Data collection takes place on one day each month and reported within monthly governance meetings. Moving patients at night is only done in an emergency. 25 January 2023. From Cineworld 322 min From Brighton Pier 120 min From Gatwick Airport 156 min From University Of Brighton - Falmer Campus 116 min From Churchill Square Shopping Centre 117 min From Brighton The sepsis link nurse developed a think Sepsis poster which highlighted monthly audit results and a Stop sticker when the pathway was no longer appropriate, to ensure staff used the screening tool and cascaded results to the clinical leads and matron. Browser Support They understood and managed the priorities and issues the service faced. Please speak to the nurse in charge of your care or area. We are dedicated to the wellness of INDIVIDUALS, their FAMILIES and the COMMUNITY through prevention, intervention and treatment via our inpatient and outpatient services. Money for the television and phone system by your bedside. The Patient Advice and Liaison Service (PALS) offers confidential advice, support and information on health-related matters, for patients, their families and their carers. There are vending machines outside most wards. Equipment checks were now given a higher priority. Overall: Good. UK Covid-19 hospital admissions are highest since July with ICUs in London, North West & North East worst hit. The environment had improved since our previous inspection all areas were visibly clean and equipment was well maintained. Some aspects of service planning were expanding to meet increased patient demand. We appreciate your support in asking your friends and relatives to only visit during visiting times. Your hospital admission If you're staying in hospital as an inpatient you'll be made comfortable and be cared for by our dedicated teams. There was a dedicated practice development nurse in post who provided support to all members of the emergency department team. Demand for mental health services far outstripped capacity. The plan for your discharge from hospital will start on your admission to hospital. AURORA BEHAVIORAL HEALTH SYSTEM is Arizona's largest free-standing psychiatric hospital system. Visiting times: 2.00pm - 8.00pm. To begin the process, all you have to do is pick up the phone and call our Patient Services department. Our hospital radio services provide a variety of programmes, free of charge, including daily request shows. Our reports are here: Conquest Hospital Maternity Unit: https://www.cqc.org.uk/location/RXC01. Records were brief and suggested limited discussion and challenge. Eastbourne District General Hospital is located on the outskirts of Eastbourne town centre. AURORA BEHAVIORAL HEALTH SYSTEM is Arizona's largest free-standing psychiatric hospital system. They provided emotional support to patients, families and carers. NICE guidance was used, monitored and audited in a number of clinical specialities, for example, Parkinsons quality standard (QS164). Admissions Unit - Eastbourne DGH - Information for the day of your surgery This information gives you some advice and helps you prepare for your procedure and visit to the Admissions Unit at Eastbourne DGH. Map and contact details. Each report covers findings for one service across multiple locations, In Our rating of the service was good. For example, through the use of practice based competency assessments for a variety of clinical procedures. A mental health liaison team provided urgent reviews within two hours of referral although there were gaps in the service out of hours. Staff showed compassion when dealing with patients and protected their privacy and dignity. A regular trolley service, with a selection of newspapers, magazines and confectionery, is available on most wards. The safeguarding team had recently been expanded and was addressing specific areas of the trust where shortfalls in practice were identified. Staff assessed risks to patients, acted on them and kept good care records. On arrival to the ward you will be shown your allocated bed space, the bathroom and toilet facilities and given a call bell to contact staff as required. Training rates for the Mental Capacity Act (2005) exceeded the trusts target of 90% and staff demonstrated good knowledge of this. In the same survey the trust performed in line with the national average for 13 questions relating to how they involved patients in their care and worse than the national average in 11 questions. Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. To use this service you will need to buy a pre-paid card. Clinical governance systems were embedded in the operation of the service and reviews of incidents, complaints and risks were frequently carried out. Admissions. Call us today, 24/7, for a free, confidential assessment . Staff understood how to protect children, young people and their families from abuse and the service worked well with other agencies to do so. The reason for these was not documented in most cases. They managed medicines well. Data provided by the trust showed improvements in the implementation of the sepsis pathway. The unit operated 24 hours a day for low risk mothers. Protected meal times mean that we can help patients who may need assistance with eating and drinking and maintain privacy and dignity. We are dedicated to the wellness of INDIVIDUALS, their FAMILIES and the COMMUNITY through prevention, intervention and treatment via our inpatient and . Staff were caring and compassionate, working