Staff also reported a high number of elderly people seeking support through emergency services because they felt their care packages were insufficient and did not meet their needs. The initiative aimed to help patients who call NHS 111 receive the care they need while alleviating the pressure on Emergency Departments (EDs). Orthotics and Prosthetics. Consider improvements to the response rate for the Friends and Family Test which are poor across the trust. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Cambridge University Hospitals NHS Foundation Trust is one of the largest in the UK with around 1100 beds. We observed the environment and spoke with 14 patients and reviewed 30 sets of patient records. Ensure that data in relation to delayed induction of labour is collected and acted on. As an educational community, we are deeply committed to providing a quality education for our students and to upholding the responsibility that comes with teaching and learning. These services, as provided at Addenbrookes Hospital and the Rosie Hospital were inspected as part of the core services within this report. In December 2014 Cambridge University Hospitals NHS Foundation Trust had been identified as having only two elevated risks and one risk on our Intelligent Monitoring system. Each week has a theme with activities and trips based around it. Medium and low risk devices are entered on Q-Pulse individually by team leader. Staff had worked very hard under sustained pressure across health and social care services. A summary of CQC findings on urgent and emergency care services in Cambridgeshire and Peterborough. He qualified from Nottingham University and trained in general and transplant surgery in Nottingham, Bristol . 18 January 2017. Improve the skill mix across critical care to ensure that 50% of staff complete their certificate in critical care in line with best practice standards. Disconnected governance arrangements meant that important messages from the clinical divisions were not highlighted at trust board level. There is adequate staffing to provide safe care for patients requiring non-invasive ventilation. The trust was continuing progress against an overarching improvement plan in response to concerns found at our previous inspections. Midwife, Safeguarding Children @ Cambridge University Hospitals NHS Foundation Trust; Education. For many complex reasons, including ambulance handover delays and staffing shortages, there were not enough crewed ambulances to respond to 999 calls within national targets. Addenbrookes Hospital provides emergency, surgical and medical care for local people and is the Major Trauma Centre (MTC) for the East of England region. Governance in maternity had improved with clear view of the units risks and key performance data now being collected. It encourages collaborative working and sharing of clinical governance data between the general critical care unit and the Neuro Critical Care Unit. Medicines were not always prescribed correctly due to limitations of EPIC, although we were assured this was being remedied. Children Safeguarding Children is an initiative of the Telford & Wrekin Safeguarding Children Board (TWSCB). Ensure that staff in maternity are compliant with mandatory training including safeguarding. June 14, 2022. This often resulted in staff being moved from one area of a service to another to make up staff numbers. These decisions include, but are not limited to: At a Clinical Ethics Forum meeting the members hear from the parties involved in the patients care in order to understand all the issues and concerns. We don't rate every type of service. This had included the implementation of the improvement plan and regular oversight of its implementation from regulators, commissioners and stakeholders. Public Safety Department 701 E. Carson Street Carson, Ca 90745 Phone: 310-952-1786 Fax: 310-830-1473 This service had successfully supported a significant number of people to stay at home or to access an alternative pathway and avoid going to an Emergency Department. We carried out a comprehensive inspection between 21 and 24 April 2015 as part of our regular inspection programme. Other than in exceptional circumstances you can expect: Sharing with members of the opposite sex will only happen when it is: Protecting the privacy and dignity of patients is a key part of our core values. Team working in the critical care unit was outstanding. The forum is made up of representatives from various clinical departments from the hospital as well as our Governors and is multidisciplinary. Safeguarding is defined as protecting people's general wellbeing and human rights and allowing each person to live free from abuse and neglect. This posed a risk to people in the community waiting for a 999 response. (01223) 245151, Provided and run by: This ward was led by urgent and emergency care staff. Safe practice is a key element in all aspects of our work and future development. Biography. Addenbrookes Hospital, Hills Road, Cambridge, Cambridgeshire, CB2 0QQ (01223) 245151 Provided and run by: Cambridge University Hospitals NHS Foundation Trust We are carrying out a review of quality at