We carried out a short notice announced focused inspection of the Maternity service, looking only at the safe and well led key questions. There were systems that ensured children with long term medical conditions were seen by paediatric consultants with specialist interests, for example diabetes. We also inspected one other Maternity service run by East Sussex Healthcare NHS Trust. Clinical leadership on the unit was strong and supported staff development. The trust had participated in a national benchmarking programme for outpatient departments and the womens health service had achieved successful accreditation from the British Society of urogynaecology in 2017. Where the NEWS score was elevated to a higher level there was automatic review by the medical emergency team. The Economic Consequences of Hospital Admissions Carlos Dobkin, Amy Finkelstein, Raymond Kluender, and Matthew J. Notowidigdo June 2017 Abstract We use an event study approach to examine the economic consequences of hospital admissions for adults in two datasets: survey data from the Health and Retirement Study, and hospitaliza- However, changes to the clinical unit management team led to a lack of engagement with ITU staff, making it difficult for clinical staff to develop plans for the future. Record all patient activity in EDs, urgent treatment centres and SDECs using same day emergency care data sets. 05 November to 12 December 2019 During a routine inspection. If you have a card detailing any current treatment, particularly a steroid card or Warfarin booklet, please bring this with you and inform one of the nurses. Matrons assistants support matrons with the clerical side of their job such as monitoring training compliance, collecting, and collating data for clinical audits. Find Hospitals in Eastbourne listings on 192.com. This includes an average layover time of around 7 min. Your information helps us decide when, where and what to inspect. Admissions FAQ . Staff kept detailed records of children and young peoples care and treatment. Call us today, 24/7, for a free, confidential assessment . Trust audits taking place were adult asthma, dementia, diabetes foot care, end of life care, falls, Parkinsons disease action, pulmonary rehabilitation, and cardiology and staff were aware of audits taking place. Services were being transformed to make sure acute, outpatients, nursing outreach and community paediatric services holistically met the needs of children and young people. Infection prevention and control measures had improved since our previous inspection. A mental health liaison team provided urgent reviews within two hours of referral although there were gaps in the service out of hours. Staff understood the services vision and values, and how to apply them in their work. This included an extension of the Hospital Intervention Team to 12 hours each day and a planned increase of overnight mental health team availability. Aurora Behavioral Health System works to make the admission process for our patients as easy as possible. There was a system in place to identify patients who might be a little confused and need careful support in decision making.The coloured butterfly markers allowed staff to differentiate these patients from those with more advanced dementia.The dental team provided exemplary planning of care for patients with learning difficulties who needed dental surgery. Our hospital radio services provide a variety of programmes, free of charge, including daily request shows. Not all complaints were answered within 30 days of their receipt as per trust policy and people were not made aware of the trusts complaints response deadline. Along with the introduction of GP streaming this reflected a targeted approach to improving access and flow. the service is performing badly and we've taken enforcement action against the provider of the service. Let us know. We also looked at a wide range of documents including standard operating procedures, meeting minutes, risk assessments and recently reported incidents. Eastbourne District General Hospital. Suspended ratings are being reviewed by us and will be published soon. We last inspected in October 2016 and rated urgent and emergency services as requires improvement overall. Managers monitored the effectiveness of the service and made sure staff were competent. Building: Acute Admissions Unit. Records were clear, up-to-date, stored securely and easily available to all staff providing care. However there was inconsistent recording of infection control assessments in patient documentation and we did not observe consistent practice during our inspection. 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. 6 June 2018. the service is performing exceptionally well. Staff had an understanding of what informed consent entailed. We found there was strong and clear leadership capacity and capability. At least one standard in this area was not being met when we inspected the service and. Holliers Hill, Bexhill-on-Sea, East Sussex, TN40 2DZ They had received training in the Mental Capacity Act 2005 and knew how this impacted on their work. Staff knew how to contact the safeguarding team within the hospital and explained clearly how to make a safeguarding referral. If your medication is not in stock then you may be issued with a prescription to obtain from a pharmacy. The trusts referral to treatment time (RTT) for admitted pathways for surgical services had been worse than the England overall performance since July 2015. The incident-reporting system indicated consistent oversight from the senior team and a detailed approached to establishing the causes. the service isn't performing as well as it should and we have told the service how it must improve. 