A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...
A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ... A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...
Board of Directors Part 114 June 2013The Stroke Unit is staffed at night by three trained nurses and three HCAs.Sometimes ‘specials’ are required – extra staff to sit with specific patients all night.Specials are always available when required.Staff interviewed: 3 Registered - Band 5 2 HCA - Band 2Length of time in post: 5 – 27 yearsAll three nurses are on internal rotation; the HCAs are predominantly nights.Handovers are always taped and the one from night to day staff takes place outsidethe clinical area to reduce noise levels.QUESTION YES NO1. Have you had an appraisal in the last year? 3 22. Have you had all the training identified – mandatory andCPD?4 13. Do you feel there are enough staff on the ward at night? 4 14. Do you have the right mix of staff at night on this ward? 2 35. Are there times at night when there are no registeredstaff on the ward?6. Do you have enough help/support from the Clinical SiteTeam?7. Is the response from the CST usually within anacceptable timescale?8. Do you have enough help/support when the ward isunder pressure?9. Do you feel confident in expressing any concerns youmay have about care to your managers?1 44 13 24 14 110. Do you leave work feeling you have done a good job? 2 311. Are there instances when you are left feeling anxiousthat patients have not received optimum care?14. Are the food options available for staff at nightadequate?5 00 537The Hospital at NightQuality/Performance
BOARD OF DIRECTORSMeeting Date and Part: 14 June 2013 Part 1Subject:Section:Executive with OverallResponsibilityAuthor of Paper:Details of previousdiscussion and/ordissemination:Key Purpose:Action required by BoD:Monitor’s Enforcement GuidanceDiscussionTony Spotswood, Chief ExecutiveKaren Flaherty, Trust SecretaryN/APatient Safety Health & Safety Performance StrategyXFor informationExecutive Summary:This guidance describes the enforcement powers that Monitor has under the National HealthService Act 2006 in relation to the licensing of providers and also its powers in relation tocompetition law.The powers in relation to licensing include informal action, providers giving enforcementundertakings, imposing discretionary requirements (including monetary penalties up to 10% ofthe provider’s turnover in England), imposing new licence conditions, requiring a trust to remove,suspend or disqualify directors and/or governors and revoking a provider’s licence. Thesepowers may be exercised by Monitor where it finds that a provider is breaching, or hasbreached, one or more of its licence conditions or an enforcement undertaking, or has not met arequirement to hold a licence, or has failed to provide Monitor with information it requires or, inthe case of enforcement undertakings, it has reasonable grounds to suspect that a provider hasdone these things. In relation to compeition law, Monitor’s powers include giving directions tobring an infringement to an end and imposing financial penalties and these powers are heldconcurrently with the Office of Fair Trading.The guidance also sets out how Monitor will prioritise its enforcement action.Strategic Goals & Objectives:AllLinks to CQC Registration:(Outcome reference)Links to AssuranceFramework/Key Risks:Type of Assurance: Internal External
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Board of Directors Part 114 June 2013The Stroke Unit is staffed at night by three trained nurses and three HCAs.Sometimes ‘specials’ are required – extra staff to sit with specific patients all night.Specials are always available when required.Staff interviewed: 3 Registered - Band 5 2 HCA - Band 2Length of time in post: 5 – 27 yearsAll three nurses are on internal rotation; the HCAs are predominantly nights.Handovers are always taped and the one from night to day staff takes place outsidethe clinical area to reduce noise levels.QUESTION YES NO<strong>1.</strong> Have you had an appraisal in the last year? 3 22. Have you had all the training identified – mandatory andCPD?4 13. Do you feel there are enough staff on the ward at night? 4 14. Do you have the right mix of staff at night on this ward? 2 35. Are there times at night when there are no registeredstaff on the ward?6. Do you have enough help/support from the Clinical SiteTeam?7. Is the response from the CST usually within anacceptable timescale?8. Do you have enough help/support when the ward isunder pressure?9. Do you feel confident in expressing any concerns youmay have about care to your managers?1 44 13 24 14 110. Do you leave work feeling you have done a good job? 2 31<strong>1.</strong> Are there instances when you are left feeling anxiousthat patients have not received optimum care?14. Are the food options available for staff at nightadequate?5 00 537The Hospital at NightQuality/Performance
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