DOCSLIB.ORG

South Tyneside NHS Foundation Trust RE9 Community Health Services for Adults Quality Report

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
South Tyneside NHS Foundation Trust RE9 Community Health Services for Adults Quality Report South Tyneside NHS Foundation Trust RE9 Community health services for adults Quality Report Tel: 0191 404 1000 Date of inspection visit: 5-8 May 2015 Website: www.stft.nhs.uk Date of publication: 01/12/2015 1 Community health services for adults Quality Report 01/12/2015 Summary of findings Locations inspected Location ID Name of CQC registered Name of service (e.g. ward/ Postcode location unit/team) of service (ward/ unit/ team) RE9GF Palmer Community Hospital RE9GA South Tyneside District Hospital RE9X2 Blaydon Primary Care Centre RE9GA South Tyneside District Hospital Carr Hill Clinic RE9GA South Tyneside District Hospital Bensham Hospital RE9Y3 Monkwearmouth Health Centre RE9GA South Tyneside District Hospital Pallion Health Centre RE9GA South Tyneside District Hospital Flagg Court Health Centre RE9GA South Tyneside District Hospital Clarendon RE906 Elmville Short Break This report describes our judgement of the quality of care provided within this core service by South Tyneside NHS Foundation Trust. Where relevant we provide detail of each location or area of service visited. Our judgement is based on a combination of what we found when we inspected, information from our ‘Intelligent Monitoring’ system, and information given to us from people who use services, the public and other organisations. Where applicable, we have reported on each core service provided by South Tyneside NHS Foundation Trust and these are brought together to inform our overall judgement of South Tyneside NHS Foundation Trust 2 Community health services for adults Quality Report 01/12/2015 Summary of findings Ratings Overall rating for the service Good ––– Are services safe? Good ––– Are services effective? Good ––– Are services caring? Outstanding – Are services responsive? Good ––– Are services well-led? Good ––– 3 Community health services for adults Quality Report 01/12/2015 Summary of findings Contents Summary of this inspection Page Overall summary 5 Background to the service 6 Our inspection team 6 Why we carried out this inspection 7 How we carried out this inspection 7 What people who use the provider say 7 Good practice 7 Areas for improvement 8 Detailed findings from this inspection The five questions we ask about core services and what we found 9 4 Community health services for adults Quality Report 01/12/2015 Summary of findings Overall summary Overall rating for this core service Good l Patients and their relatives were truly respected and valued as individuals and were empowered as partners in Overall community health services for adults were good, their care. Feedback from patients and their families was with caring rated as outstanding. Incidents were reported consistently positive about the way staff treated them. across teams and learning from incidents was identified. Patients thought staff went the extra mile in providing The safeguarding policy was understood by staff and care, treatment, and support.There was a strong person- used as part of their practice. Equipment was used safely. centred culture. Staff were considerate and empathetic The service had infection prevention and control policies towards patients and their relatives. Staff respected in place. Staffing levels were sufficient in most areas to patient confidentiality in written records and other meet current demand. The service had a lone working communications. The approach staff used in the home policy in place and implemented procedures to reduce setting demonstrated compassion and consideration for the risks to staff working alone. The service had plans in the patient. place to respond to major incidents. Patients could access community health services The service undertook a range of audits to improve promptly. Discharge liaison arrangements between the performance and ensure patient safety. Clinical acute hospital and community settings were in place. governance meetings were held regularly. The service Arrangements were in place for the training of clinical had introduced the Friends and Family Test (FFT) patient staff in caring for patients living with dementia. Staff were satisfaction survey in January 2015. The service was in aware of complaints patients had made, and what was the process of introducing integrated care an innovative done to resolve complaints. Following the investigation multi-disciplinary practice model. of complaints actions were identified. This was discussed Staff understood their individual roles and with patients and actions were monitored to completion. responsibilities. Recognised assessment tools were used The service had governance and risk processes in place. for the assessment, planning, and review of patient care The service actively maintained a risk register and and treatment. There was good multi-disciplinary responded to identified risks; long-term staff sickness was working and effective handover and multi-disciplinary not identified on the register. The service planned for team meetings. Staff consistently told us they had good seasonal fluctuations in demand. Managers and staff told links, and access to, a wide range of other services. Staff us they felt integrated care provided a clear vision for felt the executive team were approachable; but the community services. The service had a strategy of community teams were attached to different divisions. improvement and changes to service delivery. Managers and team leaders demonstrated a clear understanding of their role and position in the trust. Local team leadership was effective. 