Source · CQC inspection
Russells Hall Hospital
Provider The Dudley Group NHS Foundation Trust
Type NHS Healthcare Organisation
Region West Midlands
Last inspected 22 Nov 2023
Overall rating: Requires Improvement View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Requires Improvement
Well-led
Good
Earlier inspection findings
Must-do actions (3)
Must-do action 1 of 3
Must do
Responsive
The trust must ensure they continue their work to improve ambulance handovers and patient flow within the department.
Must-do action 2 of 3
Must do
Safe
The trust must ensure the service improves compliance in relation to national guidelines on staffing levels.
Must-do action 3 of 3
Must do
Safe
The trust must ensure that they maintain an accurate, complete and contemporaneous record in respect of each service user, including a record of care and treatment provided to the service user and of decisions taken in relation to the care and treatment provided.
Should-do actions (12)
Should-do action 1 of 12
Should do
Safe
The trust should ensure that all staff are up to date with their mandatory training.
Should-do action 2 of 12
Should do
Responsive
Managers should ensure that services are planned to meet the needs of local people with regard to the resuscitation area.
Should-do action 3 of 12
Should do
Responsive
The trust should ensure family discussions with children are consistently recorded and discussed.
Should-do action 4 of 12
Should do
Safe
The trust should ensure they improve their performance in relation to their deteriorating patient pathway measures.
Should-do action 5 of 12
Should do
Safe
The trust should ensure that medicines charts are completed correctly.
Should-do action 6 of 12
Should do
Effective
The trust should continue to review and identify if their training meets the statutory learning disability and autism training requirements.
Should-do action 7 of 12
Should do
Well-led
The trust should ensure all staff receive a regular appraisal.
Should-do action 8 of 12
Should do
Effective
The trust should continue to act on the recommendations of the MBRACE-UK perinatal mortality report.
Should-do action 9 of 12
Should do
Safe
The trust should ensure they improve their performance in relation to their deteriorating patient pathway measures.
Should-do action 10 of 12
Should do
Safe
The trust should ensure they continue to improve compliance in relation to national guidelines on Quality in Service trained staff in line with its trajectory.
Should-do action 11 of 12
Should do
Safe
The trust should ensure that all areas are organised, tidy and clutter free and that oxygen masks are kept organised for ease of access.
Should-do action 12 of 12
Should do
Safe
The trust should ensure they continue to improve compliance in relation to mandatory training around resuscitation.