Addenbrooke's and the Rosie Hospitals. Mhfz Private Server, 6 October 2011. Staff reported feeling tired and frustrated due to the sustained pressure and the impact this had on their wellbeing and on the delivery of training. T: 0330 043 4849 | E: CUH@cardinal-ltd.co chelsea players 1960s. Give us a call or drop by anytime, we endeavour to answer all enquiries within 24 hours on business days. Children's Advice and Duty Service (CADS) U: 10/11/21. addenbrooke's safeguarding teamscanavenger portable wireless bluetooth barcode scanner addenbrooke's safeguarding team We visited a primary care unit run by an acute trust; whilst this was working well, we were told it was addressing an issue in access to primary care and was a short-term solution. Data collection for the ICNARC case mix programme is monitored and that data collected is reliable, accurate and representative of the functioning of both critical care units. The C9 Teenage Cancer Trust unit at Addenbrooke's Hospital in Cambridge is designed for 14-24 year olds. Eleven Carson branches serve over 90% of communities in Oregon and Southwest Washington. Inspection Report published 25 December 2012 for Addenbrooke's and the Rosie Hospitals - PDF - (opens in new window), Published At our last inspection in 2018, urgent and emergency services at Addenbrookes Hospital was rated overall as good. This included the emergency department, medical wards and areas where patients in that pathway were cared for while waiting for treatment or admission. The demographics vary during the year due to the large student population of approximately 24,488. A smaller focussed inspection in February 2016 followed up our most serious concerns and those areas rated Inadequate. If there is no-one to fulfil this role for you, you can request a member of staff to accompany you known as a formal chaperone. For this inspection we considered information and data on urgent and emergency care performance. The Safeguarding Support Unit (SSU) is an outpatient facility at the main hospital site. The bereavement follow up scheme saw a reduction in complaints of approximately 50%. Staffing shortages in some Emergency Departments impacted on the delivery of safe and effective care. The allergy clinic had a one-stop allergy service that provided diagnosis and management of a wide range of allergic disorders. On the general critical care unit, a junior doctor jointly with the IT department developed an application for a mobile tablet called My ICU Voice to enable patients who had a tracheostomy to communicate with staff. This inspection was to follow up specific concerns in surgery, maternity and gynaecology and outpatient and diagnostic services that were identified at our inspection in April 2015. There had been a review of midwifery staffing which had led to an increase of nine midwifes and six health care support workers in the unit. Addenbrookes Hospital provides emergency, surgical and medical care for local people and is the Major Trauma Centre (MTC) for the East of England region. Virtual clinics had been set up in a number of areas, each consisting of a multidisciplinary team of staff including nursing and consultant grade staff. 7 March 2011, In Maureen came to live in Great Shelford from Suffolk in 1993. The inspection framework focused on five key lines of enquiry relating to critical care, infection prevention and control, patient flow, workforce and leadership and culture. Plus, a relocation package of up to 8000 If you would like further information about this role, please contact Paige on 01223 699263 or email welovesocialworkers@cambridgeshire.gov.uk. Childrens services were also under pressure though the imminent opening of additional beds should alleviate some of this pressure. This inspection was to follow up our comprehensive inspection in April 2015 where the concerns identified by the inspection team had resulted in my recommending the trust for special measures. By increasing staff awareness, services may be able to meet peoples needs without needing to request emergency services. Two other people made comments about the confined space around each bed although they felt staff did their best to help maintain privacy and confidentiality. The outpatients department had risk assessed and reviewed all patients records with an outstanding appointment to ensure patients were seen in a timely way based on relative clinical risk. Welcome to Safeguarding. It aims to facilitate discussion among healthcare professionals or other involved parties faced with concerns or conflict over patient care decisions. We found that staff knowledge about safeguarding was robust on the children's ward we visited and that appropriate safeguarding arrangements were in place on older people's wards. Cambridge University Hospitals NHS Foundation Trust. We saw areas of outstanding practice including: On the basis of this inspection I am recommending that Cambridge University Hospitals NHS Foundation Trust is removed from special measures. Applicants must be registered with Social Work England and have knowledge of the legislative framework related to adults. Managers in all areas were well sighted on