Source · CQC inspection

Orpington Hospital

Provider King's College Hospital NHS Foundation Trust Type NHS Healthcare Organisation Region London Last inspected 9 Sep 2022

Overall rating: Requires Improvement View full CQC report

Domain ratings

Five CQC key questions

Safe

Requires Improvement

Effective

Good

Caring

Inadequate

Responsive

Good

Well-led

Good

Earlier inspection findings

pre-2024 framework · 2 must-do 3 should-do

Must-do actions (2)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 2

Must do

Safe

The provider must ensure that care and treatment is provided in a safe way for service users.

Regulation: Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment

⚠ We found that medicines were not always managed safely, including unsafe administration practices and recording. Staffing levels were not always sufficient to keep patients safe from avoidable harm. Not all patient safety incidents and near misses were recognised or reported.

Must-do action 2 of 2

Must do

Safe

The provider must ensure that service users are safeguarded from abuse and improper treatment.

Regulation: Regulation 13 HSCA (RA) Regulations 2014 Safeguarding service users from abuse and improper treatment

⚠ We found that not all staff recognised and understood how to protect patients from abuse. Staff did not always respond to patient requests for toileting in a timely manner, leading to patients passing urine or defecating on pads, which amounted to a form of avoidable abuse and did not respect …

Should-do actions (3)

Recommended improvements to enhance service quality.

Should-do action 1 of 3

Should do

Safe

The trust should ensure that medicines are managed in accordance with safe and professional practice standards.

Regulation: Regulations 12(1),(2)(a)(b)(g) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014

Should-do action 2 of 3

Should do

Caring

The trust should ensure that staff provide care and treatment in ways which have regard and respect for the individual needs of patients, and in a manner, which is not degrading.

Regulation: Regulations 13(1)(2)(4)(c)(d) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014

Should-do action 3 of 3

Should do

Responsive

The trust should ensure there are enough staff on duty to enable the delivery of patient care needs in a responsive manner.

Regulation: Regulations 13(1)(2)(4)(c)(d) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014