The CQC published a report on our medical care and community services on 28 September 2018. Both were given both overall ratings of “requires improvement” and the Trust remains at “requires improvement” overall.
However, all our services were rated as “good” on caring. Both medical care and community health services for adults were also judged “good” on being effective.When combined with the previous inspection last year, the latest report also means seven out of the nine of the core services inspected at Croydon University Hospital are now rated as “good”.
Below is a statement from Michael Fanning, Director of Nursing, Midwifery and Allied Health Professionals, at Croydon Health Services NHS Trust about the report.
Michael said: “The CQC has highlighted many areas of good practice and some outstanding work going on within the Trust1.
“Following this latest inspection, seven out of the nine of the core services inspected at Croydon University Hospital are now rated as “good”.
“We are proud of the caring and compassionate approach of our staff which was recognised by the CQC inspectors and they noted the positive view our patients have of our medical and community services.
“However, inspectors found several areas we needed to address which resulted in an overall rating of “requires improvement”. Given the pressure on NHS services, many of these challenges are not unique to Croydon but we need to build on what we have done and support our staff to make further improvements.
“We have launched a number of new initiatives in September that we hope will help ensure patients are treated in the right place, first time and can leave earlier in the day once they are ready to go home.
“We are aware of the challenges in our health visiting service. Alongside our commissioners, we have carried out a service review which included looking at the capacity required to meet demand and are working together to identify the best ways to address the issues raised.
“We have an ongoing recruitment programme for roles all across the Trust and have used innovative approaches to try to address staffing gaps. In order to provide safe care there are times need to use agency or “bank” staff, many of whom are Trust employees working additional hours so they are fully aware of all our policies and procedures.
“We are also looking closely at the inspectors’ other recommendations and are fully committed to undertaking any other actions required to continuously improve our care for local people.”
The positive findings in the report included:
- inspectors observed staff treated people with dignity, respect and kindness
- patients spoke positively about those providing their care
- staff were praised for providing emotional support and involving patients in discussions about their treatment.
- examples of outstanding practice including new research initiatives by the Speech and Language Therapy staff and community teams, as well as the work of the Rainbow Health Centre which looks after homeless people and asylum seekers in the borough.
- a culture of “openness, honesty and transparency” in medical care, with learning from incidents and good record keeping.
- effective multi-disciplinary working in the teams within medical care, a clear leadership structure and audits shows performance at the Trust was in line with national averages.
- staff have opportunities for further development, can apply for additional training relevant to their role and there is support for new and existing nurses through practice development educators and a preceptorship programme.
- Community services staff were positive about the local and executive leadership at the Trust, felt valued and spoke of a “supportive culture”.
- Community staff understood how to protect adults, children and young people from abuse
- Community teams were passionate about supporting patients to improve their own health and wellbeing.
You can read all the CQC reports on the Trust in full on the CQC website here