Issue - meetings

The recent inspection report is attached for the Select Committee to read. Officers from the CQC and RUH will attend the meeting.

Catherine Campbell, CQC Inspection Manager gave a presentation to the Select Committee regarding this item. A copy of the presentation can be found on their Minute Book and as an online appendix to these minutes, a summary of the presentation is set out below.

CQC Inspection: 15-18 and 29 March 2016

The range of services provided by Royal United Hospital Bath NHS Foundation Trust, including the Royal National Hospital for Rheumatic Diseases and the community maternity services required a diverse inspection team:

• 22 inspectors
• 29 specialist advisors
• plus support staff

11 services were inspected:

• 8 acute services at the Royal United Hospital Bath site
• 2 acute services at the Royal National Hospital for Rheumatic Diseases
• The community maternity service (including midwifery led birthing centres)

CQC’s 5 key questions

Safe? Are people protected from abuse and avoidable harm?

Effective? Does people’s care and treatment achieve good outcomes and promote a good quality of life, and is it evidence-based where possible?

Caring? Do staff involve and treat people with compassion, kindness, dignity and respect?

Responsive?  Are services organised so that they meet people’s needs?

Well-led? Does the leadership, management and governance of the organisation assure the delivery of high-quality patient-centred care, support learning and innovation and promote an open and fair culture?

Overall ratings

The trust was rated as outstanding for caring, which is a notable achievement, reflecting high compassion, support and patient involvement in delivering care.

The effective and well-led domains were rated as good and the safety and responsive domains as requires improvement

There was a wide range in the ratings given to individual services:

•  1 Outstanding

•  6 Good

•  4 Requires Improvement

Inspection Findings

Safety: Requires improvement

Effective: Good

Caring: Outstanding

Responsive: Requires Improvement

Well-led: Good

There were many areas of excellent and innovative practice. Risk reporting and safety were largely well managed and the governance systems ensured ownership at an appropriate level. Care and treatment were effective and evidence based. There was very good multi-disciplinary working and programmes that prevented hospital admission. Training was generally good. Staff were caring and compassionate and true dedication to the patients shone through. Services were flexible and responsive. Clinical and overall leadership was strong throughout and there was effective staff engagement.

Outstanding Practice

•  We saw numerous examples of outstanding practice in the care and compassion shown to patients as well as involvement in their care and treatment, particularly in services for children and young people and in end of life care.

•  The Conversation Project: an initiative to improve communication between staff and patients and relatives about care for the dying patient.

•  We saw some outstanding practice within the outpatients department, in how staff treated and supported patients living with learning difficulties.

•  The Royal National Hospital for Rheumatic Disease was a centre of excellence for lupus care and treatment.

•  The Fibromyalgia service had been developed in response to patient need and was now being set up to become a franchised model to share the programme with  ...  view the full minutes text for item 56