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Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Incidents were investigated by senior staff with lessons learnt shared across the trust. Facilities in the department included a dedicated area for patients with mental health needs and for children. Staff recognised incidents and reported them through the electronic reporting system. This included greater emphasis on evidence-based practice and training. Patients and relatives we spoke with gave positive feedback about the care they received on the unit. Give feedback on care at this service. Prev 1 2 Next . 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. 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. This included no month in which patients were admitted, transferred or discharged within four hours of arrival. However there was inconsistent recording of infection control assessments in patient documentation and we did not observe consistent practice during our inspection. We will publish a report of our overall findings when we have completed the national inspection programme. Find out more. Any other browser may experience partial or no support. There were 735 mixed sex breaches on surgical wards at EDGH during a 12-month period. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding The unit operated 24 hours a day for low risk mothers. 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. Staff felt respected, valued, and were proud of the organisation as a place to work and spoke highly of the culture within the service. of hospital observation status and an admissions process that is transparent and administratively simple. The emergency department team and multidisciplinary colleagues had implemented a number of initiatives to improve the experience of patients living with dementia, including more resources and increased staff training. Any addresses or telephone numbers that you might need. Black and minority ethnic (BME) reported that they felt supported and accepted as part of the hospital workforce. The service had enough staff to care for patients and keep them safe. Mr Lawson refuses to engage in onerous pre-tests, so there is no entrance exam. privacy policy, NATIONAL HEALTH SERVICE: EASTBOURNE DISTRICT HEALTH AUTHORITY. 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 service controlled infection risk well. The majority of staff reported positive changes in their workplace culture and spoke of approachable and supportive middle managers. 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. The trust was compliant with the intercollegiate document, safeguarding children and young people: role and competences for health care staff (March 2014). The Conquest Hospital in Hastings and our Community Services were rated 'Outstanding' and Eastbourne DGH was rated 'Good' Our two acute hospitals have Emergency Departments and provide 24 hour a day care, offering a comprehensive range of surgical, medical, outpatient and maternity services, supported by a full range of diagnostic and . This meant there were 107 babies born at the midwifery led unit from October 2021 to September 2022 this was lower than previous years. We last inspected in October 2016 and rated urgent and emergency services as requires improvement overall. East Sussex Healthcare NHS Trust. Kings Drive, Eastbourne, East Sussex, BN21 2UD This information will help us make improvements to the website. Signposting was not dementia friendly and did not accommodate visual deficit needs. Staff assessed risks to patients, acted on them and kept good care records. 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. Holliers Hill, Bexhill-on-Sea, East Sussex, TN40 2DZ We saw respectful and confident interaction between BME staff and white British staff on the wards we visited. Admissions. 0300 131 4500, Bexhill Hospital 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. The midwifery led unit was closed from the 10 December 2021 until the 21 April 2022 due to staffing challenges. We interviewed leaders to gain insight into the trusts leadership and governance model of the service. Your friends and relatives will be able to call you directly (charges apply). 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. Staff knew how to contact the safeguarding team within the hospital and explained clearly how to make a safeguarding referral. Let us know. Recruitment continued to provide challenges and whilst the trust had taken many steps to address this, the problem of recruiting sufficient permanent staff continued. Alahna Kindred; Published: 17:34, 30 Sep 2020; Updated: 20:59, 30 Sep 2020; We rated safe as requires improvement and well-led as good and the Eastbourne Midwife Unit as requires improvement overall. 01323 645 555 View details. 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. 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. Latest data is for the East Sussex Healthcare NHS Trust, which covers the DGH, Conquest and Bexhill Hospital. No rating/under appeal/rating suspended Acute Admissions Limited Headquarters. Our rating of the Eastbourne Midwife Unit was requires improvement. 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. Call us today, 24/7, for a free, confidential assessment . Records for patients with mental health needs required improvement to assure us of patient safety. The service only employed one play specialist to work cross-site. There were readily observable changes made across the trust in relation to never events that had occurred, with learning widely disseminated. Our rating of this service stayed the same. Not all nursing staff working in outpatient clinics where children were cared for were trained to child safeguarding level 3. Published Staff worked well together for the benefit of patients, supported them to make decisions about their care, and had access to good information. The hospital staff tried to ensure that the individual needs and preferences of patients were met. There was evidence of effective multidisciplinary working with the hospital intervention team the security team and specialties when these were available. 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 . Training rates for the Mental Capacity Act (2005) exceeded the trusts target of 90% and staff demonstrated good knowledge of this. AURORA BEHAVIORAL HEALTH SYSTEM is Arizona's largest free-standing psychiatric hospital system. A regular trolley service, with a selection of newspapers, magazines and confectionery, is available on most wards. Our nurses will speak with you regularly to address any worries or concerns you may have, however please discuss any concerns you have with them at anytime. 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. The service managed safety incidents well. Staff with substantial expertise in safeguarding and child protection provided support to the emergency department (ED) team although the use of safeguarding tools and assessments was variable. However some governance processes did not demonstrate effectiveness or improvements in patient outcomes. It shows just 7 Covid patients in hospital across the Trust, with two on ventilators. the service is performing well and meeting our expectations. Alongside the falls assessment an individual needs assessment is completed. 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. Eastbourne District General Hospital is located on the outskirts of Eastbourne town centre. We aim to accommodate all our patients in same sex wards. They had received training in the Mental Capacity Act 2005 and knew how this impacted on their work. The service made it easy for people to give feedback. Friends and Family Test results showed a higher than average response rate and the scores were higher than the England average. Map and contact details. Browser Support 1 - 20 of 32 Intermediate /after hospital care services in Eastbourne. Hospedia is a private company which provides this service and they set the charges, including the cost of incoming and outgoing calls. There's no need for the service to take further action. The service was tailored to meet needs of individual people and are delivered in a way the ensure flexibility, choice and continuity of care. Staff were clear about their roles and accountabilities. 