25 January 2023. Where a patient experiences disorientation we will aim to keep moves to a minimum. Learning from the use of the major incident plan included the addition of ophthalmology staff to the list of contacts in the event of a major incident. Staff we spoke with were highly motivated to provide care that was kind and promoted dignity. Where healing starts andthe road to recovery begins. 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 . They are standing by 24 hours a day, 7 days a week to take your call. The senior team demonstrated a significant focus on improving sepsis screening and treatment. Matrons and senior staff felt the matron assistant was a valuable resource, which meant had more clinical time to spend on the ward supporting nursing staff. Theatres staffing met the recommendations of the AfPP and ward level planned nursing staffing versus actual staffing was usually met, albeit with temporary staff. Staff understood how to protect children, young people and their families from abuse and the service worked well with other agencies to do so. Overall: Good. Senior staff monitored and updated risks on the service risk register frequently and had initiated a number of strategies to reduce risks. This included in the completion of baseline observations and information critical to monitoring patients for deterioration. Protected meal times mean that we can help patients who may need assistance with eating and drinking and maintain privacy and dignity. Learn more about PALS. At least one standard in this area was not being met when we inspected the service and Explore Your Treatment Options : You . The service set out an improvement plan which introduced a safe surgical pre-assessment and blood taking clinics. Kings Drive, Eastbourne, East Sussex, BN21 2UD Provided and run by: East Sussex Healthcare NHS Trust. Leaders supported staff to develop their skills and motivated them to succeed. There were clear and effective processes for managing risk and performance. Admissions. If Aurora is not the appropriate place for a patient, our Patient Services team is very knowledgeable about other organizations and services available and is happy to assist individuals in obtaining the services that best meets their needs. There were 10 times from 1 January 2019 to the 1 October 2019 where the short stay paediatric assessment unit, was closed at the weekends. Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. People could access the service when they needed it and did not have to wait too long for treatment. If you have any dietary requirements, please speak to the nursing staff and they will assist you. The trust rate of surgical site infections (SSIs) was better than the national average. The trust had been sent a letter by the Secretary of State congratulating them on being one of the most improved emergency departments nationally. Staff worked well together for the benefit of children and young people, advised them and their families on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. For example, through the use of practice based competency assessments for a variety of clinical procedures. The service provided mandatory training in key skills to all staff and made sure everyone completed it. Bexhill-on-sea, They were focused on the needs of patients receiving care. Aurora East. The trust had made clear improvements to the way health records were managed across the organisation. We saw real warmth in the relationships between ward leaders and nurses and from the HoN towards their wider team. Your most recently prescribed spectacles or contact lenses (including cleaning fluid), any hearing aids and denture box. We will publish a report of our overall findings when we have completed the national inspection programme. The discharge lounge is staffed by nursing staff who can care for all your needs while you are there. The service struggled with staffing numbers and staff did not always have the right qualifications, skills, training and experience to keep children, young people and their families safe from avoidable harm and to provide the right care and treatment. The service did not keep their risk register updated. NICE guidance was used, monitored and audited in a number of clinical specialities, for example, Parkinsons quality standard (QS164). Aurora Behavioral Health Systems Patient Services team can also answer questions regarding funding. There were business continuity plans in place for use in the event of a major incident. Eastbourne Midwife Unit (EMU) is in Eastbourne Sussex and part of the East Sussex Healthcare NHS Trust. Browser Support ACTs provide high quality and appropriate care and liaise with STAR . Have you found an error with this catalogue description? Leaf Hospital, St. Annes Road, Eastbourne, East Sussex, BN21 2HW. However non-availability or delays in responding to referrals to specialties had resulted in negative patient outcomes including for patients who needed a stroke assessment. However no patients waited more than 12 hours from the decision to admit until being admitted and much work had been done by the site management and executive team to address patient flow throughout the hospital. We inspected the Maternity service as part of our national maternity inspection programme. This meant that often children with complex needs did not have access to this important resource. the service is performing exceptionally well. You can find further information about how we carry out our inspections on our website: https://www.cqc.org.uk/what-we-do/how-we-do-our-job/what-we-do-inspection. 