5 Community health services for adults Quality Report 01/12/2015 Summary of findings Background to the service Background to the service South Tyneside who provide care for adults with more than one complex, long term condition, such as: Community services for adults are part of the South diabetes, respiratory disease, or heart disease. Tyneside NHS Foundation Trust. The trust provides a Community matrons visit people in their own homes and variety of community services in South Tyneside, develop personalised care plans. Community matrons’ Gateshead, and Sunderland. co-ordinate care with other health and social care Community services for adults include district nursing, professionals. By doing this they can prevent unnecessary cardiology, eye and diabetic screening clinics, podiatry admission or attendance at hospital, they work with the and a range of other services such as planned care, acute hospital to support discharge home. intermediate care, learning disabilities, and urgent care. During the inspection we visited the following community District nursing services in Gateshead, South Tyneside health services for adults: and Sunderland, provide care predominantly to Out of hours service South Tyneside ACT, Palmer housebound patients, but also in clinics in GP settings. Community Hospital Gateshead UCT, Bensham Hospital The district nursing teams are led by a qualified district nurse (a registered nurse with additional qualifications). District nursing service Blaydon Primary Care Centre Teams include registered nurses (RGN) and health care Palmer Community Hospital Monkwearmouth Health assistants (HCA). The district nurse teams operate a single Centre Pallion Health Centre point of contact (SPOC) for all referrals that are made into Palmer Community Hospital the service. Community matrons Carr Hill Clinic Community services for adults operate a 24/7 rapid Leg ulcer clinic response and out of hours service in South Tyneside and Podiatry clinic Blaydon Primary Care Centre Gateshead. These are nurse led teams, providing support to patients at home to avoid unnecessary hospital Urgent care team Leechmere Centre admissions. Eye/diabetic screening clinic Flagg Court Health Centre Community matrons also operate within the community Cardiology Clarendon services for adults’ structure. Community matrons are a team of nurses working in Sunderland, Gateshead and Learning disability service Elmville short-break service Our inspection team Our inspection team was led by: The team included CQC inspectors and a variety of specialists: Health Visitors, District Nurses, Our inspection team was led by: Physiotherapists, Occupational Therapists, Community Chair: Trish Rowson, Director of Nursing – Quality and Matrons, Dentist and Expert by Experience (people who Safety, University Hospitals of North Midlands NHS Trust. had used a serice or the carer of someone using a service). Team Leader: Amanda Stanford, Care Quality Commission 6 Community health services for adults Quality Report 01/12/2015 Summary of findings Why we carried out this inspection We inspected this core service as part of our comprehensive acute and community health services inspection programme. How we carried out this inspection To get to the heart of people who use services’ experience During this inspection we met with in excess of 110 of care, we always ask the following five questions of managers and staff representing a range of roles and every service and provider: seniority. We included qualified nursing staff, specialist nurses, allied health professionals (physiotherapists, • Is it safe? cardiologists and podiatrists), health care support • Is it effective? workers, team leaders and managers. Interviews were • Is it caring? conducted on a one to one basis, in small groups of two • Is it responsive to people’s needs? or three staff within a service, or in group discussions • Is it well-led? arranged as focus groups. Before visiting, we reviewed a range of information we Inspectors spoke with more than 20 patients in a number
Load more

Recommended publications
  • North Tyneside Council
    W C A U E C H M D B 5 y L R L A R E E A N A 0 N D L M IN P R G R 5 M FO O B I U S E R O Y LA N T W 1 R W O E O N A D H E E B H R O H D T U C O T Y D L A B S Seaton W R O L R R CLIF STO T E E R C N TO I E R L O N R R IF T RO B Seaton W AD H S R L O C A A G LI O E FT W L O T M C N N R E H O A D A A 26 O 27 D A S 22 23 24 25 28 29 30 31 32 33 R D 34 35 36 37 D F E 1 A E O M U NWO L ORWI 7 OD DR W R CK C N IVE Sluice 1 elcome to the new North Tyneside cycling map, and its OAD E IN D V 1 R C R W A M L W E E E MEL EA B A 0 O O A K L I R E S 9 IDG E C TON L S E ID 1 L P C A L A D V A E R S T I E E A F E E I CY TR H N E R S E D S E U L P I A M C R E EL M P surrounding area.
