Following a recent visit from Care Quality Commission inspectors, the Chief Inspector of Hospitals has confirmed that the Chesterfield Royal Hospital has retained an overall rating of GOOD for the services it runs.

The report published today (Friday May 29 2020) showed that the Trust had maintained its high standards in the regulator’s five domains that asks whether a hospital is safe, effective, caring, responsive and well-led. The report also highlights five areas of outstanding practice within urgent and emergency service, medical care and surgery.

“Incredibly Proud”

Commenting on the rating, Chief Executive Angie Smithson said: “I’m incredibly proud of what our colleagues have achieved to once again show that the care and services we provide have met the high standards set out by the CQC. Our teams across the Trust work hard to provide the best possible care to our patients and visitors. This rating reflects that dedication and gives us a solid platform as we continue our journey to ‘OUTSTANDING’.”

Inspectors visited the site in February 2020, spending three days on site to look at a number of different services. The report goes into great detail, picking out a number of highlights and areas of outstanding practice that include:

- Production of a Paediatric Patient Journey Booklet that acts as a pictorial guide for our younger patients to show them what they can expect from a visit to Nightingale Ward. This helps to reduce stress and anxiety; an adult version is also being planned.

- The development of an Acute Care Team and Social Worker within our Emergency Department aimed at avoiding unnecessary admissions to inpatient wards.

- A monthly ‘Flow Your Patients Right’ workshop attended by more than 100 colleagues. The sessions support staff and help them understand the principles of patient flow, how different departments operate and how to identify and suggest areas for improvement.

- The NGS Macmillan Unit, its calming environment, holistic, patient centred care, Macmillan Cancer Information Centre and facilities for patients undergoing treatment.

- ‘Civility Saves Lives’, a way of embedding respect, professional courtesy and valuing colleagues to increase morale and improve patient care.

High levels of compassion and care

The report, in particular noted high levels of kind and compassionate care throughout the Trust with good, visible and approachable leadership providing a good, inclusive service to the local population. Meanwhile services were praised for being appropriately staffed with a good skill mix to keep patients safe from harm with staff quick to identify and act upon patients at risk of deterioration. It also highlighted a high level of understanding from staff as to how to protect patients from abuse, working well with other services and agencies to do so.

The report sets out just two areas that the Trust must do – ensuring staff wear personal protective equipment at all times when taking bloods and inserting a cannula. The second is to make sure Deprivation of Liberty (DoLS) assessments are carried out in a timely fashion and that families are informed of the outcome and involved in best interest decision meetings.

Journey towards ‘OUTSTANDING’

There are also 32 actions the CQC recommend the Trust to undertake to make services better that range from patients being told how to use the call bells and keeping up to date with mandatory training to keeping corridors clear of obstructions and the appropriate storage of emergency equipment.

Director of Nursing and Patient Care, Lynn Andrews, said: “We welcome all aspects of the report and these inspections present us with an ideal opportunity to find out what we need to focus on. It’s uplifting to hear about our achievements and those of our colleagues but it’s equally important to pinpoint where we need to improve our care and services. 

“This is a highly detailed report and we will take the time to go through it line by line to make certain that we can put plans in place to address those recommendations and maintain our successes. I would like to thank all of our staff for their dedication and hard work in achieving this outcome. We have such a strong platform to build on and this report gives us what we need to continue our journey towards ‘OUTSTANDING’.”

To view the full report, click here