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 were readily observable changes made across the trust in relation to never events that had occurred, with learning widely disseminated. [3] [4] In 2021 the trust bought the private hospital Spire Sussex Hospital, which is physically linked to the trust's Conquest Hospital in Hastings. 0300 131 4500, Admissions Unit Eastbourne DGH Information for the day of your surgery, Admissions Unit - Eastbourne DGH - Information for the day of your surgery. Published We rated it as requires improvement because: This was the first time we inspected the Eastbourne maternity services without gynaecology, and the first visit since it changed to the Eastbourne Midwifery Unit. 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. We observed clear referral pathways for patients who were displaying or had mental health conditions. They understood and managed the priorities and issues the service faced. This included a workforce development plan, additional consultant shifts and better utilisation of resource plans for access and flow. The Patient Advice and Liaison Service (PALS) offers confidential advice, support and information on health-related matters, for patients, their families and their carers. Pyjamas or a nightdress, and a bed jacket, cardigan or dressing gown. 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. Our rating of the Eastbourne Midwife Unit was requires improvement. 0300 131 4500, Bexhill Hospital Quality checks were carried out to make sure staff were clearly documenting observations on arrival and during childrens stay on the ward. There was openness at risk meetings and learning from incidents was shared across the team in a variety of ways. It will also include any special instructions personal to you. Leaders had the integrity, skills and abilities to run the service. We will involve you and, with your consent, your family, carers or friends as appropriate. Signposting was not dementia friendly and did not accommodate visual deficit needs. we have taken enforcement action. They provided emotional support to patients, families and carers. There were systems in place to support learning, improvement and innovation. Your hospital admission If you're staying in hospital as an inpatient you'll be made comfortable and be cared for by our dedicated teams. This included no month in which patients were admitted, transferred or discharged within four hours of arrival. Only one new person was admitted yesterday. 30-32, Gildredge Road, Eastbourne, East Sussex, BN21 4SH . / 50.7864829; 0.2697638. The service managed safety incidents well and learned lessons from them. Please speak to the nurse in charge of your care or area. The plan for your discharge from hospital will start on your admission to hospital. Each report covers findings for one service across multiple locations, In Clinical governance systems were embedded in the operation of the service and reviews of incidents, complaints and risks were frequently carried out. Managers monitored the effectiveness of the service and made sure staff were competent. The outpatient department at Eastbourne hospital was undergoing an improvement programme for services provided to patients. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Requires improvement The Bare below the elbow policy was enforced more rigorously through the daily safety huddles. Further information about reducing the risk of falling while in hospital is available; please discuss this with your nurse. We saw staff monitor patients national early warning signs (NEWS) scores and discuss patients within safety huddle meetings that had consistently high scores. This was evidenced through a few incident reports, such as when a patient remained in the emergency department for 19 hours when multidisciplinary medical teams failed to identify an appropriate care pathway. The practice development nurse also supported healthcare assistants to achieve the national care certificate and had helped to develop a new initial training and support programme for newly qualified nurses. The trust had introduced an additional daily consultant shift, which meant consultant cover now met the RCEM requirements of at least 16 hours per day. Staff recognised incidents and reported them through the electronic reporting system. 27 February 2020. The service made it easy for people to give feedback. Mr Lawson refuses to engage in onerous pre-tests, so there is no entrance exam. It is a general medical and surgical facility. The midwifery led unit was closed from the 10 December 2021 until the 21 April 2022 due to staffing challenges. Staff said matrons and senior nurses were visible and supportive within the department, they felt valued, listened to and respected and felt confident to raise any concerns with their line managers. Alcohol or any illegal or non-prescription drugs. We told the trust they must ensure consultant cover meets the minimum requirements of 16 hours per day, as established by the Royal College of Emergency Medicine. Staff we spoke to were able to demonstrate an understanding of their responsibilities to safeguarding vulnerable adults. They treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. Senior staff told us most wards have full establishment of staff at the start of a shift. Provision for patients with mental health needs was variable. The department performed similarly to or better than national averages in the Emergency Department Survey 2016 and between November 2016 and December 2017 in the time from arrival to initial assessment. The vision and strategy were focused on sustainability of services and aligned to local plans within the wider health economy. They were visible and approachable in the service for patients and staff. The service