a sustained improvement over time. EMU accepted women from the main acute site once they had given birth and were able to be transferred to receive extra support if required. Learning from Morbidity and Mortality meetings needed further development. Ward and departmental safety thermometer results showed improvements across the service. Explore Your Treatment Options : You . Leaders understood the challenges to quality and sustainability, and were taking action to address them. This information will help us make improvements to the website. Staff knew where to access support and information. Call us today, 24/7, for a free, confidential assessment . 0300 131 4500, Provided and run by: Staff knew how to contact the safeguarding team within the hospital and explained clearly how to make a safeguarding referral. Download full inspection report for Eastbourne District General Hospital - PDF - (opens in new window), Published Browser Support Community & mental health inspection reports for Eastbourne District General Hospital can be found at East Sussex Healthcare NHS Trust. They managed medicines well. The unit has two main birthing rooms, one included a birthing pool, two en-suite postnatal rooms for women to be transferred into after they have given birth. The childrens service was in the process of introducing Excellence in Care audits and the tool included a regular paediatric early warning system (PEWS) audits. The service controlled infection risk well. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. 01323 645 555 View details. We saw minutes of meetings where incidents including never events were discussed and learning fed back to staff via ward meetings and newsletters, which were available in hard copy and circulated by email. This maternity thematic review was a focused inspection; we inspected the domains of safe and well led using the CQCs established key lines of enquiries (KLOES). Kings Drive, Eastbourne, East Sussex, BN21 2UD
Leaders had the integrity, skills and abilities to run the service. This may not apply if you are coming in for day surgery or minor procedures, or in areas that require specialised care for example the cardiac unit and intensive care unit. HE 88 Eastbourne Group Hospital Management Committee (Downside Hospital, Gildridge Sanatorium, the Leaf Hospital, the Maternity Home, Princess Alice Hospital, St Mary's Hospital): Group Medical Executive Committee, ad hoc Ophthalmology Committee, Intensive Therapy Unit . The doctor will prescribe all the tablets and medicines that you need while you are in hospital, as well as any you need when you return home. Recruitment continued to provide challenges and whilst the trust had taken many steps to address this, the problem of recruiting sufficient permanent staff continued. This enabled staff to use escalation areas and additional spaces for patients whilst they waited for diagnosis and treatment. This meant any child presenting at risk from complex mental health issues after this time, would be transferred to the short stay paediatric assessment unit or Conquest Hospital site for overnight admission until assessment by a mental healthcare professional could be safely carried out. Operated by Southern Service and Stagecoach South East, the . Smoking, vaping or using e-cigarettes is not allowed anywhere on any trust site, including in outside areas or in vehicles, to protect the health of the people using and working in our services. Staff truly respected and valued patients as individuals. They provided emotional support to patients, families and carers. the service isn't performing as well as it should and we have told the service how it must improve. It may be necessary to move you to a different bed in the same ward or to a different ward at varying times of the day or night. We saw dedicated areas for children in the main outpatient waiting areas. The senior team demonstrated a significant focus on improving sepsis screening and treatment. If you need assistance to stop smoking please speak to a member of staff who can refer you to the appropriate service. Earlier recognition and identification resulted in more timely review by the critical care outreach team, who had oversight of all NEWS Scores for all patients in the hospital. This meant there were 107 babies born at the midwifery led unit from October 2021 to September 2022 this was lower than previous years. Money for the television and phone system by your bedside. Where individuals needed support this was provided. In addition patients consistently spent longer in the emergency department than the national average. We also inspected one other Maternity service run by East Sussex Healthcare NHS Trust. We rated it as outstanding because: We found the surgery services at Eastbourne District General Hospital (EDGH) to be good because: The hospital had good medicine management processes in place, which related to the security and storage of medicines on all the wards we visited. Acute Admissions Limited Headquarters. EMU accepted low risk women and pregnant people over 37 weeks for childbirth. the service is performing exceptionally well. We reviewed 3 sets of patient care records. Matrons and senior staff felt the matron assistant was a valuable resource, which meant had more clinical time to spend on the ward supporting nursing staff. Patients and relatives told us that they were treated with dignity and compassion. Infection prevention and control measures had improved since our previous inspection. Staff recognised incidents and reported them through the electronic reporting