The Royal National Orthopaedic Hospital (Stanmore)

Improve compliance with mandatory training for medical and nursing staff.

Implement standardised practices across clinical services in the use of the electronic patient records system so that clinicians always have access to patient information.

Establish significantly improved fire safety and risk management processes and training, including the establishment of key fire warden roles.

Improve how staff understand, report and learn from incidents to ensure these processes are more consistent.

Implement a system to provide assurance of oversight in relation to missed doses and delayed doses of prescribed medicines.

Improve compliance with mandatory training for medical and nursing staff especially for paediatric immediate life support.

Ensure formal safeguarding supervision is fully implemented for staff in children’s services.

Continue to review band 5 and 6 staffing levels to ensure correct staffing levels for the acuity and dependency of patients are maintained.

Ensure pain is reviewed and recorded in patients’ notes including review of patient controlled analgesia.

Improve provision for children with learning disabilities, autism, sensory and behavioural needs.

The trust should take steps to ensure compliance with mandatory training including safeguarding training meets the trust targets for both medical and nursing staff and have systems in place to address non-compliance.

The trust should take steps to improve fire safety within the departments so patients are not put at risk.

The surgical wards should display the NHS safety thermometer for staff or patients to view.

The trust should ensure staff receive timely appraisals and meet the trust’s target rates for completion.

The service should consider providing reception staff with dedicated customer service and conflict resolution training.

The trust should consider a seven-day service.

The trust should review arrangements for the leadership’s attendance to and visibility at the Bolsover Street location.

The trust should consider a seven-day service.