controlled infection risk well. Medicines management had been added to the safety thermometer as an additional performance measure. Staff recognised and reported incidents and near misses. Hospitals. Options for food and drink had improved for patients in the clinical decisions unit but audits of the use of the malnutrition universal scoring tool (MUST) noted poor compliance with trust standards. Kent Surrey and Sussex Air Ambulance (G-KSSC) pays a visit to Eastbourne Hospital this afternoon RM 2J6FRBR - Air ambulance transports critically ill patient from Eastbourne hospital to suitably equipped medical facility. Alcohol Care Teams are embedded in Conquest hospital in Hastings and Eastbourne District General. The service had a vision for what it wanted to achieve and a strategy to turn it into action, developed with all relevant stakeholders. You will have a small locker next to your bed or chair for your personal possessions. TN40 2DZ, In Earlier recognition and identification resulted in more timely review by the critical care outreach team, who had oversight of all NEWS Scores for all patients in the hospital. However, the trust has supplied information to show these policies were in date but these were not displaying when accessed on the inspection. We visited the telephone triage area and the community midwives office. This was a very significant improvement and meant that decisions about the care of complex patients were being made at the right level of seniority. Kings Drive, Eastbourne, East Sussex, BN21 2UD 0300 131 4500. Storage space is limited, but where possible, please bring with you or have brought in for you: We recommend that you ask a relative to take home any money or valuables you have on you when you are admitted to hospital. Equipment checks were now given a higher priority. For example, safety checklists were used and monitored to ensure the safety of patients undergoing a surgical procedure. To contact PALS at this hospital: phone 0300 131 4784. email esh-tr.palse@nhs.net. Prev 1 2 Next . We look at the needs of all patients when making these decisions and we will discuss with you prior to any move. We accept all major insurances as well as Medicare and all AHCCCS plans. Records were brief and suggested limited discussion and challenge. Following our report in January 2017 it was highlighted that the outpatient service must develop play services in line with national best practice guidance. RM AMHFKY - Protestors including MP's and opposition candidates march against cuts to local maternity services in Eastbourne. The journey time between Eastbourne Station and Eastbourne District General Hospital is around 59 min and covers a distance of around 19 miles. Current mandatory and statutory training for nursing and medical staff did not meet trust targets. Other series are not available for consultation until 30 years from the last date of the document. Alahna Kindred; Published: 17:34, 30 Sep 2020; Updated: 20:59, 30 Sep 2020; Key services were available five days a week with out of hours and weekend cover also available when needed. There's no need for the service to take further action. Where individuals needed support this was provided. The service only employed one play specialist to work cross-site. We'd like to use additional cookies to remember your settings and understand how you use our services. However, some improvements were needed in bed management processes to ensure that patients did not remain in the intensive therapy unit (ITU) longer than required and patients requiring critical care were managed in an appropriate setting. We will ask you to sign a property and valuables disclaimer on your admission as part of the admission documentation process. The service ensured that staff had the skills, knowledge and experience to deliver effective care, support and treatment. Inpatient Mental Health Intake & Admissions Process, All of the staff deserve special recognition, What to Expect When Calling a Mental Health Facility, may need to be entered from aurora.boxcarstudiodev.com, Mental Health & Psychiatric Hospitals in Glendale and Tempe, AZ, See what other patients are saying about us, Copyright Aurora Behavioral Health System. 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. Training rates for the Mental Capacity Act (2005) exceeded the trusts target of 90% and staff demonstrated good knowledge of this. If you provide contact details, we will be in touch about your request within 10 working days. Eastbourne District General Hospital is located on the outskirts of Eastbourne town centre. However, monthly audits indicated low levels of compliance with trust standards relating to mental capacity assessments. HE 55 St Mary's Hospital: admission and discharge registers; 1947-1957 . A new training programme was being rolled out. Hand hygiene audits in 2017 indicated consistently good practice with 98% compliance. In general, medicines in theatres were well managed but we observed the block signing of controlled drugs which was contrary to best practice guidance. The trusts urgent and emergency care Friends and Family Test performance (percentage recommended) was better in comparison to the England average. Every adaptation was offered to make the appointment as comfortable and relaxed as possible. There were some issues with the structural maintenance of the hospital. This meant any child presenting at risk from complex mental health issues after this time, would be transferred to the short stay paediatric assessment unit or Conquest Hospital site for overnight admission until assessment by a mental healthcare professional could be safely carried out.

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