Weston Hospital CQC report

The Deputy Chief Inspector of Hospitals spoke about the need for this report

"We conducted this focused inspection to follow up on concerns identified in a Section 29A Warning Notice served in April 2019, following a comprehensive inspection of the service in February 2019. The warning notice set out the following areas of concern, where significant improvement was required by 5 July 2019:

A summary of the findings included - 

Urgent & Emergency Care

1. There were not effective systems to monitor safety and risk. Incidents were not always investigated promptly and there was inadequate evidence to demonstrate that identified risks, incidents, deaths and unexpected outcomes were regularly discussed, and learning shared to improve patient safety.
2. There was inadequate oversight of clinical audit and insufficient evidence that audit was used to drive improvements in safety and patient outcomes.
3. Staff in the emergency department did not receive adequate support, training and supervision to carry out their roles and responsibilities. Junior doctors expressed concerns about a lack of supervision and engagement from some senior medical staff. There was inadequate oversight of nurse training. 

Specialist Community Mental Health services for children and young people

1. Staff in the child and adolescent mental health service (CAMHS) were not actively monitoring the risks of young people waiting for assessment and treatment
2. Staff in CAMHS were not documenting risk assessments for all young people receiving care within the service
3. Staff in CAMHS did not maintain young people’s confidentiality through safe record keeping.
4. Managers did not effectively assess or monitor quality, safety and risk in CAMHS. At this follow up inspection we found the trust had achieved some progress in addressing our concerns; however, there was still work to do. We judged that the requirements of the warning notice had not been fully met in Urgent and Emergency Care. We judged that the specific requirements of the warning notice had been met within the Specialist Community Mental Health services for children and young people, although there remained actions for the service to take.