The Care Quality Commission (CQC) Inspection

Care Quality CommissionExecutive Directors Response: CQC rating Kings Oak Hospital

Following the inspection of Kings Oak Hospital in October 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:

  • Establishing a more child-friendly environment which resulted in the opening of our dedicated children’s ward, which was named “Acorn Ward” by children from a local school. Robust risk assessments have been carried out and strict processes put in place along with age appropriate child and young people friendly information leaflets.
  • An ongoing refurbishment plan, which includes the removal of carpets from clinical areas & the installation of compliant hand hygiene sinks.
  • Relocation of the Pharmacy Department to a newly refurbished environment compliant to required standards
  • Implementation of a robust clinical audit programme

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

Some of these findings are as follows:

  • 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)
  • Staffing levels and skills mix were planned using an acuity tool and there were enough staff on duty on every shift to ensure patient received safe care
  • The RMO provided medical cover 24 hours a day, seven days a week. This meant concerns regarding a patient could be escalated at any time of the day.
  • Staff had a good understanding of processes for safeguarding adults and children
  • Patients’ needs were assessed and their care and treatment was delivered following local and national guidance for best practice
  • Staff had attended training on dementia and had access to resources to assist them in caring for patients living with dementia
  • Patients had single rooms that provided privacy and comfort with en suite facilities and there was no restricted visiting times for patients

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