to maintain privacy and dignity of their patients. At least one standard in this area was not being met when we inspected the service and. Inadequate We visited the telephone triage area and the community midwives office. Banner Estrella Medical Center in Phoenix, AZ is rated high performing in 5 adult procedures and conditions. Signposting was not dementia friendly and did not accommodate visual deficit needs. We inspected the Maternity service as part of our national maternity inspection programme. Each report covers findings for one service across multiple locations. Leadership, governance and culture were used to drive and improve the delivery of high-quality person-centred care. This meant any child presenting at risk from complex mental health issues after this time, would be transferred to the short stay paediatric assessment unit or Conquest Hospital site for overnight admission until assessment by a mental healthcare professional could be safely carried out. We told the trust they must ensure consultant cover meets the minimum requirements of 16 hours per day, as established by the Royal College of Emergency Medicine. Overview. Staff we spoke to were able to demonstrate an understanding of their responsibilities to safeguarding vulnerable adults. 27 January 2017. This checks a patients dementia and delirium, blood pressure, medication review, visual impairments, continence care plan, call bells within reach and mobility and walking aids. However, monthly audits indicated low levels of compliance with trust standards relating to mental capacity assessments. It is managed by the East Sussex Healthcare NHS Trust . Staff had an understanding of what informed consent entailed. They supported staff to develop their skills and take on more senior roles. Doctors, nurses and allied health professionals worked together to provide integrated care that met the needs of patients. They are standing by 24 hours a day, 7 days a week to take your call. We accept all major insurances as well as Medicare and all AHCCCS plans. Prev 1 2 Next . We noted that whilst the rating remained the same, there were noticeable improvements in many aspects of care. For example, safety checklists were used and monitored to ensure the safety of patients undergoing a surgical procedure. Bexhill On Sea, The service only employed one play specialist to work cross-site. the service is performing well and meeting our expectations. Provide an acute frailty service at least 70 hours a week, with the aim to complete a clinical frailty assessment within 30 minutes of arrival in the ED/SDEC unit. You will have a small locker next to your bed or chair for your personal possessions. Leaders and staff understood and knew how to apply them and monitor progress. In most wards there is a bedside television, radio and telephone system called Hospedia. We rated it as requires improvement because: Community & mental health inspection reports for Eastbourne District General Hospital can be found at East Sussex Healthcare NHS Trust. An established escalation process involved progressively senior staff as waiting times increased and capacity decreased. Click on the Bus route to see step by step directions with maps, line arrival times and updated time schedules. However the mental health liaison team had introduced monthly multidisciplinary meetings and responsive debriefs with the ED team to review care and effective use of mental health pathways. We rated it as good because: Published It is a general medical and surgical facility. Your information helps us decide when, where and what to inspect. In the interim, time spent in the hospital receiving observation services should count toward the three-day stay threshold. Kings Drive, Eastbourne, East Sussex, BN21 2UD / 50.7864829; 0.2697638. The healthcare assistant team had been awarded as unsung heroes for their work in improving the patient experience and in most of our observations staff demonstrated a commitment to kindness, compassion and empathy. The service did not have a major incident policy for the mortuary, although they had started work to produce this. HE 88 Eastbourne Group Hospital Management Committee (Downside Hospital, Gildridge Sanatorium, the Leaf Hospital, the Maternity Home, Princess Alice Hospital, St Mary's Hospital): Group Medical Executive Committee, ad hoc Ophthalmology Committee, Intensive Therapy Unit . Recent audits took place for JAG (joint advisory group on gastrointestinal endoscopy) accreditation, which they are currently awaiting the outcome. The childrens service was in the process of introducing Excellence in Care audits and the tool included a regular paediatric early warning system (PEWS) audits. TN40 2DZ, In EMU accepted low risk women and pregnant people over 37 weeks for childbirth. There remained gaps and inconsistencies in the quality and completion of patient records. the service isn't performing as well as it should and we have told the service how it must improve. Where the NEWS score was elevated to a higher level there was automatic review by the medical emergency team. We rated it as requires improvement because: This was the first time we inspected the Eastbourne maternity services without gynaecology, and the first visit since it changed to the Eastbourne Midwifery Unit. We observed safeguarding folders, which identified the safeguarding lead and the referral process. Elimination of the three-day hospital inpatient requirement for Medicare coverage of