Another person in the treatment centre said they had felt, "Claustrophobic" when the curtains were drawn around the bed spaces. Staff had worked very hard under sustained pressure across health and social care services. Inspection Report published 7 March 2011 for Addenbrooke's and the Rosie Hospitals - PDF - (opens in new window), Published The teenage cancer unit provided a welcoming, age appropriate environment for young people to receive treatment, but also meet other young people and relax and socialise. They also provide advice regarding the treatment or decision opinions in any given case, so as to help the health care team to come to agreement over the ethically permissible options. The impact of high bed occupancy on the admission of emergency patients and the provision of emergency surgical services at Addenbrookes Hospital is reviewed. Oncology - Clinical. Whilst we found some examples of collaborative working focused on developing system wide resilience, we found Emergency Departments remained under significant pressure. 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. Mhfz Private Server, We looked at the experience of patients using urgent and emergency care and medical care services at Addenbrookes Hospital. we have taken enforcement action. 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. how do legal encyclopedias direct researchers to primary authorities? However the trust was still failing to meet agreed RTT, some diagnostic test waiting times and was just below the national standard on one measure of cancer waiting times. Through this focus group, real change had been implemented, including improving the transition of care from the critical care area to the ward, establishment of a quiet/interview room for doctors to speak to relatives on the critical care unit, and the re-design of the relatives room. We also looked at a range of performance data and documents including policies, meeting minutes, audits and action plans. By ticking this box you are confirming that you are happy for Addenbrooke's Charitable Trust to use your email address to send news, updates and fundraising . 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. Review consultant hours in maternity in line with national guidance. We identified a need for more capacity in primary care to meet peoples needs in Cambridgeshire and Peterborough. Any other browser may experience partial or no support. One person told us, 'Staff here are fantastic, gold star, they are always helpful and explain what's happening'. We observed the environment and spoke with 14 patients and reviewed 30 sets of patient records. The Neonatal Intensive Care Unit is at the forefront for provision of care for babies. Reasons for Joining the Team. For example, situations involving the care and treatment of adults at risk (Care Act 2014) where the patients may be subject to the safeguards associated with the Mental Capacity Act 2005 and best interests decision-making processes. Based on the same site as Addenbrooke's, the Rosie . Most people that we spoke with had not been asked for feedback about their care experiences. Protecting our workplace culture by recognizing and supporting team goals and building positive relationships with team members. 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. 18 January 2017. It encourages collaborative working and sharing of clinical governance data between the general critical care unit and the Neuro Critical Care Unit. Requires improvement addenbrooke's safeguarding team. We endeavor to answer all inquiries within 24 hours on business days. There were areas of poor practice where the trust needs to make improvements. Uncategorized; June 9, 2022 . People told us that staff treated them with respect and dignity and provided them with an appropriate level of information. These services, as provided at Addenbrookes Hospital and the Rosie Hospital were inspected as part of the core services within this report. Cambridge University Hospitals NHS Foundation Trust. Published Its one of our six priorities and at the heart of our values kind, safe, excellent. This often resulted in staff being moved from one area of a service to another to make up staff numbers. Some staff felt too much risk was accepted and held within emergency departments and didnt always feel supported by system leaders. Home. At least one standard in this area was not being met when we inspected the service and Michael Nicholson is Professor of Transplant Surgery and Head of the Division of Academic General & Transplant Surgery at the University of Cambridge. Pressure on the outpatients department meant long delays for some specialties and not all patients being followed up appropriately, particularly in ophthalmology and dermatology. Browser Support Survey closes at the end of March 2022. There were a number of systems in place to enable the trust to assess and monitor the quality of the service which were in line with national guidance on developing dementia care services. See the complete profile on LinkedIn and discover Supna's connections and jobs at similar companies. Consider the use of pain assessment tools for patients who require additional assistance in communicating their needs. Consistent foetal heart rate monitoring is provided in maternity services. The trust team were working collaboratively across specialities and teams to reduce bed occupancy on a daily . The trust provides a major trauma centre for the east of England and specialist services in immunology, fetal medicine, IVF, neurosurgery, ophthalmology, genetics and metabolic diseases, specialised paediatric, cancer and transplant services. Listed on 2023-03-02. the service isn't performing as well as it should and we have told the service how it must improve. Cambridge, the service is performing exceptionally well. E: cuhlp.sy@nhs.net. Some people who were waiting realised they had been delayed so that staff could treat people with more immediate needs first. In this case, we will make every effort to minimise the impact. 