Trust Board papers November 2012 - Barking Havering and ...

CQC Update Report
2012
pathways throughout the hospital,
from admission to discharge.
Progress in this will be carefully
monitored both within the Trust
(including at Executive and Board
level) and by external partners.
• Patient Improvement Programme (PIP)
• Discharge Jonah rolled out in all wards.
• Top delays meetings every Tuesday and Thursday at 11h30
reviewing reasons for patient delays.
• Daily Operational Jonah meetings occurring with matrons
and senior nursing staff to review bed position and delays.
• Now linked with RESET project work stream 3: Improving
continuity of care and discharge rate in MAU.
• Now linked with RESET project work stream 5: Pre‐11am
Discharges
• Now linked with RESET project work stream 7: Effective Care
for Elderly Patients.
EQUIPMENT
CLEANLINESS
CLEANLINESS
59. Develop as part of its
cultural change programme
people’s sense of responsibility
to take positive action to ensure
that clinical areas are suitably
equipped to provide safe
patient care.
45. Ensure that all equipment
and disposable products are
stored appropriately.
47. Ensure that staff are not
posing an increased risk to
patients from cross infection.
The trust should take any
necessary steps to ensure that
staff can store personal
This will be audited by monitoring
complaints on availability of
equipment and regular equipment
audits; a business case may be
considered for a dedicated medical
devices coordinator / trainer if the
need is firmly identified. CQC’s
inspections suggest this remains a
serious issue that needs to be
addressed.
Ward managers have completed
risk assessments of equipment
management and storage facilities.
A new Trust environment /
equipment disposal policy is in
place. Weekly walkabouts with
facilities and estates have been
implemented and an action log is
in place.
The staff uniform and dress code
policy is being reviewed to ensure
standards are understood and
remedial actions are available. An
infection control annual plan is in
place and is reported against to
• Equipment deficits are monitored via the Environmental
audits utilised throughout the organisation. There has been
a re‐launch of the Medical equipment policy (hyperlink).
http://aglovale/assets/pdfs/governance/policymedicaldevices.pdf
• Equipment issues are now reported thematically via the
Complaints process. This is reported and monitored via the
Patient Experience structures.
• Environmental audits utilised throughout the organisation.
Additional near ward storage is being utilised where
appropriate. Ward stock levels are being reviewed as part of
the CIP and procurement work streams, and consideration is
being given to a ‘neutral warehouse’ solution
• The Staff Uniform and dress policy has been revised and
ratified.
Judith Douglas
Gary Etheridge
Judith Douglas
Pam Strange
MET
BUSINESS
AS USUAL
MET
BUSINESS
AS USUAL
MET
BUSINESS
AS USUAL
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