We saw respectful and confident interaction between BME staff and white British staff on the wards we visited. We aim to accommodate all our patients in same sex wards. Care pathways used in surgery referred to national guidance from the National Institute for Care and Excellence (NICE) guidance and other bodies such as the British Orthopaedic Association guidelines. Our reports are here: Conquest Hospital Maternity Unit: https://www.cqc.org.uk/location/RXC01. Strong clear leadership seen, staff felt well managed and well led. The majority of staff reported positive changes in their workplace culture and spoke of approachable and supportive middle managers. Signposting was not dementia friendly and did not accommodate visual deficit needs. It also has seven maternity beds in a midwifery led maternity unit. The trust had been sent a letter by the Secretary of State congratulating them on being one of the most improved emergency departments nationally. 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. Requires improvement The incident-reporting system indicated consistent oversight from the senior team and a detailed approached to establishing the causes. The service took account of children and young peoples individual needs and made it easy for people to give feedback. Any other browser may experience partial or no support. After the inspection we requested further documentary evidence to support our judgements including policies and procedures, staffing rotas and quality improvement initiatives. Staff we spoke to were able to demonstrate an understanding of their responsibilities to safeguarding vulnerable adults. Patients and relatives said staff go above and beyond and the care received exceeded their expectations. 25 January 2023. 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. If youre staying in hospital as an inpatient youll be made comfortable and be cared for by our dedicated teams. 30-32, Gildredge Road, Eastbourne, East Sussex, BN21 4SH . In the week beginning on April 3, 2021, hospital admissions were 85.5% of what would be expected based on historic patterns. 877.870.7012. We also looked at a wide range of documents including standard operating procedures, meeting minutes, risk assessments and recently reported incidents. This programme addressed issues such as how appointments were booked, queuing systems for specialist doctors, clinic duration and capacity and demand leading to positive results for patient services and patient experience. Systems and processes were in place to assess, monitor and manage risks to patients. 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. This included in the completion of baseline observations and information critical to monitoring patients for deterioration. Leaders and staff understood and knew how to apply them and monitor progress. Doctors, nurses and allied health professionals worked together to provide integrated care that met the needs of patients. There are vending machines outside most wards. The service was tailored to meet needs of individual people and are delivered in a way the ensure flexibility, choice and continuity of care. We interviewed leaders to gain insight into the trusts leadership and governance model of the service. We support protected meal times. However, monthly audits indicated low levels of compliance with trust standards relating to mental capacity assessments. Staff were aware of the duty of candour and gave patients honest information and support. One team of staff felt their manager was less approachable and they felt less supported but this appeared to be about an individual middle managers approach. Infection prevention and control measures had improved since our previous inspection. Eastbourne District General Hospital is located on the outskirts of Eastbourne town centre. They had received training in the Mental Capacity Act 2005 and knew how this impacted on their work. Suspended ratings are being reviewed by us and will be published soon. . At least one standard in this area was not being met when we inspected the service and. Overview. 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. All staff received a quarterly newsletter called you said, we said and gives staff information of common risks and examples of learning from incidents. The trusts urgent and emergency care Friends and Family Test performance (percentage recommended) was better in comparison to the England average. This included a workforce development plan, additional consultant shifts and better utilisation of resource plans for access and flow. This included no month in which patients were admitted, transferred or discharged within four hours of arrival. The trust was established as East Sussex Hospitals NHS Trust on 1 April 2002, taking its current name on 13 May 2011. Data for the period December 2016 to December 2017 indicated variable performance in RCEM audits. Clinical leadership on the unit was strong and supported staff development. You will have a small locker next to your bed or chair for your personal possessions. RM AMHFKY - Protestors including MP's and opposition candidates march against cuts to local maternity services in Eastbourne. On the day of discharge you may be transferred to a discharge lounge to wait for your transport home or for your medication. Patients and relatives told us that they were treated with dignity and compassion. Staff understood the services vision and values, and how to apply them in their work. The service managed safety incidents well. There had been times when these staff were not specialist trained in paediatric