Inspectors say the trust which runs Warwick Hospital has shown signs of improvement.
Care Quality Commission inspectors visited the trust between 4 December 2017 and 11 January 2018 as part of a routine inspection.
The trust was seen to have made a number of improvements since its last inspection in March 2016, when it was rated as Requires Improvement overall. It is now rated as being Good for being effective, caring, responsive and well-led. It is rated as Requires Improvement for whether services are safe.
Chief Inspector of Hospitals, Professor Ted Baker, said:
“On our return to South Warwickshire NHS Foundation Trust we found a number of improvements had been made since our previous inspection and the trust is now rated as Good overall.
“During our inspection we noted a number of areas of outstanding practice. Inspectors were particularly impressed with what they saw in the trust’s maternity services and end of life care services and with the support provided to people using these services. The trust has also received national recognition for its work in maternity services in giving all round care to women and their babies.
“However there were areas where the trust must make further improvements. Work is particularly needed at the trust to ensure it does everything it can and has the right processes in place to ensure all of its services are safe.
“We have reported all our findings back to the trust and the trust board knows what it must do to bring about further improvement. We will continue to monitor progress at the trust and this will include further inspections.”
The improvements the trust has been told to make include that it must ensure staff are compliant with the safe storage and administration of medicines in medical care services, daily checks of emergency equipment, controlled medicines and medicine storage temperatures must be completed and that there is a system for ensuring daily checks are completed in maternity services.
Surgery checklists and swab counts must be completed in line with trust and national guidance in maternity services and patient risk assessment documentation, including venous thromboembolism risk assessments and sepsis screening, are completed.
In addition, the trust has been told staff must be compliant with effective infection control and prevention techniques in the emergency department and medicine care services. Staffing numbers must also be appropriate to meet clinical demands, including the provision of a suitably qualified children’s nurse in the emergency department.
Inspectors also found a number of areas of outstanding practice during the inspection and this included the trust’s maternity service, which had received national recognition for its electronic records system. The system allowed healthcare professional’s real-time access to women’s maternity notes, meaning staff could make informed decisions on patient care, management and treatment. Women also had access to their maternity records with the use of an electronic device.
In collaboration with two other local trusts, the service had also established a partnership model of midwifery supervision. This aimed to enhance the quality of care for women and babies and had received national recognition; being shortlisted for the Royal College of Midwives 2018 Partnership Working award.
Inspectors saw an outstanding area of practice in end of life services. A new service in the community had been developed which provided specialist overnight care. Working in partnership, the trust and a local hospice developed a rapid response service to assess patients and provide care and support for people approaching the end of their lives between 10pm and 8am.
Full details of CQC’s inspection, its ratings for the trust, including a ratings grid, are given in the report published online at: http://www.cqc.org.uk/provider/RJC#
Russell Hardy, Chairman of SWFT said: “It is fantastic that the Trust is now formally recognised by the CQC for the high quality services it provides. It is great to be part of such a forward thinking organisation that continually strives to improve the health and wellbeing of our local communities. I am always inspired by the teams at the Trust and think that this new rating is a true reflection of all of their hard work. It is also great to see a good rating against well led reflecting the quality of our leadership across the organisation and in particular our Executive team. Looking to the future we will continue to work with partners across health and social care and the voluntary sector to focus on helping people stay healthier for longer. I would like to take this opportunity to thank not only the teams at the Trust, but all of the dedicated volunteers that tirelessly support us and provide vital services.”
Glen Burley, Chief Executive of SWFT said: “I have always known that our teams deliver first class care, so I am delighted that we now have a rating more reflective of the high quality services we provide. The CQC report highlights lots of positive findings, which I am extremely proud of. We should however strive for even higher standards and to support this we are taking on board all of the points raised by the CQC and addressing their recommendations. We are also reviewing our strategy and firmly placing innovation at the heart of everything we do. We employ some of the most dedicated, talented and compassionate staff in the country and this is what makes the Trust so special.”