The Care Quality Commission (CQC) Inspection

Care Quality CommissionExecutive Directors Response: CQC rating Cavell Hospital

Following the inspection of Cavell Hospital in June 2016 and the rating of requires improvement, I am pleased to report the hospital team rectified many of the issues identified, some of which were rectified at the time of inspection.

Some of the actions taken were:

  • Access to Medical Records for patients undergoing chemotherapy treatment was actioned at the time of inspection
  • Introduction of “Medical Board Rounds” on the ward involving all members of the multidisciplinary team to ensure the care of patients meets their needs
  • An ongoing refurbishment plan, which includes the removal of carpets from clinical areas & the installation of compliant hand hygiene sinks
  • Implementation of a robust clinical audit programme
  • Medical Physician representation on the Hospitals Medical Advisory Committee

We are delighted the Hospital received a rating of Good for Caring and Responsive to our patient needs and the Surgical Services along with Outpatients and Diagnostic Imaging were also rated as Good.

Some of these findings are as follows:

  • Staff completed dementia awareness training and ensured patients who lived with dementia or who had learning disability were seen quickly to minimise the possibility of distress to them
  • There was evidence of good MDT working in surgery, and for oncology patients
  • There had been no hospital acquired infection in the reporting period and we saw evidence surgical site infection was closely monitored
  • The diagnostic imaging department complied with policies and procedures based on the Ionising Radiation (Medical Exposure) Regulations (IR(ME)R)
  • Staff were competent and had the necessary skills and knowledge to provide safe care and treatment
  • The RMO provided medical cover 24 hours a day, seven days a week. These meant concerns regarding a patient could be escalated at any time of the day

The hospital team remains focused on delivering high quality care in a safe caring environment and continues to build on the improvement already made.