care. We saw staff interacting in a caring and dignified way with patients with ill mental health and learning disabilities. The recently introduced electronic observation recording system had led to improvements in the management of deteriorating patients. / 50.7864829; 0.2697638. EMU accepted low risk women and pregnant people over 37 weeks for childbirth. Latest data is for the East Sussex Healthcare NHS Trust, which covers the DGH, Conquest and Bexhill Hospital. In addition patients consistently spent longer in the emergency department than the national average. . Some policies we viewed on line for example the acute asthma in children, Abdominal pain in children: managing children with gastroenteritis and managing fluids in children needed review as they were up to two years out of date. Infection prevention and control standards were variable. we have taken enforcement action. Third party children and adolescent mental health services did not accept assessments after 3pm. This included an extension of the Hospital Intervention Team to 12 hours each day and a planned increase of overnight mental health team availability. The senior team demonstrated a significant focus on improving sepsis screening and treatment. We understand that family members may wish to visit during meal times to help you eat, if this is needed. Nhs Trust Hospital Jobs in Eastbourne - 2021 | Indeed.com Skip to Job Postings , Search We saw incidents and lessons learned documented on team minutes and observed it happening within safety huddles. Hand hygiene audits showed sustained high levels of compliance with results maintained above 97% since February 2016. There were times still when patient records were not available for pre-assessment clinics and consultations. The midwifery led unit was closed from the 10 December 2021 until the 21 April 2022 due to staffing challenges. Nursing staff shared concerns with the level of staffing on most medical wards. Published Consent was obtained in accordance with the trust policy and guidance from the professional regulatory bodies. Have you found an error with this catalogue description? The trust rate of surgical site infections (SSIs) was better than the national average. 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. Money for the television and phone system by your bedside. Leaders understood the challenges to quality and sustainability, and were taking action to address them. Provide an acute frailty service at least 70 hours a week, with the aim to complete a clinical frailty assessment within 30 minutes of arrival in the ED/SDEC unit. There remained gaps and inconsistencies in the quality and completion of patient records. They are standing by 24 hours a day, 7 days a week to take your call. Building: Acute Admissions Unit. Please visit our Insurances Accepted page to learn more. They were focused on the needs of patients receiving care. To contact PALS at this hospital: phone 0300 131 4784. email esh-tr.palse@nhs.net. Managers monitored the effectiveness of the service and made sure staff were competent. the service isn't performing as well as it should and we have told the service how it must improve. Only one new person was admitted yesterday. Those series are affected are indicated in their catalogue entries. The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD Bexhill-on-sea, We'd like to use additional cookies to remember your settings and understand how you use our services. Consultant vacancies were listed on the service risk register and the latest available data noted 69% of patients were reviewed by a consultant within 14 hours of admission against Royal College of Emergency Medicine guidance. TN40 2DZ. Staff kept detailed records of children and young peoples care and treatment. We rated safe as requires improvement and well-led as good and the Eastbourne Midwife Unit as requires improvement overall. Clinical outcomes were monitored and were similar to units of similar size. Staff truly respected and valued patients as individuals. Browser Support Comprehensive risk assessments were carried out on patient admission and kept in the patient records. Any other browser may experience partial or no support. 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). The identification, reporting and investigation of incidents had improved significantly since our previous inspection. Key services were available five days a week with out of hours and weekend cover also available when needed. 0300 131 4500, Cancel or reschedule your outpatient appointment, Long COVID Assessment and Support Service Feedback, Patient transport and help with travel costs. Alcohol or any illegal or non-prescription drugs. Find out more. Record all patient activity in EDs, urgent treatment centres and SDECs using same day emergency care data sets. Eastbourne Midwife Unit (EMU) is in Eastbourne Sussex and part of the East Sussex Healthcare NHS Trust. Apply to Nhs Trust Hospital jobs now hiring in Eastbourne on Indeed.com, the worlds largest job site. The hospital staff tried to ensure that the individual needs and preferences of patients were met. Services offered were antenatal care, day assessment unit which ran on Mondays, Wednesdays and Fridays, telephone triage assessment line and low risk childbirth, pregnancy vaccination and postnatal clinics. For example, through the use of practice based competency assessments for a variety of clinical procedures. The trust systems for the management of patient records were new and not yet fully embedded.Patient records had been moved off site and were retrieved when needed but staff