Source · CQC inspection

Royal Blackburn Hospital

Provider East Lancashire Hospitals NHS Trust Type NHS Healthcare Organisation Region North West Last inspected 12 Feb 2019

Overall rating: Good View full CQC report

Domain ratings

Five CQC key questions

Safe

Good

Effective

Good

Caring

Good

Responsive

Requires Improvement

Well-led

Good

Earlier inspection findings

pre-2024 framework · 3 must-do 4 should-do

Must-do actions (3)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 3

Must do

Safe

The trust must ensure that effective and timely care is provided; including at triage and assessment to improve patient access and the flow of patients through the emergency department and the hospital so that patients are treated and admitted or discharged in a safe, timely manner.

Regulation: Regulation 12 (1)

⚠ Significant delays for people accessing care and treatment in emergency departments. Delays in triage and initial treatment put people at risk of harm. Long waits in the emergency department, sometimes over 12 hours. Patients did not always receive treatment within agreed timeframes and national targets.

Must-do action 2 of 3

Must do

Safe

The service must continue with plans to improve staffing levels for nurses to full establishment.

Regulation: Regulation 18 (1)

⚠ The service did not always have enough nursing staff to care for patients and keep them safe. The service did not have enough nursing staff and support staff with the right qualifications, skills, training and experience to keep patients safe from avoidable harm and to provide the right care and …

Must-do action 3 of 3

Must do

Caring

The service must ensure it maintains privacy and dignity for all patients who receive care within the emergency department.

Regulation: Regulation 10 (1)

⚠ Patients were being cared for in additional designated areas on the emergency department’s corridors, which meant there was reduced privacy and dignity for patients and some patients even shared a corridor space. It was difficult to maintain patient’s privacy and dignity due to overcrowding.

Should-do actions (4)

Recommended improvements to enhance service quality.

Should-do action 1 of 4

Should do

Well-led

The service should ensure that continues to work closely with all system partners to tackle the capacity pressures on urgent and emergency care in the integrated care system.

Should-do action 2 of 4

Should do

Caring

The service should continue to improve the staffing of its patient champion roles within the emergency department.

Should-do action 3 of 4

Should do

Responsive

The service should consider how it can improve facilities to meet the personal care needs.

Should-do action 4 of 4

Should do

Safe

The service should ensure that cleaning schedules are completed appropriately.