    [Show full text]
  • Topic Paper: Skills
    Sunderland City Council and South Tyneside Council Impact Study International Advanced Manufacturing Park Topic Paper: Skills Issue | August 2015 This report takes into account the particular instructions and requirements of our client. It is not intended for and should not be relied upon by any third party and no responsibility is undertaken to any third party. Job number 240728-00 Ove Arup & Partners Ltd 13 Fitzroy Street London W1T 4BQ United Kingdom www.arup.com Sunderland City Council and South Tyneside Council Impact Study International Advanced Manufacturing Park Topic Paper: Skills Contents Page 1 Overview 1 1.1 Methodology 1 1.2 Key Assumptions 1 2 Workforce Implications of Advanced Manufacturing Development. 3 3 Expected workforce structure for the IAMP 4 3.1 Motor Vehicles 5 3.2 Advanced Manufacturing 5 3.3 Warehousing 6 3.4 Industry Mix Assumptions for IAMP 6 4 Current pattern of workforce journey to work movements 9 4.1 Overview 9 4.2 Share of Workers by North East Local Authorities 10 5 Distribution of workforce 11 5.1 Overview 11 5.2 Distribution of workforce by type of employee 11 6 Conclusions and Recommendations 15 Appendices Appendix A Baseline Characteristics | Issue | August 2015 Sunderland City Council and South Tyneside Council Impact Study International Advanced Manufacturing Park Topic Paper: Skills 1 Overview Sunderland and South Tyneside Councils are working jointly to secure the development of an International Advanced Manufacturing Park (IAMP) on land to the north of Nissan in Sunderland. The development will comprise of around 100 ha, suitable for uses within the automotive, advanced manufacturing sectors alongside distribution uses.
    [Show full text]
  • North East England
    Lerwick Kirkwall Dunnet Head Cape Wrath Duncansby Head Strathy Whiten Scrabster John O'Groats Rudha Rhobhanais Head Point (Butt of Lewis) Thurso Durness Melvich Castletown Port Nis (Port of Ness) Bettyhill Cellar Head Tongue Noss Head Wick Gallan Head Steornabhagh (Stornoway) Altnaharra Latheron Unapool Kinbrace Lochinver Helmsdale Hushinish Point Lairg Tairbeart Greenstone (Tarbert) Point Ullapool Rudha Reidh Bonar Bridge Tarbat Dornoch Ness Tain Gairloch Loch nam Madadh Lossiemouth (Lochmaddy) Alness Invergordon Cullen Fraserburgh Uig Cromarty Macduff Elgin Buckie Dingwall Banff Kinlochewe Garve Forres Nairn Achnasheen Torridon Keith Turriff Dunvegan Peterhead Portree Inverness Aberlour Huntly Lochcarron Dufftown Rudha Hallagro Stromeferry Ellon Cannich Grantown- Kyle of Lochalsh Drumnadrochit on-Spey Oldmeldrum Dornie Rhynie Kyleakin Loch Baghasdail Inverurie (Lochboisdale) Invermoriston Shiel Bridge Alford Aviemore Aberdeen Ardvasar Kingussie Invergarry Bagh a Chaisteil Newtonmore (Castlebay) Mallaig Laggan Ballater Banchory Braemar Spean Dalwhinnie Stonehaven Bridge Fort William Pitlochry Brechin Glencoe Montrose Tobermory Ballachulish Kirriemuir Forfar Aberfeldy Lochaline Portnacroish Blairgowrie Arbroath Craignure Dunkeld Coupar Angus Carnoustie Connel Killin Dundee Monifieth Oban Tayport Lochearnhead Newport Perth -on-Tay Fionnphort Crianlarich Crieff Bridge of Earn St Andrews SCOTLAND Auchterarder Auchtermuchty Cupar Inveraray Ladybank Fife Ness Callander Falkland Strachur Tarbet Dunblane Kinross Bridge Elie of Allan Glenrothes
    [Show full text]
  • South Shields Young Parents Pathway