system. For example, safety checklists were used and monitored to ensure the safety of patients undergoing a surgical procedure. Leaders and staff understood and knew how to apply them and monitor progress. The reason for these was not documented in most cases. Any prescribed tablets and medication that you usually take at home. 877.870.7012. Infection prevention and control standards were variable. The sepsis link nurse developed a think Sepsis poster which highlighted monthly audit results and a Stop sticker when the pathway was no longer appropriate, to ensure staff used the screening tool and cascaded results to the clinical leads and matron. / 50.7864829; 0.2697638. The majority of staff reported positive changes in their workplace culture and spoke of approachable and supportive middle managers. The practice development nurse also supported healthcare assistants to achieve the national care certificate and had helped to develop a new initial training and support programme for newly qualified nurses. The trust had introduced an additional daily consultant shift, which meant consultant cover now met the RCEM requirements of at least 16 hours per day. East Sussex Healthcare NHS Trust. However, the trust had made demonstrable improvements in mandatory training rates since our last inspection. Seaford, Where compliance with VTE risk assessment and prevention had been a concern in our previous inspection report, there was now evidence of high rates of compliance with 95% of patients having a properly completed VTE risk assessment in July 2016. Any other browser may experience partial or no support. The childrens outpatient unit provided families with various clinics for children living with health conditions. There were some issues with the structural maintenance of the hospital. Any women that developed complications during labour were transferred to the acute unit at Conquest Hospital. Staff throughout outpatient services put patients at the centre of what they did. The service had improved the triage process with significantly improved training and clinical competency checks for nurses and HCAs. We look at the needs of all patients when making these decisions and we will discuss with you prior to any move. Staff we spoke with were highly motivated to provide care that was kind and promoted dignity. Elimination of the three-day hospital inpatient requirement for Medicare coverage of post-hospital SNF care. However, if your medication has not been changed and you have a supply at home, please inform the nurses as this may speed up the discharge process for you and allow you to be discharged earlier. Patients and relatives said staff go above and beyond and the care received exceeded their expectations. Staff had an understanding of what informed consent entailed. Eastbourne District General Hospital. Alcohol Care Teams are embedded in Conquest hospital in Hastings and Eastbourne District General. The Epic Health Research Network (EHRN) data show hospital admissions remaining below expected levels through at least April 9, 2021. We will ask you to sign a property and valuables disclaimer on your admission as part of the admission documentation process. Hand hygiene audits showed sustained high levels of compliance with results maintained above 97% since February 2016. Appraisals were consistently carried out, fit for purpose and focused on staff achievements and goals. Inpatient Mental Health Intake & Admissions Process, All of the staff deserve special recognition, What to Expect When Calling a Mental Health Facility, may need to be entered from aurora.boxcarstudiodev.com, Mental Health & Psychiatric Hospitals in Glendale and Tempe, AZ, See what other patients are saying about us, Copyright Aurora Behavioral Health System. This was a very significant improvement and meant that decisions about the care of complex patients were being made at the right level of seniority. Holliers Hill, Bexhill-on-Sea, East Sussex, TN40 2DZ
The environment had improved since our previous inspection all areas were visibly clean and equipment was well maintained. There was a high vacancy rate of 12% for surgical nursing staff and the service was highly reliant on bank and agency staff for both nursing and medical staffing. This includes an average layover time of around 7 min. They had received training in the Mental Capacity Act 2005 and knew how this impacted on their work. However non-availability or delays in responding to referrals to specialties had resulted in negative patient outcomes including for patients who needed a stroke assessment. Not all nursing staff working in outpatient clinics where children were cared for were trained to child safeguarding level 3. They provided emotional support to children and young people, families and carers. Located in the heart of Eastbourne, the school has the sea and the town centre on its doorstep, while the train station is only a five-minute walk away. This meant that often children with complex needs did not have access to this important resource. We last inspected in October 2016 and rated urgent and emergency services as requires improvement overall. Where healing starts andthe road to recovery begins. We'd like to use additional cookies to remember your settings and understand how you use our services. We rated it as good because: Published The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD
However some governance processes did not demonstrate effectiveness or improvements in patient outcomes. Prev 1 2 Next . They treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions.