Hos­pi­tal wards told to im­prove

Hinckley Times - - NEWS -

HOS­PI­TAL in­spec­tors have or­dered im­prove­ments on two wards at Le­ices­ter Royal In­fir­mary af­ter find­ing a se­ries of fail­ings in pa­tient care and safety. A team from the Care Qual­ity Com­mis­sion (CQC) ar­rived unan­nounced at the hos­pi­tal on July 18 af­ter re­ceiv­ing re­ports of con­cerns “from a va­ri­ety of sources” re­lat­ing to Wards 42 and 43.

Ward 42 cares for pa­tients with stom­ach and bowel con­di­tions and Ward 43 for those with liver dis­ease.

In­spec­tors said the hos­pi­tal must make sure the wards are prop­erly staffed af­ter see­ing that in the 28 days be­fore their visit, 57 shifts were un­der­staffed.

Among other fail­ings they found four swabs and a urine sam­ple on Ward 42 ready for test­ing which were still there seven hours later.

In­spec­tors were told there had not been time to print off la­bels or ar­range col­lec­tion.

Sluice doors were left open as well as a num­ber of side rooms, which in­creased the risk of spread­ing in­fec­tion.

They added: “On Ward 42 we ob­served four com- modes stored in the sluice.

“We could not see if these had been cleaned and were ready for pa­tient use al­though they looked vis­i­bly clean.

“We found the same is­sue at our last in­spec­tion in June 2016.”

In ad­di­tion, oxy­gen cylin­ders were not se­cured and a fire exit door and en­trance to Ward 42 was re­stricted by clean­ing trol­leys and metal cages which could de­lay evac­u­a­tion if there was a fire.

In­spec­tors said pa­tients were not al­ways re­ceiv­ing the med­i­ca­tion they should.

In one case, a sy­ringe pump be­ing used to man­age the symp­toms of a dy­ing pa­tient did not ad­here to NHS safety guide­lines and was not be­ing checked hourly as it should have been.

Di­a­betic pa­tients were not al­ways get­ting the in­sulin they should and medicine was not al­ways prop­erly stored or se­cured.

How­ever, in­spec­tors added: “We found most mem­bers of staff to be po­lite and cour­te­ous to pa­tients, al­though there were iso­lated in­ci­dents on Ward 42 where doc­tors and cater­ing staff were not cour­te­ous in their man­ner.

“On Ward 43, we saw nurs­ing and care staff re­spond­ing with com­pas­sion when pa­tients re­quested help and saw a num­ber of ex­am­ples of good care.

“For example, we saw nurses and care staff ask­ing pa­tients whether they were com­fort­able and whether they re­quired pain relief.”

In­spec­tors did not give a for­mal rat­ing as the in­spec­tion was lim­ited to two wards.

Julie Smith, chief nurse at Le­ices­ter’s hos­pi­tals, said: “We wel­come this re­port which gives us an op­por­tu­nity to ad­dress the find­ings and make sus­tained im­prove­ments, as get­ting care right for all our pa­tients ev­ery time is what we strive to achieve.

“The re­port re­flects that pa­tients and rel­a­tives spoke pos­i­tively about their ex­pe­ri­ence.

“The in­spec­tors saw staff pro­vid­ing com­pas­sion­ate care and spend­ing ap­pro­pri­ate time with pa­tients.

“The in­spec­tors noted a num­ber of con­cerns par­tic­u­larly around prac­tices and pro­cesses.

“We have taken im­me­di­ate ac­tion to ad­dress all these ar­eas.”

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