    Where to find us A19 Tynemouth North Shields A1058 South Shields Wallsend Young Parents Newcastle Jarrow upon Tyne Pathway What will you gain at the Hebburn + A19 Young Parents Pathway? A1300 A194 A184 Scheme Further +South Shields address information Young Parents Pathway Telephone 70 Whitehead Street 0191 454 6859 Young Parents South Shields Email NE33 5NE youngparentspathway@ Pathway placesforpeople.co.uk Our customers gain so much more than a place to live www.placesforpeople.co.uk/livingplus About us Our customers gain so much more “It’s been a happy and loving The Young Parents Pathway is based in South Tyneside. service, staff are always very We offer supported accommodation to single parents cheerful and helpful. Thanks!” and families aged 16 to 25, including expectant Rebecca and Daisy mothers. In all our accommodation based services, 92% 100% young parents have their own self contained of customers* felt they had of customers* secured settled the right amount of control in accommodation after living 2 bedroomed, fully furnished flat. designing their support plan at the Young Parents Pathway You’ll gain so much more than a place to live with Places for People Living+. Whatever your story, we’ll help you. The aim of the scheme is to assist you in developing the “I love my job in the Young skills needed to confidently maintain a tenancy, whilst Parents Pathway. I’m very proud creating a safe and secure environment for your family. to be a part of such a fantastic 100% 100% of customers* received support of customers* maximised
    [Show full text]
  • South Tyneside Destination Management Plan
    South Tyneside Destination Management Plan 2017 - 2022 Cross section of images that could also run into page 3 too Contents Page 4 Introduction 6 Our Vision & Objectives 7 The Value of the Visitor Economy 8 The Tourism Offer 12 Target Markets 14 Strengths, Gaps and Opportunities in the Current Offer 31 Priorities 2017 – 2022 32 Action Plan 2017 - 2022 34 Appendix A South Shields Groyne Lighthouse South Tyneside Parade 2 | South Tyneside Destination Management Plan 2017-2022 South Tyneside Destination Management Plan 2017-2022 | 3 Hebburn Central Cleadon Mill Building sandcastles at Sandhaven Beach Introduction The South Tyneside Destination Management Plan is a The visitor sector impacts on the area in many ways. It regeneration projects, the promotion of the destination There are a number of other businesses too, many of statement of intent that sets out how South Tyneside of course helps to support businesses, creates jobs and to organising cultural events. The Council manages or whom are SMEs such as guest houses and restaurants, plans to grow the volume and value of its visitor raises the profile of the Borough, but it also celebrates financially supports a number of the area’s attractions that are a key element of our visitor industry and economy between 2017 and 2022. the community, our culture and heritage, and raises the and works in partnership to develop initiatives with collectively ensure a quality experience for visitors. quality of life for local people. them. South Tyneside are also part of the Northern Providing impetus
    [Show full text]
  • South Shields Peninsula Legibility Study
    South Shields Peninsula Legibility Study Document no. 124039/801 DRAFT Presented by Fairhurst on behalf of South Tyneside Council The Yellow Room at Fairhurst offers a range of landscape and urban design services from analysis and assessment through to masterplanning and public realm projects. Working closely with our in house development planners and engineers allows the Yellow Room to offer a unique service utilising this multidisiplinary working environment at Fairhurst. CONTROL SHEET Client: South Tyneside Council Project Title: South Shields Report Title: South Shields Legibility Study Project Reference: 124039 Document Number: 801 Status: Draft for client comment Middle Street - Job No. 124039 Name Date Signature Produced Laura Fogg 13/04/18 Checked Emily Russell 13/04/18 Approved Steve Goodchild 13/04/18 Issue Date Status Description Produced Checked Approved 2 3 4 5 6 7 8 contents introduction..............................................3 location and context.............................. 4 what is wayfinding?.................................6 policy context.......................................... 8 Stage 1 audit methodology................................. 12 audit.......................................................... 14 character area analysis..........................22 audit and analysis conclusions.............. 32 Stage 2 strategy introduction...............................36 landmarks and destinations................... 38 strategy.....................................................40 recommendations...................................51