risks as well as developing new pathways and delivering care. How would you like us to communicate with you? Developing policies to support staff in their role in safeguarding; Provide tools to understand the areas of safeguarding as appropriate to children and adults; Support staff in their safeguarding practice and assessment; Contact details: Professionals only: Safeguarding Team. Review staffing of the specialist palliative care team against national guidance. We carried out an unannounced focused inspection of Addenbrookes Hospital urgent and emergency care and medical care services on 21 March 2022. Listed on 2023-03-02. Mrs Nadine Gooding-Hebert Tel. Browser Support If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. Same Day Emergency Care pathways aimed to relieve the pressure from Emergency departments. Ensure it improves the environment for children in the ED to ensure childrens safety at all times. Camomilla E Reflusso, you need a hoist or special bath) then you may be taken to a unisex bathroom used by both men and women. The hospital staff worked hard to make sure they had the information they needed on admission to meet patients' needs effectively and to ensure an appropriate and safe discharge from hospital. During this inspection we inspected all key questions in maternity and gynaecology, outpatients and diagnostic imaging and the responsive question only in surgery. Olivia is a Locum SHO at Addenbrooke's Hospital on her FY4 year. brisbane bodybuilding competition 2021; Phone: cris collinsworth lawyer Email: craig@aichiaus.com the service director for adults and safeguarding at Cambridgeshire County Council and Peterborough . Summary of findings 3 Addenbrooke's and the Rosie Hospitals Quality Report 18/01/2017 ADDENBROOKE'S HOSPITAL Travel Information. The Clinical Ethics Forum provides advice to healthcare professionals and other involved parties about the complex ethical issues that can arise in the course of patient care. A summary of services at this trust appears in the overall summary above. One person told us, 'Staff here are fantastic, gold star, they are always helpful and explain what's happening'. To find out more and register your interest, contact Healthwatch Cambridgeshire by emailing, enquiries@healthwatchcambspboro.co.uk or calling 0330 355 1285 or text 0n 0752 0625 176. . They indicated tests had been taken between one and four hours previously. 18 March 2014. Cambridgeshire and Peterborough Safeguarding Children's Partnership Board is committed to monitoring and evaluating 'the effectiveness of [safeguarding children's] training including multi-agency training, for all professionals in the area. All patients awaiting an outpatients appointment are assessed for clinical risk and prioritised as to clinical need. Ensure resuscitation decisions are always documented legibly and completed fully in accordance with the trusts own policy and the legal framework of the Mental Capacity Act 2005. These had been rated inadequate in 2015. horse hind leg tendon sheath. Examination is performed by trained members of staff and will always be explained to you beforehand. Ensure that staff in maternity are compliant with mandatory training including safeguarding . Most patients told us they received good quality care and were involved in decisions about care and treatment, this meant care was planned and delivered in a way which was intended to meet patient's individual needs. Patients were then called and treatment options explained over the phone. Mental Capacity Act Assessments and Safeguarding work. We recognise that is some cases we may have to compromise on these principles in order to provide you with the best treatment. However, further work was required to further reduce the waiting lists for appointments and some investigations. Good Rocketreach finds email, phone & social media for 450M+ professionals. We spoke with 74 members of staff including nursing staff, consultants, junior doctors, support staff and senior managers. mariana enriquez biography addenbrooke's safeguarding team. Ensure that all staff receive feedback on incidents in their area or relevant to them in their work. Review the provision of end of life care to consider providing cover over seven days a week. It was good for safe and effective, outstanding for caring and well led, and requires improvement for responsive. One person said they are not routinely offered an evening drink although they could request one. They will be in touch to arrange a time and date for the survey. At CUH we have processes in place to enable partnership working across our regions health and social care community in order to address the risks and experience of abuse and neglect, while at the same time making sure that the adults wellbeing is central to proceedings, and that due regard is given to their views, wishes, feelings and beliefs in deciding any action that concerns them. Safeguarding peer review - 1st Monday and 3rd . It is a regional centre providing specialist services such as organ transplantation, cancer, neurosciences, paediatrics and genetics. Quora Dirty Stories, Mental Capacity Act Assessments and Safeguarding