By increasing staff awareness, services may be able to meet peoples needs without needing to request emergency services. To ensure this is the case, we have taken the following measures: We respect the dignity, privacy and independence of everyone who uses our services: Our staff should always treat you without discrimination and within the law. Ensure resuscitation decisions are always documented legibly and completed fully in accordance with the trusts own policy and the legal framework of the Mental Capacity Act 2005. We reported this to the hospital trust management immediately and undertook enforcement action to place a condition on the trusts registration in relation to Addenbrookes Hospital to ensure that there were sufficient staff in place to care for critically ill patients. The emergency department and major trauma centre were efficient and effective. Cambridge University Hospitals NHS Foundation Trust is one of the largest in the UK with around 1100 beds. Governance in maternity had improved with clear view of the units risks and key performance data now being collected. We carried out a focussed follow up inspection on 9th and 10th February with an unannounced inspection on 23rd February. Good On both wards we visited, people felt that staff did not respond to their needs quickly enough and one person said she can wait for up to an hour to have her call bell answered. There were some outstanding maternity services but significant pressures led to regular closures and a midwife to birth ratio worse than the recommended level. We found that the staff were exceptionally caring and that they went the extra mile for their patients.. In response, CQC is undertaking a series of coordinated inspections, monitoring calls and analysis of data to identify how services in a local area work together to ensure patients receive safe, effective and timely care. There remained use of bank staff and some locum consultants. It is a regional centre providing specialist services such as organ transplantation, cancer, neurosciences, paediatrics and genetics. There is adequate staffing to provide safe care for patients requiring non-invasive ventilation. The initiative for Family Facetime proposed the purchase of two technology tablets to enable mums on the Obstetric Close Observation Area (OCOA) who are too unwell to visit their baby on the neonatal intensive care unit to receive a video link via Facetime with their baby. If there is no-one to fulfil this role for you, you can request a member of staff to accompany you known as a formal chaperone. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. You will not have to walk through areas designated for the opposite sex, You may share some communal space, such as day rooms or dining rooms, and it is very likely that you will see both men and women patients as you move around the hospital (e.g. Ophthalmology. Medium and Low Risk devices are entered as one skills cluster on MAPS by team leader when completed. On the general critical care unit, a junior doctor jointly with the IT department developed an application for a mobile tablet called My ICU Voice to enable patients who had a tracheostomy to communicate with staff. This was to determine how the flow of patients who started their care and treatment in the emergency department and those cared for on medical wards, was managed by the wider hospital. Patient dependency in the intensive care unit is reviewed and staffing monitored against this on a day to day basis to ensure compliance with the Faculty of Intensive Care Medicine / Intensive Care Society core standards for ICU (Ed1) 2013. . We identified a need for more capacity in primary care to meet peoples needs in Cambridgeshire and Peterborough. It includes child protection, safe recruitment, statutory duties, patient safety, and partnership working between organisations to safeguard and promote the welfare of children and young people. This had received excellent feedback from patients and relatives. There was well-managed and coordinated medical handover and follow-up of patients following admission, with all specialties being represented for effective care management planning. Maureen came to live in Great Shelford from Suffolk in 1993. Survey closes at the end of March 2022. We observed the environment and spoke with 14 patients and reviewed 30 sets of patient records. Safeguarding is defined as protecting people's general wellbeing and human rights and allowing each person to live free from abuse and neglect. It has been piloted in Holmer Lake Primary School by a group of children in Year's 4-6 who created a Children's Safeguarding Board called Team Safeguarding Voice . Whether its during an outpatient appointment or as an inpatient, you may want to have a chaperone present during an examination or procedure and its our policy to do everything we can to facilitate this. Inspection Report published 6 October 2011 for Addenbrooke's and the Rosie Hospitals - PDF - (opens in new window), Published All our staff have a duty to promote and protect the right of every adult to live in safety, free from abuse and neglect. addenbrooke's safeguarding team. There were areas of poor practice where the trust needs to make improvements. The South Transfer of Care Teams have permanent vacancies for both full-time and part-time Adult Support Coordinators, covering Addenbrookes and West Suffolk Hospital. the service is performing well and meeting our expectations. Ward J2 ran weekly music and movement classes to help meet the holistic needs of patients during their long-term recovery. We looked at the experience of patients using urgent and emergency care and medical care services at Addenbrookes Hospital. Welcome to Safeguarding. MyChart - Keeping you involved and informed about your care. Consistent foetal heart rate monitoring is provided in maternity services. Ensure medicines including controlled medicines are securely stored at all times. Staff reported incidents and there was increased evidence of learning from incidents. Give us a call or drop by anytime, we endeavour to answer all enquiries within 24 hours on business days. Jimmy George Tattersalls, Published Oral and Maxillofacial Surgery. In December 2014 Cambridge University Hospitals NHS Foundation Trust had been identified as having only two elevated risks and one risk on our Intelligent Monitoring system. We visited a mental health service and found it met the needs of people who presented in the Emergency Department or transferred between acute and mental health services. We found that staff knowledge about safeguarding was robust on the children's ward we visited and that appropriate safeguarding arrangements were in place on older people's wards. Published Mental Capacity Act Assessments and Safeguarding work. Medicines aremanaged in line with national guidance and the law. Some people had missed a meal because they were away