post-hospital SNF care. Services were being transformed to make sure acute, outpatients, nursing outreach and community paediatric services holistically met the needs of children and young people. Have you found an error with this catalogue description? All those we spoke with were clear who their immediate manager was; this was not the case on the last inspection visit in 2015. Staff completed and updated risk assessments for each child and young person and removed or minimised risks. On the day of discharge you may be transferred to a discharge lounge to wait for your transport home or for your medication. Meals times are scheduled at varying times, depending on your unit, during the following time blocks: Breakfast: 7:00 a.m. - 9:00 a.m. . This was evidenced through a few incident reports, such as when a patient remained in the emergency department for 19 hours when multidisciplinary medical teams failed to identify an appropriate care pathway. Your friends and relatives will be able to call you directly (charges apply). Where individuals needed support this was provided. Staff were clear about their roles and accountabilities. Our nurses will speak with you regularly to address any worries or concerns you may have, however please discuss any concerns you have with them at anytime. The trust was compliant with the intercollegiate document, safeguarding children and young people: role and competences for health care staff (March 2014). Staff knew where to access support and information. It has 22 beds and two operating theatres and 129 employees. We rated safe as requires improvement and well-led as good and the Eastbourne Midwife Unit as requires improvement overall. This maternity thematic review was a focused inspection; we inspected the domains of safe and well led using the CQCs established key lines of enquiries (KLOES). The service had enough medical staff with the right qualifications, skills, training and experience to keep children, young people and their families safe from avoidable harm and to provide the right care and treatment. Staff knew how to contact the safeguarding team within the hospital and explained clearly how to make a safeguarding referral. We saw staff monitor patients national early warning signs (NEWS) scores and discuss patients within safety huddle meetings that had consistently high scores. They treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. Matrons assistants support matrons with the clerical side of their job such as monitoring training compliance, collecting, and collating data for clinical audits. We last inspected in October 2016 and rated urgent and emergency services as requires improvement overall. We will ask you to sign a property and valuables disclaimer on your admission as part of the admission documentation process. If you have a card detailing any current treatment, particularly a steroid card or Warfarin booklet, please bring this with you and inform one of the nurses. Suspended ratings are being reviewed by us and will be published soon. This was a very significant improvement and meant that decisions about the care of complex patients were being made at the right level of seniority. In general, medicines in theatres were well managed but we observed the block signing of controlled drugs which was contrary to best practice guidance. However, changes to the clinical unit management team led to a lack of engagement with ITU staff, making it difficult for clinical staff to develop plans for the future. Medicines management had been added to the safety thermometer as an additional performance measure. Leaf Hospital, St. Annes Road, Eastbourne, East Sussex, BN21 2HW. The vision and strategy were focused on sustainability of services and aligned to local plans within the wider health economy. The unit has two main birthing rooms, one included a birthing pool, two en-suite postnatal rooms for women to be transferred into after they have given birth. Most staff did not meet the trusts 90% target for mandatory training completion and demand pressures on the service meant staff often found it difficult to attend training. This enabled staff to use escalation areas and additional spaces for patients whilst they waited for diagnosis and treatment. There were clear and effective processes for managing risk and performance. However, staff are taken from the ward they are based in to work in other areas that do not have a full establishment and staff shortages. The service had enough staff to care for patients and keep them safe. The midwifery led unit was closed from the 10 December 2021 until the 21 April 2022 due to staffing challenges. It may be necessary to move you to a different bed in the same ward or to a different ward at varying times of the day or night. TN40 2DZ. Earlier recognition and identification resulted in more timely review by the critical care outreach team, who had oversight of all NEWS Scores for all patients in the hospital. The trust systems for the management of patient records were new and not yet fully embedded.Patient records had been moved off site and were retrieved when needed but staff reported some delays in this. There may be occasions when the only bed available is in a mixed sex area. Four closures were due to lack of medical and nursing staff at Friston and six of these closures were due to insufficient paediatric nursing staff/skill mix of staff at the Conquest Hospital site to care for two patients with mental health issues needing one