eastbourne hospital admissions

30-32, Gildredge Road, Eastbourne, East Sussex, BN21 4SH . We saw incidents and lessons learned documented on team minutes and observed it happening within safety huddles. Eastbourne District General Hospital is a National Health Service hospital in Eastbourne in East Sussex, England. Give feedback on care at this service. There's no need for the service to take further action. Care pathways used in surgery referred to national guidance from the National Institute for Care and Excellence (NICE) guidance and other bodies such as the British Orthopaedic Association guidelines. We accept all major insurances as well as Medicare and all AHCCCS plans. This included greater emphasis on evidence-based practice and training. A new training programme was being rolled out. Tel: Green Bay 01923 436 681, Purple Bay - 01923 436100, Blue Bay - 01923 217 065, Yellow Bay - 01923 436 669, Reception - 01923 217 760, Doctors' Office - 01923 436 103, Sister's office - 01923 436 104. There was a continuous improvement programme in place across administrative services that included health records. There were business continuity plans in place for use in the event of a major incident. The service managed safety incidents well and learned lessons from them. Staff knew where to access support and information. There were 735 mixed sex breaches on surgical wards at EDGH during a 12-month period. 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. If you have any dietary requirements, please speak to the nursing staff and they will assist you. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. We will involve you and, with your consent, your family, carers or friends as appropriate. Staff delivered patient care in line with evidence based care and best practice guidance. Aurora East. We visited the telephone triage area and the community midwives office. Senior staff monitored and updated risks on the service risk register frequently and had initiated a number of strategies to reduce risks. There was a high vacancy rate of 12% for surgical nursing staff and the service was highly reliant on bank and agency staff for both nursing and medical staffing. Data collection takes place on one day each month and reported within monthly governance meetings. As such, Rosewood Ranch admits clients 24/7 for our Inpatient and Residential programs. However no patients waited more than 12 hours from the decision to admit until being admitted and much work had been done by the site management and executive team to address patient flow throughout the hospital. 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. 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. There were readily observable changes made across the trust in relation to never events that had occurred, with learning widely disseminated. This was our first inspection of the Eastbourne midwife unit. The intensive care service used procedures to ensure that patients received safe and effective care. Money for the television and phone system by your bedside. we have taken enforcement action. Nhs Trust Hospital Jobs in Eastbourne - 2021 | Indeed.com Skip to Job Postings , Search Staff truly respected and valued patients as individuals. Visiting times: 2.00pm - 8.00pm. Alcohol Care Teams are embedded in Conquest hospital in Hastings and Eastbourne District General. Get alerts when we inspect. 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. Clinical governance systems were embedded in the operation of the service and reviews of incidents, complaints and risks were frequently carried out. Staff provided good care and treatment, gave children and young people enough to eat and drink, and gave them pain relief when they needed it. You can find further information about how we carry out our inspections on our website: https://www.cqc.org.uk/what-we-do/how-we-do-our-job/what-we-do-inspection. Staff knew about the psychiatric liaison team based in accident and emergency department and that the team were available 24 hours every day. Alongside the falls assessment an individual needs assessment is completed. Hand hygiene audits in 2017 indicated consistently good practice with 98% compliance. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. Records were clear, up-to-date, stored securely and easily available to all staff providing care. / 50.7864829; 0.2697638. Following our report in January 2017 it was highlighted that the outpatient service must develop play services in line with national best practice guidance. Staff throughout outpatient services put patients at the centre of what they did. AAA Team Home . Services offered were antenatal care, day assessment unit which ran on Mondays, Wednesdays and Fridays, telephone triage assessment line and low risk childbirth, pregnancy vaccination and postnatal clinics. The Weekly and Monthly A&E Attendances and Emergency Admissions collection collects the total number of attendances in the specified period for all A&E types, including Minor Injury Units and Walk-in Centres, and of these, the number discharged, admitted or transferred within four hours of arrival. Systems and processes were in place to assess, monitor and manage risks to patients. However, monthly audits indicated low levels of compliance with trust standards relating to mental capacity assessments. the service is performing badly and we've taken enforcement action against the provider of the service. We noted that whilst the rating remained the same, there were noticeable improvements in many aspects of care. This meant that often children with complex needs did not have access to this important resource. The trusts referral to treatment time (RTT) for admitted pathways for surgical services had been worse than the England overall performance since July 2015. We saw minutes of meetings where incidents including never events were discussed and learning fed back to staff via ward meetings and newsletters, which were available in hard copy and circulated by email. Theatres staffing met the recommendations of the AfPP and ward level planned nursing staffing versus actual staffing was usually met, albeit with temporary staff. We understand that family members may wish to visit during meal times to help you eat, if this is needed. Learn more about PALS. At the time of our inspection visit it was partially rolled out with a clear timeline for continued introduction of key aspects of the framework.The triumvirate management structure for the division gave clear lines of reporting, clear accountabilities and responsibilities and was known to