The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD There had been times when these staff were not specialist trained in paediatric care. At least one standard in this area was not being met when we inspected the service and. There were business continuity plans in place for use in the event of a major incident. To use this service you will need to buy a pre-paid card. Quality checks were carried out to make sure staff were clearly documenting observations on arrival and during childrens stay on the ward. 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. We interviewed leaders to gain insight into the trusts leadership and governance model of the service. 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. Admissions. This information will help us make improvements to the website. 0300 131 4500, Eastbourne District General Hospital 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. Kings Drive, Eastbourne, East Sussex, BN21 2UD Where healing starts andthe road to recovery begins. On arrival to the ward you will be shown your allocated bed space, the bathroom and toilet facilities and given a call bell to contact staff as required. 877.870.7012. the service is performing badly and we've taken enforcement action against the provider of the service. Smoking, vaping or using e-cigarettes is not allowed anywhere on any trust site, including in outside areas or in vehicles, to protect the health of the people using and working in our services. The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD 6 June 2018. 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. The service managed safety incidents well and learned lessons from them. TN40 2DZ, In Hand hygiene audits showed sustained high levels of compliance with results maintained above 97% since February 2016. 01323 645 555 View details. There was openness at risk meetings and learning from incidents was shared across the team in a variety of ways. Learning from the use of the major incident plan included the addition of ophthalmology staff to the list of contacts in the event of a major incident. Protected meal times mean that we can help patients who may need assistance with eating and drinking and maintain privacy and dignity. Staff had an understanding of what informed consent entailed. We rated it as requires improvement because: Community & mental health inspection reports for Eastbourne District General Hospital can be found at East Sussex Healthcare NHS Trust. The vision and strategy were focused on sustainability of services and aligned to local plans within the wider health economy. the service is performing exceptionally well. 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. 0300 131 4500, Bexhill Hospital However, staff are taken from the ward they are based in to work in other areas that do not have a full establishment and staff shortages. Kings Drive, Eastbourne, East Sussex, BN21 2UD The discharge lounge is staffed by nursing staff who can care for all your needs while you are there. . Practice changed where required improvements were identified. UK Covid-19 hospital admissions are highest since July with ICUs in London, North West & North East worst hit. In most wards there is a bedside television, radio and telephone system called Hospedia. There were systems in place to support learning, improvement and innovation. Clinical leadership on the unit was strong and supported staff development. We visited the telephone triage area and the community midwives office. The service made it easy for people to give feedback. 27 January 2017. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Recruitment continued to provide challenges and whilst the trust had taken many steps to address this, the problem of recruiting sufficient permanent staff continued. Requires improvement However there was inconsistent recording of infection control assessments in patient documentation and we did not observe consistent practice during our inspection. We rated it as good because: Published 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. . RM AMHFKY - Protestors including MP's and opposition candidates march against cuts to local maternity services in Eastbourne. The unit is run by a group of core midwives and maternity support workers (MSWs) and is supported by the community midwifery teams. We are unable to accept any liability for loss, theft or damage to personal property or money unless it has been handed in for safe custody and an official receipt obtained. The service used innovative ways to engage with patients and the community to plan and manage services and all staff were committed to improving services continually. After the inspection we requested further documentary evidence to support our judgements including policies and procedures, staffing rotas and quality improvement initiatives. The service was tailored to meet needs of individual people and are delivered in a way the ensure flexibility, choice and continuity of care. Located in the heart of Eastbourne, the school has the sea and the town centre on its doorstep, while the train station is only a five-minute walk away. The team readily provided emotional support to patients when they were distressed or confused and used appropriate resources to support patients experiencing confusion as a result of dementia. Hospedia is a private company which provides this service and they set the charges, including the cost of incoming and outgoing calls. Further information about reducing the risk of falling while in hospital is available; please discuss this with your nurse. the service is performing badly and we've taken enforcement action against the provider of the service. They provided emotional support to patients, families and carers. Suspended ratings are being reviewed by us and will be published soon. They are standing by 24 hours a day, 7 days a week to take your call. 