27 February 2020. Staff knew where to access support and information. It has a number of medical and surgical wards and specialist units, a 24-hour Emergency Department and a full range of diagnostic services including Magnetic Resonance Imaging (MRI), Computer Tomography (CT) and Interventional Radiotherapy. the service isn't performing as well as it should and we have told the service how it must improve. the service is performing well and meeting our expectations. It is managed by the East Sussex Healthcare NHS Trust . Leaders understood the challenges to quality and sustainability, and were taking action to address them. Staff truly respected and valued patients as individuals. (877) 870-7012 to begin the admissions process. 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. EMU accepted low risk women and pregnant people over 37 weeks for childbirth. We spoke with 6 staff members to understand what is was like working for the service, including midwives, maternity care assistants and housekeepers. Community & mental health inspection reports for Eastbourne District General Hospital can be found at East Sussex Healthcare NHS Trust. Four closures were due to lack of medical and nursing staff at Friston and six of these closures were due to insufficient paediatric nursing staff/skill mix of staff at the Conquest Hospital site to care for two patients with mental health issues needing one to one care whilst on the ward. Staff were caring and compassionate, working to maintain privacy and dignity of their patients. Our rating of the service was good. Some aspects of service planning were expanding to meet increased patient demand. The Epic Health Research Network (EHRN) data show hospital admissions remaining below expected levels through at least April 9, 2021. Where the NEWS score was elevated to a higher level there was automatic review by the medical emergency team. 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 service did not have a major incident policy for the mortuary, although they had started work to produce this. It has 22 beds and two operating theatres and 129 employees. 27 January 2017. There was a proactive approach to meeting the needs of those from different cultures or with complex needs. We rated it as requires improvement because: Community & mental health inspection reports for Eastbourne District General Hospital can be found at East Sussex Healthcare NHS Trust. In the week beginning on April 3, 2021, hospital admissions were 85.5% of what would be expected based on historic patterns. Mental health services were provided by another trust. The environment had improved since our previous inspection all areas were visibly clean and equipment was well maintained. Services were being transformed to make sure acute, outpatients, nursing outreach and community paediatric services holistically met the needs of children and young people. We understand that family members may wish to visit during meal times to help you eat, if this is needed. Slippers or shoes that fit properly, to avoid slips or falls during your stay in hospital. 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. 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. Every adaptation was offered to make the appointment as comfortable and relaxed as possible. People could access the service when they needed it. / 50.7864829; 0.2697638. 0300 131 4500, Bexhill Hospital The unit has two main birthing rooms, one included a birthing pool, two en-suite postnatal rooms for women to be transferred into after they have given birth. 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, Mental Health & Psychiatric Hospitals in Glendale and Tempe, AZ, See what other patients are saying about us, Copyright Aurora Behavioral Health System. Clinical outcomes were monitored and were similar to units of similar size. the service is performing badly and we've taken enforcement action against the provider of the service. Any other browser may experience partial or no support. 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. Alcohol or any illegal or non-prescription drugs. Records were clear, up-to-date, stored securely and easily available to all staff providing care. Staff provided good care and treatment, gave children and young people enough to eat and drink, and gave them pain relief when they needed it. the service is performing badly and we've taken enforcement action against the provider of the service. Bexhill On Sea, Elimination of the three-day hospital inpatient requirement for Medicare coverage of post-hospital SNF care. They treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. Meals times are scheduled at varying times, depending on your unit, during the following time blocks: Breakfast: 7:00 a.m. - 9:00 a.m. . . Data collection takes place on one day each month and reported within monthly governance meetings. 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. Let's make care better together. There were business continuity plans in place for use in the event of a major incident. All staff received a quarterly newsletter called you said, we said and gives staff information of common risks and examples of learning from incidents. Staff delivered patient care in line with evidence based care and best practice guidance. However the mental health liaison team had introduced monthly multidisciplinary meetings and responsive debriefs with the ED team to review care and effective use of mental health pathways. If you need assistance to stop smoking please speak to a member of staff who can refer you to the appropriate service. Current mandatory and statutory training for nursing and medical staff did not meet trust targets. 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. Good Staff showed compassion when dealing with patients and protected their privacy and dignity. the service isn't performing as well as it should and we have told the service how it must improve. Budding medics have a doctor overseeing them, with workshops, hospital practice and work . The intensive care service used procedures to ensure that patients received safe and effective care. If you provide contact details, we will be in touch about your request within 10 working days. We reviewed 3 sets of patient care records. Standards for the completion of safeguarding training were variable with all staff meeting the requirement for level 1 training. Each report covers findings for one service across multiple locations. There are vending machines outside most wards. 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. However, the trust has supplied information to show these policies were in date but these were not displaying when accessed on the inspection. UK Covid-19 hospital admissions are highest since July with ICUs in London, North West & North East worst hit. At the time of our inspection visit it was partially rolled out with a clear timeline for continued introduction of key aspects of the framework.The triumvirate management structure for the division gave clear lines of reporting, clear accountabilities and responsibilities and was known to staff. Clinical governance systems were embedded in the operation of the service and reviews of incidents, complaints and risks were frequently carried out. Further information about reducing the risk of falling while in hospital is available; please discuss this with your nurse. The service managed safety incidents well and learned lessons from them. 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. This included a workforce development plan, additional consultant shifts and better utilisation of resource plans for access and flow. Managers monitored the effectiveness of the service and made sure staff were competent. At least one standard in this area was not being met when we inspected the service and. The unit is run by a group of core midwives and maternity support workers (MSWs) and is supported by the community midwifery teams. Alcohol Care Teams are embedded in Conquest hospital in Hastings and Eastbourne District General.