staff. Staff were aware of the duty of candour and gave patients honest information and support. The service took account of children and young peoples individual needs and made it easy for people to give feedback. This included a workforce development plan, additional consultant shifts and better utilisation of resource plans for access and flow. EMU accepted low risk women and pregnant people over 37 weeks for childbirth. Our rating of the Eastbourne Midwife Unit was requires improvement. Services were being transformed to make sure acute, outpatients, nursing outreach and community paediatric services holistically met the needs of children and young people. We will publish a report of our overall findings when we have completed the national inspection programme. The service made it easy for people to give feedback. Where healing starts andthe road to recovery begins. This information gives you some advice and helps you prepare for your procedure and visit to the Admissions Unit at Eastbourne DGH. Kings Drive, Eastbourne, East Sussex, BN21 2UD 0300 131 4500. The recently introduced electronic observation recording system had led to improvements in the management of deteriorating patients. This meant there were 107 babies born at the midwifery led unit from October 2021 to September 2022 this was lower than previous years. Subscribe now for regular news, updates and priority booking for events, All content is available under the Open Government Licence v3.0, except where otherwise stated, 179 - East Sussex and Brighton and Hove Record Office (ESBHRO), East Sussex and Brighton and Hove Record Office (ESBHRO), About our The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD The journey time between Eastbourne Station and Eastbourne District General Hospital is around 59 min and covers a distance of around 19 miles. Our hospital radio services provide a variety of programmes, free of charge, including daily request shows. There are vending machines outside most wards. Staff treated children and young people with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. They managed medicines well. The unit is run by a group of core midwives and maternity support workers (MSWs) and is supported by the community midwifery teams. The trust had participated in a national benchmarking programme for outpatient departments and the womens health service had achieved successful accreditation from the British Society of urogynaecology in 2017. Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. The hospital staff tried to ensure that the individual needs and preferences of patients were met. The service struggled with staffing numbers and staff did not always have 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. Please speak to the nurse in charge of your care or area. 192.com Business Directory - your top resource for finding Hospitals listings . Storage space is limited, but where possible, please bring with you or have brought in for you: We recommend that you ask a relative to take home any money or valuables you have on you when you are admitted to hospital. One team of staff felt their manager was less approachable and they felt less supported but this appeared to be about an individual middle managers approach. . There was a dedicated practice development nurse in post who provided support to all members of the emergency department team. Map and contact details. Staff kept detailed records of children and young peoples care and treatment. Equipment checks were now given a higher priority. Doctors, nurses and allied health professionals worked together to provide integrated care that met the needs of patients. 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. However, some improvements were needed in bed management processes to ensure that patients did not remain in the intensive therapy unit (ITU) longer than required and patients requiring critical care were managed in an appropriate setting. Elimination of the three-day hospital inpatient requirement for Medicare coverage of post-hospital SNF care. 0300 131 4500, Eastbourne District General Hospital The outpatient department at Eastbourne hospital was undergoing an improvement programme for services provided to patients. At least one standard in this area was not being met when we inspected the service and. . The discharge lounge is staffed by nursing staff who can care for all your needs while you are there. Budding medics have a doctor overseeing them, with workshops, hospital practice and work . Staff we spoke with were highly motivated to provide care that was kind and promoted dignity. The programme aims to give an up-to-date view of hospital maternity care across the country and help us understand what is working well to support learning and improvement at a local and national level. There were systems that ensured children with long term medical conditions were seen by paediatric consultants with specialist interests, for example diabetes. The safeguarding team had recently been expanded and was addressing specific areas of the trust where shortfalls in practice were identified. There was a proactive approach to meeting the needs of those from different cultures or with complex needs. If you need assistance to stop smoking please speak to a member of staff who can refer you to the appropriate service. We rated it as good because: Published Some aspects of service planning were expanding to meet increased patient demand. We rated it as outstanding because: We found the surgery services at Eastbourne District General Hospital (EDGH) to be good because: The hospital had good medicine management processes in place, which related to the security and storage of medicines on all the wards we visited. TN40 2DZ, In Bexhill-on-sea, Patients' records are not available for consultation until 100 years from the last date of the document. Staff with substantial expertise in safeguarding and child protection provided support to the emergency department (ED) team although the use of safeguarding tools and assessments was variable. Where a patient experiences disorientation we will aim to keep moves to a minimum. For example, safety checklists were used and monitored to ensure the safety of patients undergoing a surgical procedure. The emergency department team and multidisciplinary colleagues had implemented a number of initiatives to improve the experience of patients living with dementia, including more resources and increased staff training. the service is performing well and meeting our expectations. Data for the period December 2016 to December 2017 indicated variable performance in RCEM audits. 