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. Matrons and senior staff felt the matron assistant was a valuable resource, which meant had more clinical time to spend on the ward supporting nursing staff. Patients and relatives told us that they were treated with dignity and compassion. Click on the Bus route to see step by step directions with maps, line arrival times and updated time schedules. We saw real warmth in the relationships between ward leaders and nurses and from the HoN towards their wider team. 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. We saw incidents and lessons learned documented on team minutes and observed it happening within safety huddles. the service is performing well and meeting our expectations. Eastbourne Midwife Unit (EMU) is in Eastbourne Sussex and part of the East Sussex Healthcare NHS Trust. The hospital staff tried to ensure that the individual needs and preferences of patients were met. All staff received a quarterly newsletter called you said, we said and gives staff information of common risks and examples of learning from incidents. This reflected a rating of inadequate for safe, requires improvement for effective, responsive and well led and good for caring. All those we spoke with were clear who their immediate manager was; this was not the case on the last inspection visit in 2015. In the same survey the trust performed in line with the national average for 13 questions relating to how they involved patients in their care and worse than the national average in 11 questions. Record all patient activity in EDs, urgent treatment centres and SDECs using same day emergency care data sets. Visiting times: 2.00pm - 8.00pm. Leaf Hospital, St. Annes Road, Eastbourne, East Sussex, BN21 2HW. Leadership, governance and culture were used to drive and improve the delivery of high-quality person-centred care. Where a patient experiences disorientation we will aim to keep moves to a minimum. Staff delivered patient care in line with evidence based care and best practice guidance. Toiletries, including a hairbrush or comb, soap or a soap substitute, toothbrush, toothpaste or denture cleaner, and any shaving equipment needed. Let us know. Staff were aware of the duty of candour and gave patients honest information and support. The safeguarding team had recently been expanded and was addressing specific areas of the trust where shortfalls in practice were identified. Large amounts of money or valuables, such as jewellery or electronic devices etc. Matrons assistants support matrons with the clerical side of their job such as monitoring training compliance, collecting, and collating data for clinical audits. Doctors, nurses and allied health professionals worked together to provide integrated care that met the needs of patients. This was our first inspection of the Eastbourne midwife unit. There remained gaps and inconsistencies in the quality and completion of patient records. Data for the period December 2016 to December 2017 indicated variable performance in RCEM audits. The senior team demonstrated a significant focus on improving sepsis screening and treatment. Any other browser may experience partial or no support. Consent was obtained in accordance with the trust policy and guidance from the professional regulatory bodies. of hospital observation status and an admissions process that is transparent and administratively simple. They were visible and approachable in the service for patients and staff. The Economic Consequences of Hospital Admissions Carlos Dobkin, Amy Finkelstein, Raymond Kluender, and Matthew J. Notowidigdo June 2017 Abstract We use an event study approach to examine the economic consequences of hospital admissions for adults in two datasets: survey data from the Health and Retirement Study, and hospitaliza- Staff worked well together for the benefit of patients, supported them to make decisions about their care, and had access to good information. Staff throughout outpatient services put patients at the centre of what they did. We rated safe as requires improvement and well-led as good and the Eastbourne Midwife Unit as requires improvement overall. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding Learning from Morbidity and Mortality meetings needed further development. Infection prevention and control measures had improved since our previous inspection. the service isn't performing as well as it should and we have told the service how it must improve. Staff completed and updated risk assessments for each child and young person and removed or minimised risks. there are some services which we cant rate, while some might be under appeal from the provider. It has a number of medical and surgical wards and specialist units, a 24-hour Emergency Department and a full range of diagnostic services including Magnetic Resonance Imaging (MRI), Computer Tomography (CT) and Interventional Radiotherapy. Kings Drive, Eastbourne, East Sussex, BN21 2UD 0300 131 4500. Our rating of the service was good. Learn more about PALS. The plan for your discharge from hospital will start on your admission to hospital. We look at the needs of all patients when making these decisions and we will discuss with you prior to any move. Patient records were available, kept secure and up to date. Some policies we viewed on line for example the acute asthma in children, Abdominal pain in children: managing children with gastroenteritis and managing fluids in children needed review as they were up to two years out of date. Alcohol or any illegal or non-prescription drugs. Not all complaints were answered within 30 days of their receipt as per trust policy and people were not made aware of the trusts complaints response deadline. AAA Team Home . We observed safeguarding folders, which identified the safeguarding lead and the referral process. A new training programme was being rolled out. There were some issues with the structural maintenance of the hospital. 