Hospital orders improvements after health watchdog inspection

Latest news in Yorkshire: October 12, 2018 09:24:54 AM

Hospital managers in Rotherham have acted to address serious failings
identified by watchdog inspectors over the treatment of patients
including children.

Care Quality Commission inspectors visited the hospital this summer
specifically to investigate the way children in the urgent and emergency
care service were treated, along with adults needing some types of
assistance with breathing – such as those needing oxygen via a face
mask.

They found problems in both areas, though they are now satisfied
hospital managers have taken sufficient steps to address the issues over
children’s care by this month and over the ventilation treatment by
November.

The CQC have published a report into their findings, which states they
found: “There was insufficient escalation and management of the
deteriorating child, and a lack of oversight and governance of the risks
to children within the paediatric (children’s) urgent and emergency care
service. “There were three serious incidents that highlighted a lack of
clinical oversight, poor medicines management and delayed diagnosis and
treatment of children in the urgent and emergency care services.

“There was no paediatric-specific training for staff or competency
assessment in place for sepsis or diabetes /diabetic ketoacidosis(DKA).
“Staff did not routinely use Paediatric Early Warning Scores (PEWS) on
all children attending the department.” Other shortcomings were also
highlighted, with the Trust providing a detailed response cataloguing
changes to be put in place by this month, satisfying inspectors who
said: “This showed that sufficient actions had been planned to address
the immediate risks to patient safety within the service.”

In addition, a paediatric ‘task and finish’ group was set up to oversee
improvements and act on immediate risks to children.

Inspectors also looked at the way ventilation assistance was given to
patients and their visit revealed: “There was insufficient management,
oversight and governance of the risks to acute non-invasive ventilation
patients admitted at the hospital.” Services were not provided in line
with medical guidelines, with staffing levels among nurses not always
enough to meet the needs of the patients they were caring for.

Read more at: thestar.co.uk

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