Source · CQC inspection
Trafford General Hospital
Provider Central Manchester University Hospitals NHS Foundation Trust
Type NHS Healthcare Organisation
Region North West
Last inspected 18 Feb 2014
Overall rating: Good View full CQC report
Domain ratings
Safe
Good
Effective
Good
Caring
Good
Responsive
Requires Improvement
Well-led
Good
Earlier inspection findings
Must-do actions (1)
Must-do action 1 of 1
Must do
Effective
Ensure that it fully implements the national recommendations following the removal of the Liverpool Care Pathway
Should-do actions (18)
Should-do action 1 of 18
Should do
Safe
All records within the urgent care centre should be kept in a secure location.
Should-do action 2 of 18
Should do
Safe
Ensure that all medical staff receive the correct level of mandatory training within the required timescales to ensure they have the right level of skills and competencies to safely fulfil their roles.
Should-do action 3 of 18
Should do
Safe
Nurse staffing levels should be increased to meet the minimum daytime requirement of 1:8 nurse patient ratio recommended by NICE (Safe staffing for nursing in adult inpatient wards in acute hospitals).
Should-do action 4 of 18
Should do
Responsive
Consider improving the inpatient environment for people living with Dementia as it is could be made more ‘dementia friendly’.
Should-do action 5 of 18
Should do
Effective
Improve the theatre utilisation and theatre list compilation efficiency.
Should-do action 6 of 18
Should do
Responsive
Investigate the high rates of patients not attending for scheduled procedures with a view to reducing the rates of non-attendance.
Should-do action 7 of 18
Should do
Safe
Improve the system for obtaining patients records for pre-operative assessment clinics.
Should-do action 8 of 18
Should do
Well-led
Monitor the integration of the services with RMCH, including development of Standard Operating Procedures (SOP’s) and audits of care to demonstrate effective care.
Should-do action 9 of 18
Should do
Safe
Develop the service and be able to evidence safe care e.g. risk assessments and training data.
Should-do action 10 of 18
Should do
Responsive
Ensure facilities are suitable and responsive for children and young people of all ages in the local community.
Should-do action 11 of 18
Should do
Well-led
The trust should have in place a vision and strategy for end of life care services for Trafford Hospital
Should-do action 12 of 18
Should do
Safe
The trust should ensure that it has sufficient specialist staff to support the demand for end of life care in the trust.
Should-do action 13 of 18
Should do
Responsive
The trust should review its access to specialist palliative care over 24 hours (seven days) in line with national guidance for end of life care.
Should-do action 14 of 18
Should do
Well-led
The trust should review the leadership for palliative care at Trafford Hospital to reflect the needs of people at end of life and their loved ones.
Should-do action 15 of 18
Should do
Effective
The trust should ensure that robust audit of end of life care is in place particularly the use of the DNACPR process and documentation.
Should-do action 16 of 18
Should do
Responsive
Consider what actions can be taken to reduce the reporting turnaround times for Urodynamics.
Should-do action 17 of 18
Should do
Caring
Consider how privacy can be improved at reception areas in Radiology and Orthopaedic Outpatients.
Should-do action 18 of 18
Should do
Responsive
Consider improving facilities for patients to comment on their care and treatment (Patient Tracker pedestals and Friends and Family forms).