to one care whilst on the ward. 877.870.7012. Every adaptation was offered to make the appointment as comfortable and relaxed as possible. This was our first inspection of the Eastbourne midwife unit. the service is performing badly and we've taken enforcement action against the provider of the service. Latest data is for the East Sussex Healthcare NHS Trust, which covers the DGH, Conquest and Bexhill Hospital. The trust recognised the difficulties in matrons completing clinical and administrative work and they have introduced matrons assistants. Theatres staffing met the recommendations of the AfPP and ward level planned nursing staffing versus actual staffing was usually met, albeit with temporary staff. Please visit our Insurances Accepted page to learn more. Eastbourne Station to Eastbourne District General Hospital by train, bus and walk. The service set out an improvement plan which introduced a safe surgical pre-assessment and blood taking clinics. The Epic Health Research Network (EHRN) data show hospital admissions remaining below expected levels through at least April 9, 2021. The incidence of both pressure damage and falls had shown a sustained improvement over time. However records indicated persistent delays in completing investigations and contributing factors included those identified by quality audits, which the senior team had not resolved. 0300 131 4500, Eastbourne District General Hospital Staff felt able to raise concerns, report near misses and report incidents. of hospital observation status and an admissions process that is transparent and administratively simple. Staff said matrons and senior nurses were visible and supportive within the department, they felt valued, listened to and respected and felt confident to raise any concerns with their line managers. there are some services which we cant rate, while some might be under appeal from the provider. This included no month in which patients were admitted, transferred or discharged within four hours of arrival. Alcohol or any illegal or non-prescription drugs. However there was inconsistent recording of infection control assessments in patient documentation and we did not observe consistent practice during our inspection. It shows just 7 Covid patients in hospital across the Trust, with two on ventilators. Incidents were investigated by senior staff with lessons learnt shared across the trust. The service provided mandatory training in key skills to all staff and made sure everyone completed it. Kings Drive, Eastbourne, East Sussex, BN21 2UD However some governance processes did not demonstrate effectiveness or improvements in patient outcomes. Staff kept detailed records of children and young peoples care and treatment. 27 March 2015. This included assessing the patient against the risk of falls, nutrition status, skin integrity and pain. Other series are not available for consultation until 30 years from the last date of the document. Building: Acute Admissions Unit. Staff felt respected, valued, and were proud of the organisation as a place to work and spoke highly of the culture within the service. However, if your medication has not been changed and you have a supply at home, please inform the nurses as this may speed up the discharge process for you and allow you to be discharged earlier. The identification, reporting and investigation of incidents had improved significantly since our previous inspection. Get alerts when we inspect. the service is performing well and meeting our expectations. Published There was a proactive approach to meeting the needs of those from different cultures or with complex needs. . The unit is run by a group of core midwives and maternity support workers (MSWs) and is supported by the community midwifery teams. Options for food and drink had improved for patients in the clinical decisions unit but audits of the use of the malnutrition universal scoring tool (MUST) noted poor compliance with trust standards. Third party children and adolescent mental health services did not accept assessments after 3pm. Hospitals. The key aims of these services are the prevention of unnecessary hospital admission, to facilitate early hospital discharge, to prevent premature or unnecessary care home admissions, and to enable people to live as independently as possible. They will help you evaluate transportation services for your patient/client to . Aurora Behavioral Health System works to make the admission process for our patients as easy as possible. There was openness at risk meetings and learning from incidents was shared across the team in a variety of ways. Nhs Trust Hospital Jobs in Eastbourne - 2021 | Indeed.com Skip to Job Postings , Search The recently introduced electronic observation recording system had led to improvements in the management of deteriorating patients. Patients and relatives said staff go above and beyond and the care received exceeded their expectations. Mr Lawson refuses to engage in onerous pre-tests, so there is no entrance exam. Not all nursing staff working in outpatient clinics where children were cared for were trained to child safeguarding level 3. Our ratings reflected low levels of consultant cover, variable compliance with hand hygiene, inconsistent pain management, limited paediatric services and delays to triage, assessment and treatment. The senior team demonstrated a significant focus on improving sepsis screening and treatment.

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