Source · CQC inspection
The County Hospital
Type NHS Healthcare Organisation
Region West Midlands
Last inspected 28 Feb 2024
Overall rating: Requires Improvement View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement
Earlier inspection findings
Must-do actions (4)
Must-do action 1 of 4
Must do
Safe
The provider must ensure it is assessing the risks to the health and safety of patients of receiving care or treatment and doing all that is reasonably practicable to mitigate any such risk through carrying out and documenting regular observations, clinically-led navigation of patients through the department provided by trained and experienced staff, managing patients medicines on time, assessing and responding to deteriorating patients and responding to any risks such as sepsis, pressure ulcers, falls or patients in pain.
Must-do action 2 of 4
Must do
Safe
The provider must ensure it has sufficient numbers of suitably qualified, competent, skilled and experienced staff who receive such appropriate training to carry out the duties they are employed to perform and ensure staff are trained to the right competency in safeguarding and life support. The provider must have sufficient medical staff to run the department safely and effectively including a paediatric emergency medicine consultant.
Must-do action 3 of 4
Must do
Safe
The provider must ensure it is assessing the risks to the health and safety of patients of receiving care or treatment and doing all that is reasonably practicable to mitigate any such risk through effective and safe care to patients needing ongoing treatment but unable to have timely access to a hospital bed.
Must-do action 4 of 4
Must do
Well-led
The provider must ensure there are systems and processes to assess, monitor and improve the quality and safety of the services provided in the carrying on of the regulated activities. It must assess, monitor and mitigate the risks relating to the health, safety and welfare of patients and others who may be at risk which arise from the carrying on of the regulated activity. The service must have an effective governance system, risk profile and audit programme to be assured it is providing safe quality care and knows and addresses where it should improve.
Should-do actions (5)
Should-do action 1 of 5
Should do
Safe
The service should improve the safe and proper management of medicines are stored safely and appropriately.
Should-do action 2 of 5
Should do
Caring
The service should ensure improved arrangements for offering food and drink to patients who have been waiting a long time to be seen, transferred or discharged.
Should-do action 3 of 5
Should do
Safe
The service should consider how it uses patient identification, such as wristbands, to determine if this is working effectively.
Should-do action 4 of 5
Should do
Well-led
The service should consider improving the response when requesting patient feedback.
Should-do action 5 of 5
Should do
Caring
The trust should ensure the privacy and dignity of all patients is maintained at all times.