Source · CQC inspection
St Bartholomew's Hospital
Provider Barts Health NHS Trust
Type NHS Healthcare Organisation
Region London
Last inspected 20 Sep 2017
Overall rating: Good View full CQC report
Domain ratings
Safe
Good
Effective
Good
Caring
Good
Responsive
Good
Well-led
Outstanding
Earlier inspection findings
Should-do actions (23)
Should-do action 1 of 23
Should do
Safe
Ensure that nursing care bundles, including patient risk assessments, are completed consistently and without omissions.
Should-do action 2 of 23
Should do
Safe
Ensure that adequate contingency plans are in place to reduce the risks of medicines management errors in the absence of pharmacy support.
Should-do action 3 of 23
Should do
Safe
Ensure all teams meet the 90% target for completion of safeguarding training.
Should-do action 4 of 23
Should do
Safe
Ensure all teams meet the 90% target for completion of mandatory training.
Should-do action 5 of 23
Should do
Effective
Ensure there is adequate expertise on-site to ensure patients at risk of conditions associated with tissue breakdown or pressure sores receive appropriate care and treatment.
Should-do action 6 of 23
Should do
Safe
Ensure further emphasis on making sure that all staff accurately and appropriately use the national early warning scores (NEWS) when assessing patients.
Should-do action 7 of 23
Should do
Safe
Ensure staff working in laboratories have appropriate training in using personal protective equipment and protecting themselves from the risks associated with coming into contact with infectious material.
Should-do action 8 of 23
Should do
Safe
Ensure FP10 prescription pads in the sexual health clinic are stored and managed in line with NHS Protect security of prescription forms guidance 2015.
Should-do action 9 of 23
Should do
Safe
Ensure there are processes in place to monitor consistent recording of temperatures for medication refrigerators on surgery wards.
Should-do action 10 of 23
Should do
Safe
Ensure NEWS scores are correctly scored and there are sufficient structures in place to frequently monitor performance in this regard.
Should-do action 11 of 23
Should do
Responsive
Ensure patients who have appointments cancelled are offered an alternative.
Should-do action 12 of 23
Should do
Caring
Ensure there is screening for patients who may have dementia, and that additional support is available for patients with dementia or other complex needs.
Should-do action 13 of 23
Should do
Caring
Improve communication with patients regarding their discharge planning from surgery wards.
Should-do action 14 of 23
Should do
Responsive
Improve signage in the outpatients building for pre-admission appointments.
Should-do action 15 of 23
Should do
Well-led
Ensure they are meeting the trust target for appraisals of non-medical staff within surgery services.
Should-do action 16 of 23
Should do
Effective
Ensure sepsis six pathway is fully integrated into practice and staff are educated appropriately.
Should-do action 17 of 23
Should do
Effective
Ensure the first floor critical care units submit data to the Intensive Care National Audit and Research Centre (ICNARC) dataset to ensure patient outcomes are benchmarked against similar services nationally.
Should-do action 18 of 23
Should do
Effective
Consider increasing the number of dieticians to meet national guidelines.
Should-do action 19 of 23
Should do
Well-led
Ensure clinics running late are reported as incidents in line with trust policy.
Should-do action 20 of 23
Should do
Safe
Ensure clinic 5 has access to a sluice facility.
Should-do action 21 of 23
Should do
Safe
Improve signage in the x-ray department informing patients of the dangers of radiation.
Should-do action 22 of 23
Should do
Safe
Record ambient room temperatures are recorded in all rooms where medicines are stored.
Should-do action 23 of 23
Should do
Well-led
Ensure risk registers are fit for purpose and record actions and timescales to mitigate risks