The Walton Centre

The trust should improve the system for the capture and storage of information with regard to the Fit and Proper Persons Regulation.

The trust should approve and finalise the enabling strategies in a timely way to ensure there are no time gaps when current policy is not in place.

The trust should ensure there is appropriate leadership oversight and corporate administration of the Board Assurance Framework to maintain its accuracy and usability.

The trust should improve the system for tracking the management of serious incidents.

The trust should continue to improve the systems for the management of Deprivation of Liberty applications.

The service should consider how its supports all staff to complete mandatory and safeguarding adults and children training in line with trust targets.

The service should consider reviewing the number and availability of resuscitation trolleys in order to comply with Resuscitation Council (UK) guidelines.

The service should ensure that stocks of medicines are regularly checked and out of date medicines dispose of safely. (Regulation 12)

The service should ensure it continues to monitor and improve the management of controlled drugs. (Regulation 12)

The service should consider how to minimise the impact of patient records being in different formats, to ensure all staff can access information in a timely manner.

The service should consider reviewing staff’s understanding of Mental Capacity Act 2005 and Deprivation of Liberty Safeguards to ensure all staff understand the rationale for actions taken.

The service should consider reviewing arrangements for meeting the accessible information standard to ensure patients can access timely information in a way that meets their individual needs.

The service should consider reviewing its arrangements for managing complaints to ensure complaints are responded to in a timely manner in line with trust policy and complaints receive an explanation of any delay in responding to their complaint.

The service should review and monitor the recording of water flush checks and the use of filters on sinks to make sure that the policy is being followed to prevent the risk of the spread of Pseudomonas found in sinks to patients.

The service should consider the monitoring of room temperatures where medication is stored at ambient temperature, to be assured that medications are not being stored outside of recommended temperatures and are fit for use.

The service should consider a standardised approach to the documentation of time from decision to admit to admission so that they can measure adherence to the four-hour standard.

The service should consider a review of pharmacist provision to meet with the national critical care core standards.

The service should identify an agreed approach for the monitoring of stored medication to ensure that medication does not exceed the expiry dates, to reduce the risk of patients receiving medicines which are not fit for use.

The service should consider the review of services provided over seven days to meet the national critical care core standards.

The service should consider a review of the divisional strategy to identify workable plans to turn it into action so that they can monitor and assess progress against the ambitions.