Young people who were at the beginning of inpatient treatment were not always able to tell us about their care and treatment plan; however, young people further along in treatment had good knowledge of this. Here at University Hospitals Bristol and Weston NHS Foundation Trust our priority is to transform the care we deliver so we provide sustainable healthcare services, which are driven by quality and excellence. The trust needed to maintain focus on culture, particularly in maternity, facilities management and the BME population and continue to promote freedom to speak up. There were 107 operations cancelled on the day of operation in October 2014, 50 of these were due to the lack of a bed due to emergency pressures. Our Values NBT Cares. 4 North Bristol NHS Trust is a provider of local hospital services and . Our full Inspection report summarising what we found and the supporting Evidence appendix containing detailed evidence and data about the trust is available on our website www.cqc.org.uk/provider/RVJ/reports. Love Life, Love Bristol & Weston. Suspended ratings are being reviewed by us and will be published soon. We saw evidence of challenge in the board minutes. Further support was required in the theatre department for newer staff. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding #5]%wT$@^@^]H q!zdF*EVUgE. Improve patient flow within the hospital and ensure that there is a robust hospital-wide system of bed management so as to: significantly reduce delays in patient flow through the emergency department; reduce occupancy to recommended levels within medical services; and, ensure that there is capacity within the hospital so that patients can be admitted to and discharged from critical care at the optimal time for their health and well-being. Useful information was provided to patients and visitors and communication aids including interpreters were readily available. Staff were aware of these procedures and their own responsibilities for the safeguarding of children and young people. This continues on appointment to a role at the trust, as the trust offers a wide range of benefits. They deployed patient flow transformation discharge teams to help staff at all levels. Yearworth v. North Bristol NHS Trust: A Property Case of Uncertain Who we are - Avon and Wiltshire Mental Health Partnership NHS Trust North Bristol NHS Trust owns the hospital but the adjacent health centre is owned by NHS Property Services. In February 2016, it was expecting a deficit of 33.7M for the year 20152016. tjYbFR ensure that the privacy and dignity of patients in the Brunel building is maintained. We carried out this focused inspection of the North Bristol NHS Trust to follow up on the areas that were rated as inadequate and requires improvement in our inspection in November 2014. . They encompass a desire in all of us to provide the highest quality of care to patients and each other. [8][9] The first patients moved into the new Brunel building at Southmead in May 2014.[10]. Most staff felt a connection to the CCHP and saw the benefits for effective service delivery. Staff assessed risks to patients, acted on them and kept good care records. Of the 800 beds, 75% are single en-suite rooms, aiming to improve patient dignity and privacy. We rated medical care as requires improvement overall. The support included one-to-one and team-based support, along with practical interventions such as fast access to physiotherapy and psychological support available for staff. In addition, the lack of individual risk assessments and clearly documented care plans had the potential to put children and young people at risk of receiving unsafe or inappropriate care and treatment. Staff provided emotional support to patients, families and carers to minimise their distress. Accessibility tools. We carry out joint inspections with Ofsted. Requires improvement Nurse staffing levels were meeting national guidelines. Services have been transferred to this provider from another provider, an inspection looking at part of the service, Specialist community mental health services for children and young people, Community health services for children, young people and families. Riverside had worked closely with Barnardos to give young people and their families a voice in how services ran. . Good Staff supported and involved patients, families and carers to understand their condition. There were clear streaming and triage arrangements in place which identified and prioritised patients with serious or life-threatening conditions. The 2018 staff engagement survey, conducted in November, also showed an increase in staff engagement from 6.8 to 6.9. 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. Staff felt respected, supported and valued and were focused on the needs of patients receiving care. The CCHP provided some unique services to children and young people. A review of nurse staffing had been undertaken across the trust since our inspection in November 2014 and action taken as a result. Some people were not able to access the right care at the right time. Staffing levels varied across the trust. Here we describe our Trust's values and behaviours. Participation in research and improvement in clinical outcomes as a result of obstetric skills training. Cares stands for Caring, Ambitious, Respectful and Supportive: Caring - because it underpins everything we do for our patients and the way we care for one another ensure that all patients medical records are available when the patient is being seen and that the reliance on temporary records is reduced to a minimum. Care provided to patients was compassionate. The trust actively sought coaches who represented staff with protected characteristics, to ensure maximum inclusivity of the programme. Children and young people were involved in developing information leaflets and media applications, and the recruitment and training of staff, and have created artwork to make the service environments feel more welcoming. Care records were not always managed safely. The BBC is not responsible for the content of external sites. Suspended ratings are being reviewed by us and will be published soon. While the department was frequently overcrowded staff followed systems and processes to ensure patients were safe. In the community CAMHS service, young people had access to the staff kitchen at Monks Park House, which contained knives and hazardous cleaning products. The trust employs over 8,000 staff delivering healthcare across Southmead Hospital, Cossham Hospital, and the Bristol Centre for Enablement, as well as the local communities. Leaders collaborated with partner organisations to help improve services for patients. They are at the very heart of all that we do, and should inform every action we take and every decision we make. [16] An unnamed whistleblower claimed a lack of beds was putting patient safety at risk because small rooms designed for minor procedures, such as injections, were being used to keep patients in overnight. Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. While leadership and governance within the unit were effective, we found that the service was not as integrated in North Bristol Trust as it could be. BS1 3NU, In This team managed new referrals for young people up to the age of 13 who were at risk of self-harm or were in need of urgent help to stabilise their mental state. [11], It was scheduled to be the first trust to go live with Lorenzo patient record systems, but as of November2015[update] are experiencing problems in transitioning from the old Cerner system.[12]. The service did not follow procedures to ensure cleanliness as a measure of infection prevention and control. In the pre-admission clinic they had a pharmacist working full time who reviewed elective patients. In the recent case of Yearworth and Others v North Bristol NHS Trust, however, the Court of Appeal for England and Wales revisited the property debate and threw into doubt a number of doctrines with respect to property and the body. In reaching this judgement we have taken account of the fact that the vast majority of services are provided at the Southmead site. Staff treated patients with compassion and kindness and took account of their individual needs. The service managed safety incidents well and learned lessons from them. mJF0(6k%Wd~! A childrens and young persons participation strategy (20142016) had been developed. Senior Medical Secretary - Band 4 | North Bristol NHS Trust