0300 131 4500, Bexhill Hospital we have taken enforcement action. The service took account of children and young peoples individual needs and made it easy for people to give feedback. This included greater emphasis on evidence-based practice and training. 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. We aim to accommodate all our patients in same sex wards. Standards for the completion of safeguarding training were variable with all staff meeting the requirement for level 1 training. An established escalation process involved progressively senior staff as waiting times increased and capacity decreased. Have you found an error with this catalogue description? We understand that family members may wish to visit during meal times to help you eat, if this is needed. BN25 1DH, In Phlebotomy clinics had set appointments and focused on calming children down prior to and during blood taking procedures. Provide SDEC services at least 12 hours a day, 7 days a week. However, the trust has supplied information to show these policies were in date but these were not displaying when accessed on the inspection. Holliers Hill, Bexhill-on-Sea, East Sussex, TN40 2DZ Our rating of the Eastbourne Midwife Unit was requires improvement. 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. The Bare below the elbow policy was enforced more rigorously through the daily safety huddles. . Bexhill-on-sea, Eastbourne District General Hospital is located on the outskirts of Eastbourne town centre. This included no month in which patients were admitted, transferred or discharged within four hours of arrival. NICE guidance was used, monitored and audited in a number of clinical specialities, for example, Parkinsons quality standard (QS164). The service did not have a major incident policy for the mortuary, although they had started work to produce this. It also has seven maternity beds in a midwifery led maternity unit. Where compliance with VTE risk assessment and prevention had been a concern in our previous inspection report, there was now evidence of high rates of compliance with 95% of patients having a properly completed VTE risk assessment in July 2016. This enabled staff to use escalation areas and additional spaces for patients whilst they waited for diagnosis and treatment. Official information from NHS about Eastbourne District General Hospital including contact details, directions, opening hours and service/treatment details Departments and services - Eastbourne District General Hospital - NHS We are dedicated to the wellness of INDIVIDUALS, their FAMILIES and the COMMUNITY through prevention, intervention and treatment via our inpatient and outpatient services. This maternity thematic review was a focused inspection; we inspected the domains of safe and well led using the CQCs established key lines of enquiries (KLOES). This programme addressed issues such as how appointments were booked, queuing systems for specialist doctors, clinic duration and capacity and demand leading to positive results for patient services and patient experience. Our rating of this service improved. However records indicated persistent delays in completing investigations and contributing factors included those identified by quality audits, which the senior team had not resolved. A regular trolley service, with a selection of newspapers, magazines and confectionery, is available on most wards. Inpatient Mental Health Intake & Admissions Process, All of the staff deserve special recognition, What to Expect When Calling a Mental Health Facility, may need to be entered from aurora.boxcarstudiodev.com, Mental Health & Psychiatric Hospitals in Glendale and Tempe, AZ, See what other patients are saying about us, Copyright Aurora Behavioral Health System. However, changes to the clinical unit management team led to a lack of engagement with ITU staff, making it difficult for clinical staff to develop plans for the future. 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. Along with the introduction of GP streaming this reflected a targeted approach to improving access and flow. Call us today, 24/7, for a free, confidential assessment . There were times still when patient records were not available for pre-assessment clinics and consultations. The healthcare assistant team had been awarded as unsung heroes for their work in improving the patient experience and in most of our observations staff demonstrated a commitment to kindness, compassion and empathy. We spoke with 6 staff members to understand what is was like working for the service, including midwives, maternity care assistants and housekeepers. Your friends and relatives will be able to call you directly (charges apply). There were 10 times from 1 January 2019 to the 1 October 2019 where the short stay paediatric assessment unit, was closed at the weekends. The childrens outpatient unit provided families with various clinics for children living with health conditions. Mr Lawson refuses to engage in onerous pre-tests, so there is no entrance exam. Managers monitored the effectiveness of the service and made sure staff were competent. Bexhill On Sea, 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 Building: Acute Admissions Unit. The journey time between Eastbourne Station and Eastbourne