reported some delays in this. Any addresses or telephone numbers that you might need. Every adaptation was offered to make the appointment as comfortable and relaxed as possible. Aurora Behavioral Health System works to make the admission process for our patients as easy as possible. There was a proactive approach to meeting the needs of those from different cultures or with complex needs. Staff treated children and young people with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. Staff felt respected, valued, and were proud of the organisation as a place to work and spoke highly of the culture within the service. Give feedback on care at this service. The plan for your discharge from hospital will start on your admission to hospital. Tel: Green Bay 01923 436 681, Purple Bay - 01923 436100, Blue Bay - 01923 217 065, Yellow Bay - 01923 436 669, Reception - 01923 217 760, Doctors' Office - 01923 436 103, Sister's office - 01923 436 104. Incidents were investigated by senior staff with lessons learnt shared across the trust. 0300 131 4500, Provided and run by: Further information about reducing the risk of falling while in hospital is available; please discuss this with your nurse. We place some essential cookies on your device to make this website work. The reason for these was not documented in most cases. The healthcare assistant team had been awarded as unsung heroes for their work in improving the patient experience and in most of our observations staff demonstrated a commitment to kindness, compassion and empathy. We will ask you to sign a property and valuables disclaimer on your admission as part of the admission documentation process. Most staff did not meet the trusts 90% target for mandatory training completion and demand pressures on the service meant staff often found it difficult to attend training. 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 . We reviewed 3 sets of patient care records. This checks a patients dementia and delirium, blood pressure, medication review, visual impairments, continence care plan, call bells within reach and mobility and walking aids. Provision for patients with mental health needs was variable. The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD We observed clear referral pathways for patients who were displaying or had mental health conditions. Where the NEWS score was elevated to a higher level there was automatic review by the medical emergency team. All those we spoke with were clear who their immediate manager was; this was not the case on the last inspection visit in 2015. Kings Drive, Eastbourne, East Sussex, BN21 2UD Let's make care better together. Good Our rating of this service stayed the same. / 50.7864829; 0.2697638. They supported staff to develop their skills and take on more senior roles. The outpatient department at Eastbourne hospital was undergoing an improvement programme for services provided to patients. Multidisciplinary working was apparent across a range of specialities within outpatients. They provided emotional support to patients, families and carers. Staff knew how to contact the safeguarding team within the hospital and explained clearly how to make a safeguarding referral. Daily checks of essential equipment were taking place with records available to confirm senior oversight of equipment checks occurring. We carried out a short notice announced focused inspection of the Maternity service, looking only at the safe and well led key questions. People could access the service when they needed it. The key aims of these services are the prevention of unnecessary hospital admission, to facilitate early hospital discharge, to prevent premature or unnecessary care home admissions, and to enable people to live as independently as possible. UK Covid-19 hospital admissions are highest since July with ICUs in London, North West & North East worst hit. However some governance processes did not demonstrate effectiveness or improvements in patient outcomes. Standards for the completion of safeguarding training were variable with all staff meeting the requirement for level 1 training. the service is performing exceptionally well. Patients' records are not available for consultation until 100 years from the last date of the document. The service controlled infection risk well. There were readily observable changes made across the trust in relation to never events that had occurred, with learning widely disseminated. Visiting times: 2.00pm - 8.00pm. 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 . Friends and Family Test results showed a higher than average response rate and the scores were higher than the England average. 0300 131 4500, Eastbourne District General Hospital Every effort will be made to find an appropriate bed in a single sex area as soon as possible dependent on your clinical requirements. 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. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. We rated it as good because: Published Acute Admissions Limited Headquarters. The service had improved the triage process with significantly improved training and clinical competency checks for nurses and HCAs. We will publish a report of our overall findings when we have completed the national inspection programme. Where healing starts andthe road to recovery begins. Your most recently prescribed spectacles or contact lenses (including cleaning fluid), any hearing aids and denture box. TN40 2DZ, In The trust was compliant with the intercollegiate document, safeguarding children and young people: role and competences for health care staff (March 2014).