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 were told of a GP liaison service which enabled GPs and Consultants to work together to discuss individual patient needs. Safeguarding and promoting the welfare of children is everyone's responsibility. 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. There was a general improvement in referral to treatment times (RTT) and against other waiting time standards. (01223) 245151, Provided and run by: Or if you would like to discuss your needs, please contact one of our Advisers who are based in your hospital. This will help protect you against the winter vomiting bug, Wash your hands with soap and water after visiting the toilet, A clear and well publicised referral pathway is in place for staff to use to raise concerns on behalf of patients who are experiencing or are at risk of abuse or neglect, Training is provided for all staff to ensure they understand our commitment to safeguarding, have an appreciation of the, We adopt a robust approach to the implementation of the, The Named Nurse for Safeguarding Adults is accountable for co-ordinating safeguarding duties, for liaising effectively with partners and for providing evidence of enquiries both internally and externally where required, Adult safeguarding activities are presented quarterly and annually to the board of directors, Reports are presented to the board of directors every six months on safeguarding children, We carry out regular audits to check our systems and processes are effective, We have clear procedures in place in the emergency department (A&E) and staff receive regular update training on safeguarding children, Training in safeguarding children is one of the components of the corporate induction programme for all new starters and is included in the annual mandatory refresher training, A named nurse and named doctors have specific responsibility for safeguarding children across all parts of our hospitals - they are clear about their roles and are given sufficient time to enable them to fulfil their responsibilities, We will always work to maintain your privacy, dignity and modesty, We should recognise individual differences and respond to these with sensitivity, We have a responsibility to make your time with us as pleasant as possible, The room where your bed is will only have patients of the same sex as you, Your toilet and bathroom will be just for your gender and will be close to your bed area. 9. 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. Emergency Department - 24/7, 365 days a year. We found clear evidence of an improvement in the application of the World Health Organisation (WHO) checklist within operating theatres. We had an additional focus on the urgent and emergency care pathway across Cambridgeshire and Peterborough and carried out a number of inspections of services across a few weeks. Applicants must be registered with Social Work England and have knowledge of the legislative framework related to adults. Staffing shortages in some Emergency Departments impacted on the delivery of safe and effective care. Review the provision of information technology for the community midwifery teams. Covid-19 Whole School Risk Assessment. Delays in discharge for patients in hospital were significant and impacted on their health and wellbeing. With over 11000 staff and over 1100 beds the priorities of the Trust focus on a quality service which is all about people - patients, staff and partners. Ensure access to dedicated physiotherapy and clinical pharmacy services seven days a week. She was later transferred to Addenbrooke's in . There were also delays in transferring some patients from recovery post operatively to a ward for post-operative care. 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. T: 01223 216167. every child deserves the chance to be mentally and emotionally healthy. The next routine hot drink is offered to people at breakfast time and she felt it was unacceptable to wait for over twelve hours. 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. Children Safeguarding Children is an initiative of the Telford & Wrekin Safeguarding Children Board (TWSCB). The trust should ensure that all staff complete mandatory training and safeguarding training to ensure it complies with the 90% compliance target. Addenbrooke Classical Academy is a tuition-free, public K-12 charter school located in Lakewood, Colorado. Older people's services. Staff spoke positively of local (divisional) management. Most staff we spoke with had a good understanding of the duty of candour. ReSPECT stands for Recommended Summary Plan for Emergency Care and Treatment and has been developed nationally in collaboration with clinicians and patients. You can find further information about how we carry out our inspections on our website: www.cqc.org.uk/what-we-do/how-we-do-our-job/what-we-do-inspection. Everyone who works at Cambridge University Hospitals is responsible for patient safety. To advance our mission, we: provide expert, one-to-one, art-based therapy tailored to each child's needs. 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. We are committed to offering a warm and safe welcome to everyone who attends our churches, especially to children and vulnerable adults.