    [Show full text]
  • Our Economy 2020 with Insights Into How Our Economy Varies Across Geographies OUR ECONOMY 2020 OUR ECONOMY 2020
    Our Economy 2020 With insights into how our economy varies across geographies OUR ECONOMY 2020 OUR ECONOMY 2020 2 3 Welcome from An overview from Andrew Hodgson, Chair, Victoria Sutherland, Senior Economist, North East Local Enterprise Partnership North East Local Enterprise Partnership I am proud that the North East LEP has a sustained when there is significant debate about levelling I am pleased to be able to share the Despite this, the region has seen record of using economic evidence to inform its up the economy, devolution and the importance third annual Our Economy report. As good progress across a wide range of decision making. This is a commitment shared by the of infrastructure, we have taken the opportunity Andrew has highlighted, this year’s indicators. The North East has improved Board, our Executive Team and our partners across to present evidence about the diversity and report is being published at a time of its performance compared to 2014 the regional economy. interconnectedness of our regional economy. immense change in the economy. It is on around 60% of indicators we have important that we have a benchmark examined and closed the gap with The Strategic Economic Plan, our roadmap for As we look forward, a strong evidence base will against which we can assess the England excluding London on around bringing more and better jobs to the region, is be a crucial part of our response to dealing with impact of COVID-19 on the North East 40%. Key areas of progress since built on a comprehensive understanding of the the economic impact of COVID-19.
    [Show full text]
  • Expenditure on Mental Health Care by English Health Authorities
    BRITISH JOURNAL OF PSYCHIATRY #2000), 177, 267^274 Expenditure on mental health care by English Executive, 1997). Using the approach de- scribed by Glover 1999), the proportion health authorities: a potential cause of inequity of the total allocated to the purchase of mental health services was assumed to be the proportion of the weighted capitation JONATHAN BINDMAN, GYLES GLOVER, DAVID GOLDBERG derived from theuse of the YorkPsy- and DANIEL CHISHOLM chiatric Carr-HilllCarr-Hil et aletal, 1994,1994aa) and Com- munity Psychiatric Buckingham et aletal,, 1996) Need indices. In 1997±1998, the de- cision was taken to weight 11.08% the `programme weight') of the age- and cost- weighted population of each area using Background TheYork resource The importance of equity in mental health these two indices, applied in the ratio allocation formula includes a calculation of services has recently been re-emphasised 88.06:11.94 NHS Executive, 1997). Acheson, 1998). Painstaking efforts are the amount needed to purchase mental made to ensure that National Health Service health services equitablyin each health NHS) resources are allocated equitably be- authority in England.However, the tween health authorities, using a formula Special allocations for purchasing amount whichis actually spenton services which takes account of the need for mental mental health services is at the discretion of the authority. health services Carr-Hill et al, 1994,1994aa;Smith In addition to the general allocation, health et al, 1996), although the final allocation is authorities receive other sums, special allo- Aims To compare expenditure on not divided according to different clinical cations, intended for the purchase of mental mentalhealth services with allocation, and areas.