0300 131 4500, Eastbourne District General Hospital Find out more. An established escalation process involved progressively senior staff as waiting times increased and capacity decreased. No rating/under appeal/rating suspended However records indicated persistent delays in completing investigations and contributing factors included those identified by quality audits, which the senior team had not resolved. This may not apply if you are coming in for day surgery or minor procedures, or in areas that require specialised care for example the cardiac unit and intensive care unit. [3] [4] In 2021 the trust bought the private hospital Spire Sussex Hospital, which is physically linked to the trust's Conquest Hospital in Hastings. The service did not keep their risk register updated. The service provided mandatory training in key skills to all staff and made sure everyone completed it. Comprehensive risk assessments were carried out on patient admission and kept in the patient records. Leadership, governance and culture were used to drive and improve the delivery of high-quality person-centred care. The doctor will prescribe all the tablets and medicines that you need while you are in hospital, as well as any you need when you return home. the service is performing well and meeting our expectations. We found there was strong and clear leadership capacity and capability. The trusts urgent and emergency care Friends and Family Test performance (percentage recommended) was better in comparison to the England average. The service had improved the triage process with significantly improved training and clinical competency checks for nurses and HCAs. We rated safe as requires improvement and well-led as good and the Eastbourne Midwife Unit as requires improvement overall. Published Our rating of the service was good. Mental health services were provided by another trust. 0300 131 4500, Admissions Unit Eastbourne DGH Information for the day of your surgery, Admissions Unit - Eastbourne DGH - Information for the day of your surgery. Pre-assessment clinics were thorough, and parents had time to ask questions and understand their child's conditions and treatment. There was openness at risk meetings and learning from incidents was shared across the team in a variety of ways. 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. In the week beginning on April 3, 2021, hospital admissions were 85.5% of what would be expected based on historic patterns. 05 November to 12 December 2019 During a routine inspection. After the inspection we requested further documentary evidence to support our judgements including policies and procedures, staffing rotas and quality improvement initiatives. Staff were caring and compassionate, working to maintain privacy and dignity of their patients. Key services were available five days a week with out of hours and weekend cover also available when needed. 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. Large amounts of money or valuables, such as jewellery or electronic devices etc. 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. . The unit operated 24 hours a day for low risk mothers. Demand for mental health services far outstripped capacity. We saw staff interacting in a caring and dignified way with patients with ill mental health and learning disabilities. 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. Slippers or shoes that fit properly, to avoid slips or falls during your stay in hospital. Good EMU accepted women from the main acute site once they had given birth and were able to be transferred to receive extra support if required. The senior team demonstrated a significant focus on improving sepsis screening and treatment. However there was inconsistent recording of infection control assessments in patient documentation and we did not observe consistent practice during our inspection. Any prescribed tablets and medication that you usually take at home. A regular trolley service, with a selection of newspapers, magazines and confectionery, is available on most wards. However, the trust had made demonstrable improvements in mandatory training rates since our last inspection. Staff completed and updated risk assessments for each child and young person and removed or minimised risks. Multidisciplinary working was apparent across a range of specialities within outpatients. Have you found an error with this catalogue description? 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. There were clinical side rooms and a community midwifery hub. The trust was compliant with the intercollegiate document, safeguarding children and young people: role and competences for health care staff (March 2014). NICE guidance was used, monitored and audited in a number of clinical specialities, for example, Parkinsons quality standard (QS164). Facilities in the department included a dedicated area for patients with mental health needs and for children. In most wards there is a bedside television, radio and telephone system called Hospedia. 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. Kings Drive, Eastbourne, East Sussex, BN21 2UD We saw respectful and confident interaction between BME staff and white British staff on the wards we visited. All those we spoke with were clear who their immediate manager was; this was not the case on the last inspection visit in 2015. The practice development nurse also supported healthcare assistants to achieve the national care certificate and had helped to develop a new initial training and support programme for newly qualified nurses. The board above your bed will state your name, the consultant leading your care and your named nurse. there are some services which we cant rate, while some might be under appeal from the provider. Call us today, 24/7, for a free, confidential assessment . Each report covers findings for one service across multiple locations. Staff we spoke to were able to demonstrate an understanding of their responsibilities to safeguarding vulnerable adults. They provided emotional support to children and young people, families and carers. Eastbourne District General Hospital. We rated it as good because: Published Daily checks of essential equipment were taking place with records available to confirm senior oversight of equipment checks occurring. To contact PALS at this hospital: phone 0300 131 4784. email esh-tr.palse@nhs.net. The trust had made clear improvements to the way health records were managed across the organisation. 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.