Source · CQC inspection

Eastbourne District General Hospital

Type NHS Healthcare Organisation Region South East Last inspected 25 Jan 2023

Overall rating: Good View full CQC report

Domain ratings

Five CQC key questions

Safe

Requires Improvement

Effective

Good

Caring

Good

Responsive

Requires Improvement

Well-led

Good

Earlier inspection findings

pre-2024 framework · 2 must-do 6 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 service must ensure there is a prioritisation score to safely risk assess women calling the triage line and on arrival in the day assessment unit and monitors wait times effectively to ensure service users are seen within safe time frames.

Regulation: Regulation 12(1)(c)

⚠ The service did not use a prioritisation score to risk assess women when they arrived unexpectedly for care, and managers did not monitor wait times. The trust had not implemented a standardised triage process or a personalised RAG rated prioritisation risk assessment for the day assessment unit or for staff …

Must-do action 2 of 2

Must do

Safe

The service must ensure that it has enough staff to ensure all services can run effectively

Regulation: Regulation 18(1)

⚠ The service did not always have enough staff to care for women and keep them safe. The Eastbourne Midwife Unit was closed from December 2021 to April 2022 due to insufficient midwives trust-wide. The number of midwives and healthcare assistants did not match planned numbers, with 64% of vacant shifts …

Should-do actions (6)

Recommended improvements to enhance service quality.

Should-do action 1 of 6

Should do

Safe

The trust should ensure that staff training for level 3 safeguarding meets the trust target of 90% for community, EMU midwives and medical staff responsible for planning care.

Should-do action 2 of 6

Should do

Safe

The service should consider introducing the nationally recognised ‘I am clean’ stickers for staff to use once equipment has been cleaned. So, all staff and service users are assured that infection prevention control measures keep people safe.

Should-do action 3 of 6

Should do

Safe

The trust should ensure that it improves staff training compliance for blood transfusion, basic life support and mental capacity training so that it meets trust targets.

Should-do action 4 of 6

Should do

Well-led

The trust should ensure that all staff can access policies and procedures via the trusts intranet systems quickly.

Should-do action 5 of 6

Should do

Safe

Should ensure that all midwives working in the Midwife Led unit complete an ‘Evacuation of the Pool’ simulated training session and record attendance to monitor compliance.

Should-do action 6 of 6

Should do

Well-led

The service should ensure that all staff receive their annual appraisal, to ensure continued professional development and safe practice.