Wycombe Hospital

⚠ Leaders and teams used systems to manage performance and risk. Whilst known risks were identified and high-level risks escalated with identified actions to reduce their impact, there was variability in the way risks were identified and recorded at a very local level. Although the risk registers showed when risks were …

⚠ Patient records were not always comprehensive. Staff did not always fully complete care planning documents. Patient notes were not in the records trolleys and were ‘scattered’ throughout the department. There was an increased risk of patients’ records being accessed by an unauthorised person. Ward staff did not always store paper-based …

⚠ Staff did not always complete and update risk assessments for each patient. Staff did not always fully complete patient risk assessments on admission and did not always review these regularly. It was not always clear what plans they had put in place to mitigate risks as actions were not always …

⚠ Substances that were subject to COSHH regulations were not always managed safely. Staff had not secured the dirty utility room and left containers of detergent and cleaning materials accessible to unauthorised people. On the orthopaedic ward the door to the dirty utility room was open and detergent could be accessed …

⚠ Staff adherence to infection control guidance was variable. Ward staff did not always follow infection control principles in the use of personal protective equipment (PPE). They did not always remove PPE correctly and did not follow the guidance. Staff did not always make sure visitors used PPE correctly. We saw …