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CQC Inspection rates 75 per cent of RWT services as 'good' or 'outstanding'

CQC Inspection rates 75 per cent of RWT services as 'good' or 'outstanding'

 Date of release: Thursday 3rd September, 2015

Please see our press release below regarding the recent CQC report.

You can also download a copy of the report here.

A report by health inspectors on The Royal Wolverhampton NHS Trust has revealed that 75% of all services are rated ‘good’ or ‘outstanding.’

The team of inspectors from the Care Quality Commission (CQC), an organisation which monitors, inspects and regulates health services across the country, spent four days in June this year visiting RWT’s three sites – New Cross and West Park hospitals in Wolverhampton and Cannock Chase Hospital – and also inspected our community services and facilities.

They look at, and award ratings to, every service and then give overall ratings for the hospitals, our community work and for the Trust overall.

And the report has given a glowing rating to three quarters of all the services at the Trust.

Despite the fact that 75% of all domains inspected were rated as ‘good’ or ‘outstanding’ the Trust’s overall rating is ‘requires improvement.’

The Trust was also concerned at a number of factual inaccuracies in the report, and challenged 294 of them. The CQC accepted, clarified or amended 205 (68 per cent) of these challenges, but this did not result in any substantive changes across the report’s findings.

The Trust has expressed particular concern that Safety in Medical Care at New Cross Hospital was rated as “inadequate” and Care in the same area was rated as “requires improvement.”

Following the report senior managers and key stakeholders held a meeting with CQC representatives and, with the support of other external stakeholders across the health community both locally and nationally, the Trust is now considering its options.

RWT Chief Executive David Loughton said: “We will always strive to do things better and seek every opportunity to improve the services and care we provide for our patients but we are disappointed with the CQC report’s overall rating and with the ratings given in the two medical domains as ‘inadequate’ and ‘requires improvement’.

“Our key stakeholders have told us that they do not recognise the organisation from some aspects of this CQC report. Further discussions are required before we make a decision over the ratings – but it is not one we agree with.

“Feedback from patients and staff to the CQC inspection team reflected positive experiences and outcomes and the report acknowledges the Trust’s good track record in patient safety across its services, including our medical wards.

“The CQC identifies nursing vacancies as a concern in relation to patient safety, but acknowledges nurse staffing levels are a national problem and require a national solution. RWT has made significant in-roads in recruiting additional nursing staff and we continue to work hard to address this.

“Specifically we do not believe the CQC’s inadequate rating is proportionate based on the facts: the number of staff employed the number of patient contacts and the number of patient safety incidents.”

Across each area, the CQC makes its judgement on the answers they get when asking five key questions:

  • Safe - Are people protected from abuse and avoidable harm?
  • Effective - Does peoples care and treatment achieve good outcomes and promote, a good quality of life, and is it evidence-based where possible?
  • Caring - Do staff involve and treat people with compassion, kindness, dignity and respect?
  • Responsive - Are services organised so that they meet people’s needs?
  • Well-led - Does the leadership, management and governance of the organisation assure the delivery of high quality patient centred care, support learning and innovation and promote and open and fair culture?

Services and organisations are then rated in four categories: outstanding; good; requires improvement; inadequate.

The RWT was given a good rating for effective, caring and responsive and requires improvement for safe and well led.

In all there were 83 services judged and in 61 of these RWT were rated as good or outstanding and in just 22 was the rating requires improvement or, in one case, inadequate.

Overall RWT were given a rating of ‘requires improvement,’ and both New Cross Hospital and Cannock Chase Hospital sites were given the same rating. The community services were rated as ‘good’ overall with some outstanding elements. The Community Adult Services were rated as ‘outstanding’ for the caring domain.

Inspectors also witnessed some outstanding practice across the Trust, including:

  • New Cross Hospital has a simulated environment ward which is used to simulate realistic clinical scenarios to train staff. Staff told inspectors they were in the process of expanding the service externally to provide education and learning to other authorities.
  • In surgical services, the trust had implemented an “In Charge” initiative which was welcomed by patients and relatives. This was a badge worn by the person responsible for the current ward shift.
  • The trust’s “panel meeting” concept where senior trust staff provided support to ward managers after investigation of incidents enabled staff to learn from events and ensure systems were put in pace to prevent reoccurrence.
  • The trust’s Swan Project aimed to comfort bereaved patients coming to the end of their lives and their relatives. Once the person had died the project offered further support and comfort to relatives offering them to have keepsakes such as locks of hair, handprints and photographs.
  • The use of the automated system ‘SafeHands’ delivered many benefits to the trust. It helped to support the infection control process and aided access and flow through the trust.
  • Outstanding practice was being delivered in the community adult services. In particular, the innovative therapies provided by the stroke rehabilitation team and the dedicated care demonstrated by the HIV/AIDS therapy service.

The CQC has published separate reports on the services provided by the trust and full reports including ratings for all core services are available by using the link below:

Care Quality Commission (CQC) Report June 2015

Mr Loughton added: “The narrative in the report is really good; nearly 75% of all domains good or better.

“I know our dedicated nurses, doctors and support teams will continue to put patients at the heart of everything we do and continue to strive to provide the very best services. I pay tribute to each and every one of our staff who work so hard every single day of the year to provide levels of safe care and good patient experience.”

For further information please contact Richard Radcliffe, tel. 01902 307999.

Press release issued by the Communications team. For more information contact the team on 01902 442600
A Teaching Trust of the University of Birmingham