from the ward and were able to order a 'late' meal. These services, as provided at Addenbrookes Hospital and the Rosie Hospital were inspected as part of the core services within this report. This impacted on the ability to provide appropriate care and treatment and moving patients to the appropriate service. Appointment. Performance was closely monitored and there were plans in place to address staff shortages, particularly for health advisors, and there was a successful on-going recruitment campaign. The trust provides a major trauma centre for the east of England and specialist services in immunology, foetal medicine, IVF, neurosurgery, ophthalmology, genetics and metabolic diseases, specialised paediatric, cancer and transplant services. Addenbrooke's Hospital provides emergency, surgical and medical care for local people and is the Major Trauma Centre (MTC) for the East of England region. This improvement was in line with the trusts improvement plan. The team is based in three locations: Addenbrookes Hospital, Cambridge, Hinchingbrooke Hospital, Huntingdon and Peterborough City Hospital. Most staff we spoke with had a good understanding of the duty of candour. However, there continued to be a backlog of appointments within outpatients. Staff were very caring and on some occasions went to great lengths to support and care for patients. All bedrooms have comfy and cosy soft furnishings, bespoke furniture, TV, DVD and gaming facilities. U: 20/09/20. However, these services also experienced staff shortages, and some were only available during set times. Some people who were waiting realised they had been delayed so that staff could treat people with more immediate needs first. suchy beton pod zamkovu dlazbu; weather in the pacific ocean on a cruise; mike missanelli show cast; why does chimney on 911 always chew gum; hospital linen attendant job description This inspection was to gain assurance that Cambridge University Hospitals NHS Foundation Trust had taken action to address our most serious concerns identified at our inspection of April 2015 and was not to determine if the trust should be removed from special measures. how do legal encyclopedias direct researchers to primary authorities? The hospital campus opened in 1962 and became a foundation trust in July 2004. This often resulted in staff being moved from one area of a service to another to make up staff numbers. Review the provision of consultant hours on the delivery suite in relation to national guidance. 18 March 2014. Whilst we inspect core services, these crossed divisions. Division A: Musculoskeletal; Digestive Diseases and ICU/Periops. jetblue pilot base seniority Register Now. It was good for safe and effective, outstanding for caring and well led, and requires improvement for responsive. Everyone who works at Cambridge University Hospitals is responsible for patient safety. Orthopaedics. Introducing the new EPIC IT system for clinical records had affected the trusts ability to report, highlight and take action on data collected on the system. One person said, 'I don't think they can respond quickly, they have so much to do, they do their best'. Expert witness - acute paediatrics, safeguarding, neurology and epilepsy. Bereaved relatives were also invited back six weeks after the death to enable staff to provide emotional support and answer any questions. Pressure on surgical services meant routine operations were frequently cancelled and patients were waiting longer than the 18-week referral to treatment target for operations. Phone. Although it was beginning to be embedded into practice, it was still having an impact on patient care and relationships with external professionals. A new governance and management structure gave full oversight of the trusts improvement plan. which of the following statements describes managed care? One person told us, 'Staff here are fantastic, gold star, they are always helpful and explain what's happening'. Steve graduated in 1978 from St George's Hospital London. Managers in all areas were well sighted on risks as well as developing new pathways and delivering care. Infections arent fussy about who spreads them, so we all need to be careful. Plus, a relocation package of up to 8000 If you would like further information about this role, please contact Paige on 01223 699263 or email welovesocialworkers@cambridgeshire.gov.uk. If you need help to use the toilet or take a bath (e.g. The Chair thanked the Prince of Peace Choir, visiting from Kigali, for their singing contribution to . As per standard school year term dates. We observed some local and system escalation meetings and found there was limited, if any action taken in response to issues and risks escalated. To ensure this is the case, we have taken the following measures: ", Inspection Report published 28 December 2011 for Addenbrooke's and the Rosie Hospitals - PDF - (opens in new window), Published Whilst we found some examples of collaborative working focused on developing system wide resilience, we found Emergency Departments remained under significant pressure. By ticking this box you are confirming that you are happy for Addenbrooke's Charitable Trust to use your email address to send news, updates and fundraising . There had been an increase in permanent staffing levels resulting in very low levels of agency nurse usage across the trust. aggiornare php aruba hosting linux. There's no need for the service to take further action. These decisions include, but are not limited to: At a Clinical Ethics Forum meeting the members hear from the parties involved in the patients care in order to understand all the issues and concerns. We spoke with staff in services across primary care, urgent care, acute, mental health, ambulance services and in care homes and domiciliary care agencies (social care). There was a large audit programme. you need a hoist or special bath) then you may be taken to a unisex bathroom used by both men and women. Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt. There was on-going cancelled surgery though the number was on a downward trajectory and represented improved performance since our last inspection in April 2015. She was later transferred to Addenbrooke's in . We also looked at a range of performance data and documents including policies, meeting minutes, audits and action plans. . Aid, Youth Development. Phone: 503.224.8500 . Other equipment within the unit was all serviced and had been appropriately maintained. This pressure on beds meant that a number of routine surgery admissions were cancelled as there were no beds available. This inspection was to follow up our comprehensive inspection in April 2015 where the concerns identified by the inspection team had resulted in my recommending the trust for special measures. All patients awaiting an outpatients appointment are assessed for clinical risk and prioritised as to clinical need.