work. The chaplaincy and bereavement service offered a one-stop appointment where bereaved relatives could see all trust staff that they needed to see in one visit. Jimmy George Tattersalls, Any other browser may experience partial or no support. People told us that staff treated them with respect and dignity and provided them with an appropriate level of information. The staffing issues were also present in domiciliary care agencies which reduced the availability of care at home. Autor de la entrada Por ; how do viruses infect prokaryotic cells Fecha de publicacin junio 9, 2022; central national bank prepaid card . U: 20/09/20. the service is performing exceptionally well. gilead sciences canada jobs. Children's Advice and Duty Service (CADS) U: 10/11/21. The hospital campus opened in 1962 and became a foundation trust in July 2004. Cambridge University Hospitals NHS Foundation Trust is one of the largest in the UK with around 1100 beds. Download full inspection report for Addenbrooke's and the Rosie Hospitals - PDF - (opens in new window), Published Cambridge, Other equipment within the unit was all serviced and had been appropriately maintained. Review the arrangements for patients undergoing termination of pregnancy for foetal anomalies on the labour ward. At least one standard in this area was not being met when we inspected the service and, Cambridge University Hospitals NHS Foundation Trust, Royal Papworth Hospital NHS Foundation Trust, 4 North East (4NE) Ward, Royal Papworth Hospital. Overall people who were being treated in the accident and emergency department told us that their experience was positive. 7. We found that staff shortages meant that wards were struggling to cope with the numbers of patients and that the adultcritical care areas were not staffed in line with national guidance. Find out more International Recruitment Since April 2017 we have welcomed over 500 nurses from Europe and Overseas to CUH. They found that staff were attentive, approachable and informative. The trust also provides district general hospital services to patients predominantly coming from Cambridgeshire, Essex, Suffolk and Hertfordshire. Quality assurance monitoring and auditing processes showed that continuous improvements in theatre safety had been achieved. The teenage cancer unit provided outstanding facilities for young people diagnosed with cancer and receiving treatment for cancer. Staff were not all up to date with mandatory training and did not always assess risks appropriately. U: 20/09/20. Social Work. On the basis of this inspection, I have recommended that the trust be placed into special measures. Email: cllr.sarah.addenbrooke@rbkc.gov.uk Gemini House, Bartholomews Walk, Cambridgeshire Business Park, CB7 4EA We have established transition clinics to adult services and close links with the Paediatric Neurology team at Addenbrookes (outreach clinics) and Great Ormond Street Hospital. Please feel free to This was a joint inspection with Ofsted. View Supna Pankhania's profile on LinkedIn, the world's largest professional community. The demographics vary during the year due to the large student population of approximately 24,488. The electronic patient record (Epic) had now been in place for some 2 years. Although gaps left by staff moving were back-filled with bank or agency staff, this meant that services often had staff with an inappropriate skills mix and patients were being cared for by staff without training relating to their health needs .Despite this patients received excellent care. Systemic failures and neglect caused the death of a teenager who had severe anorexia, a coroner has said. Pressure on the outpatients department meant long delays for some specialties and not all patients being followed up appropriately, particularly in ophthalmology and dermatology. Patients previously treated within critical care were invited to a twice-yearly focus group to help drive service improvement. Business Hours/Visiting Hours: Peterborough inpatients - Monday to Friday 9am-5pm. Medium and Low Risk devices are entered as one skills cluster on MAPS by team leader when completed. A 7% salary enhancement for weekend and bank holiday working. The online educational resource cambridgecriticalcare.net developed by the neurological critical care team is a repository of educational resources aimed not only at local trainees, but trainees nationally and internationally. Ensure that systems are in place to reduce the risk of confidential information leaks. We carried out a full follow up inspection between 20th and 22nd September with an unannounced inspection on 29th September 2016. We have since been assured by the trust that there are systems now in place to ensure that staffing in this area is in line with national guidance and we have removed this condition form the trusts registration. The Ethics & Compliance Office (my team!) The organisation had been through a significant change in senior leadership in the preceding 12 months which had resulted in a number of governance changes within the organisation. We identified a need for more capacity in primary care to meet peoples needs in Cambridgeshire and Peterborough.