    [Show full text]
  • TYNE & WEAR ARCHIVES USER GUIDE 9 MEDICINE This User
    TYNE & WEAR ARCHIVES USER GUIDE 9 MEDICINE This User Guide summarises the more important administrative, financial and clinical records of local hospitals, sanatoria and specialised medical institutions. In part 2 it lists records produced by hospital boards and committees, and in parts 3 and 4 details of Medical and Nursing Associations, and research and personal papers respectively. This guide does not include information about sources for public health. NB Access to records containing information of a sensitive personal nature is restricted. Please ask a member of staff for more details. Please enquire in advance about access to any unlisted collections. 1. Hospitals, sanatoria and specialised medical institutions Barrasford Sanatorium, (formerly Newcastle and Northumberland Sanatorium): minutes 1911-1913; admissions registers 1950-1960; photographs 1915; Visiting Committee minutes 1906-1951; annual report 1910-1911 refs HO.BA, MD.NC/99/4-29, 604/594 Bensham Asylum: patient’s poster 1853 ref DX1083/1 Bensham General Hospital (formerly Gateshead Union Workhouse Hospital and known as High Teams Institution Hospital): administrative records 1921-1970 including visitors' report books 1949-1970; admissions 1921-1922; registers of mental patients 1926-1958 ref HO.BS [see also HO.ECC, HO.NCC] Birney Hill Neurosis and Convalescent Hospital: admissions registers 1950-1964; bed state returns 1956-1964 ref HO.BH Bishopwearmouth Hospital: plan of land 1860 ref 1167 Castle Hill Convalescent Home: see Wylam, Castle Hill Hospital Coundon, County Durham:
    [Show full text]
  • South Tyneside Infrastructure Delivery Plan (August 2019)
    South Tyneside Infrastructure Delivery Plan (August 2019) 5 5 To find out more about the Local Plan, please contact: Spatial Planning Team Development Services South Tyneside Council Town Hall and Civic Offices, Westoe Road South Shields, Tyne & Wear NE33 2RL Telephone: (0191) 424 7688 E-mail: [email protected] Visit: www.southtyneside.info/planning If you know someone who would like this information in a different format contact the communications team on (0191) 424 7385 Contents 1. Executive Summary ................................................................................................................. 1 2. Introduction ............................................................................................................................. 2 3. International Advanced Manufacturing Park .......................................................................... 9 4. Travel ..................................................................................................................................... 10 5. Environmental Infrastructure ................................................................................................ 34 6. Utility Services ....................................................................................................................... 43 7. Health .................................................................................................................................... 50 8. Education ..............................................................................................................................
    [Show full text]
  • South Tyneside Annual Report
    South Tyneside Annual Report 2019/20 ...an outstanding place to live, invest and bring up families We have continued to strengthen our adults and Now that we have reached a phase of the pandemic children’s services, improving experience and response in which we are moving to a managed outcomes for those who rely upon our services re-opening of the economy and the beginning of – and we have received encouraging feedback, the long process of recovery, it is appropriate to including an endorsement in summer 2019 from report information to our communities on the work the King’s Fund, who told us that our strengths- of the Local Authority. Although the start of 2020 based approaches to adult social care were has been one of the hardest we have experienced as making a real different to service users. We have a Borough, it has also demonstrated the importance continued to support our neighbourhoods and of local authority services and the value that people 2 3 communities, emphasising a co-operative approach have placed on support received. that encourages social action and community involvement – an approach that earned us the This Annual Report is a chance to accolade ‘Co-operative Council of the Year’ 2019. reflect on planned investment in both These continued efforts over 2019-2020 meant the physical environment of South Foreword that when Covid-19 hit, the Council was in a strong position to continue to provide for residents, even Tyneside as well as in services for our as the world seemed to change overnight. The people.
    [Show full text]
  • International Advanced Manufacturing Park Area Action Plan - Evidence Library This Examination Library Contains the Following;
    International Advanced Manufacturing Park Area Action Plan - Evidence Library This examination library contains the following; Proposed Submission Documents (PSD) - which have been submitted to the Planning Inspector; and Supporting Documents (SD) - which have informed the plan Proposed Submission Documents Reference Document PSD1 International Advanced Manufacturing Park Area Action Plan Publication Draft August 2016 PSD2 International Advanced Manufacturing Park Area Action Plan Sustainability Appraisal Updated August 2016 PSD3 International Advanced Manufacturing Park Area Action Plan Area Action Plan Sustainability Appraisal Non-Technical Summary August 2016 PSD4 International Advanced Manufacturing Park Area Action Plan Habitat Regulation Assessment Stage 1 Screening - Statement to Inform August 2016 PSD5 International Advanced Manufacturing Park Area Action Plan Sustainability Appraisal Addendum February 2017 PSD6 International Advanced Manufacturing Park Area Action Plan Schedule of Proposed Modifications February 2017 PSD7 International Advanced Manufacturing Park Area Action Plan 2017-2032 Publication Draft August 2016 incorporating Proposed Modifications February 2017 PSD8 International Advanced Manufacturing Park Area Action Plan Report of Representations February 2017 PSD9 International Advanced Manufacturing Park Schedule of Representations February 2017 PSD10a International Advanced Manufacturing Park Area Action Plan Compliance Statement February 2017 PSD10b International Advanced Manufacturing Park Area Action Plan Compliance
    [Show full text]