Isle of Wight NHS Trust issued with warning notice by CQC

The health watchdog, the Care Quality Commission, says their findings were unacceptable and they’ve warned the Isle of Wight NHS Trust that they want immediate improvements within the emergency department to ensure people receive the high-quality care they deserve.

St mary's hospital

John shares this latest news on behalf of The Care Quality Commission. See the IW NHS Trust’s response. Ed


The Care Quality Commission (CQC) has warned the Isle of Wight NHS Trust that services provided in the emergency department at St Mary’s Hospital in Newport must improve as a matter of urgency.

CQC carried out a focused inspection in the emergency department at the hospital in January 2019, as part of a programme to assess safety during the winter period.

Concerns over safety and quality of patients’ care
After the inspection CQC issued a Warning Notice requiring the trust to take immediate action to address concerns about the safety and quality of patients’ care in surgery.

At times care and treatment was not always provided in a way that reduced risks to patients.

Immediate action required
The warning notice highlights:

  • Patients were cared for and treated in non-designated areas for care in the emergency department, which increased the risk of them not having the right assessments, care and treatment.
  • Patients were not always assessed in a timely or safe manner, or assessed by staff who were suitably qualified.
  • There were not enough staff on duty to deliver safe care and treatment to patients.

Deputy Chief Inspector: Unacceptable initial assessments
Dr Nigel Acheson, CQC’s Deputy Chief Inspector of Hospitals for the South, said:

“While we can acknowledge winter is a busy time for hospitals this should never impede on patient care. Our inspectors visited the emergency department of St Mary’s Hospital at the end of January and were not assured that patients were not being treated promptly enough and in areas which were not designated as care areas.

“Handovers from ambulance teams to the hospital were done in a timely manner, but there was again concern that the initial assessment for patient treatment was not always seen by a nurse in the first instance. This is unacceptable and we have warned the trust that we want immediate improvements within the emergency department to ensure people receive the high-quality care they deserve.

“We will continue to monitor the trust extremely closely and will return to inspect services again on an unannounced basis in the near future.”

Shortage of qualified nurses
Inspectors found that despite recent recruitment there remained a noticeable shortage of qualified nurses. In the month prior to the inspection there was heavy reliance on agency nurses.

Although agency nurses are fully qualified they do not always have the specialist experience of working in that particular emergency department before.

Unacceptable demands on nurses’ time
Staffing information displayed in the department during the inspection showed that eight nurses were expected to be on duty but only six were present.

As a result of this, the nurse in charge was having to assess newly arrived ambulance patients, look after patients requiring care in the corridor, assist in the resuscitation room, take over from nurses on meal breaks as well as co-ordinate the care of all the patients in the department.

It was not possible for one nurse to do all of this and inspectors found several aspects of patient care had not been completed.

No nurses in major treatment area
There were periods during the inspection when there were no nurses in the major treatment area, the minor treatment area or the rapid assessment area.

There had been a review of nursing levels in September 2018, but it was not clear whether the increase in nursing numbers would be implemented.

Handover of ambulance patients
The first assessment of ambulance patients did not take place according to national guidance. Although a handover generally took place within 15 minutes of arrival, there was no face-to-face assessment of these patients by an experienced nurse.

Subsequent observations and assessments were often undertaken by a healthcare assistant.

Care in corridors
The department was crowded throughout the inspection with patients receiving care and treatment in corridors.

One patient had been in the department for 15 hours and had been nursed in the corridor for three hours.

During a review of the records of patients four out of six patient safety checklists were incomplete.

Isle of Wight NHS Trust is currently rated as Inadequate and is in special measures. This inspection was not rated and does not change the overall rating for the trust.

The Report


Image: © Used with the kind permission of Auntie P

Thursday, 7th March, 2019 12:01am

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Filed under: Ambulance, Health, Island-wide, Isle of Wight News, Top story

Any views or opinions presented in the comments below are solely those of the author and do not represent those of OnTheWight.

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9 Comments on "Isle of Wight NHS Trust issued with warning notice by CQC"

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Another Perspective
On the one hand you have the CQC lambasting the Trust for inadequate care in A&E because of a lack of Staffing, Many staff right across the NHS have left because they are burnt out physically, emotionally and mentally, few, if any, will be returning. Then on the other hand you have the pressure from NHS Improvement to bring the Trusts spending under control. How can the… Read more »
alisonjane
It is very upsetting to read this. All the hard working staff doing their best every day to give care to their patients. Staff can only do so much. Hospitals are for the sick….not for making a profit. The NHS was never intended to be a business. It is the greedy politicians over the years who have introduced this. I wonder just how many other workers go… Read more »
Steve Goodman

Another something that should not be happening seen in today’s paper (link to follow):

“NHS bosses are pushing through plans to let private sector companies take over scanning services that are vital in treating cancer patients despite last week telling ministers privatisation was harming patient care…….”

CB500

Building 10,000 houses will be a great help to our local NHS won’t it? ( sarcasm – in case it goes unnoticed ).

Another Perspective
St Mary’s has always been a fantastic little hospital, and in many ways still is, with numerous staff who are totally dedicated. Sadly what has happened is Services have become fragmented in the accountancy quest to seek monetary efficiencies. Departments have their own managers responsible for meeting targets and budgets, the patient therefore becomes a burden to pass on to the next stage as rapidly as possible.… Read more »
snookie1
As an ex-member of staff at St Mary’s Hospital I think they should address and do something about one of the reasons that staff are leaving – bullying. Myself and two other long-serving staff members in my department (non-clinical) eventually left because of bullying. I have spoken to nursing staff since leaving and they say they do not feel valued by their Managers and that their nurse… Read more »
wessexboy

Having moved back to the Island recently, have been very happy at treatment at St Mary’s, including A&E

septua

One important aspect of staff recruitment is the availability of housing. Does the Trust have living accommodation for staff recruited from the mainland or elsewhere? If not, why not link up with a housing association as has been done elsewhere?