District General Hospital is around 59 min and covers a distance of around 19 miles. Black and minority ethnic (BME) reported that they felt supported and accepted as part of the hospital workforce. Any prescribed tablets and medication that you usually take at home. The service had enough staff to care for patients and keep them safe. The trust rate of surgical site infections (SSIs) was better than the national average. People could access the service when they needed it and did not have to wait too long for treatment. Download full inspection report for Eastbourne District General Hospital - PDF - (opens in new window), Published Any women that developed complications during labour were transferred to the acute unit at Conquest Hospital. Facilities in the department included a dedicated area for patients with mental health needs and for children. On the day of your discharge any medicines you need will be prescribed by the doctor and dispensed by the hospital pharmacy or the ward/unit area. As such, Rosewood Ranch admits clients 24/7 for our Inpatient and Residential programs. Elimination of the three-day hospital inpatient requirement for Medicare coverage of post-hospital SNF care. Any other browser may experience partial or no support. Appraisals were consistently carried out, fit for purpose and focused on staff achievements and goals. Apply to Nhs Trust Hospital jobs now hiring in Eastbourne on Indeed.com, the worlds largest job site. Infection prevention and control standards were variable. At least one standard in this area was not being met when we inspected the service and Training rates for the Mental Capacity Act (2005) exceeded the trusts target of 90% and staff demonstrated good knowledge of this. The Epic Health Research Network (EHRN) data show hospital admissions remaining below expected levels through at least April 9, 2021. 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. If Aurora is not the appropriate place for a patient, our Patient Services team is very knowledgeable about other organizations and services available and is happy to assist individuals in obtaining the services that best meets their needs. We support protected meal times. We saw respectful and confident interaction between BME staff and white British staff on the wards we visited. Staff recognised and reported incidents and near misses. 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. 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. Acute Admissions Unit - Level 3. Staff understood the services vision and values, and how to apply them in their work. Staff we spoke to were able to demonstrate an understanding of their responsibilities to safeguarding vulnerable adults. In some of the records we looked at we found missing referrals, no evidence of consistent risk assessment and evidence of the discharge of a patient at significant risk of self-harm or suicide. There was a system in place to identify patients who might be a little confused and need careful support in decision making.The coloured butterfly markers allowed staff to differentiate these patients from those with more advanced dementia.The dental team provided exemplary planning of care for patients with learning difficulties who needed dental surgery. Admissions FAQ . Multidisciplinary working was apparent across a range of specialities within outpatients. 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. 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. 192.com Business Directory - your top resource for finding Hospitals listings . For example, through the use of practice based competency assessments for a variety of clinical procedures. Holliers Hill, Bexhill-on-Sea, East Sussex, TN40 2DZ We'd like to use additional cookies to remember your settings and understand how you use our services. This was a very significant improvement and meant that decisions about the care of complex patients were being made at the right level of seniority. They had received training in the Mental Capacity Act 2005 and knew how this impacted on their work. Key services were available five days a week with out of hours and weekend cover also available when needed. The service set out an improvement plan which introduced a safe surgical pre-assessment and blood taking clinics. 27 March 2015. We rated it as requires improvement because: This was the first time we inspected the Eastbourne maternity services without gynaecology, and the first visit since it changed to the Eastbourne Midwifery Unit. You will have a small locker next to your bed or chair for your personal possessions. Each report covers findings for one service across multiple locations, In This information gives you some advice and helps you prepare for your procedure and visit to the Admissions Unit at Eastbourne DGH. . Other series are not available for consultation until 30 years from the last date of the document. They will help you evaluate transportation services for your patient/client to . This included in the completion of baseline observations and information critical to monitoring patients for deterioration. It will also include any special instructions personal to you. Provided and run by: East Sussex Healthcare NHS Trust. There were clear and effective processes for managing risk and performance. The trust had introduced an additional daily consultant shift, which meant consultant cover now met the RCEM requirements of at least 16 hours per day. The key aims of these services are the prevention of unnecessary hospital admission, to facilitate early hospital discharge, to prevent premature or unnecessary care home admissions, and to enable people to live as independently as possible. This included assessing the patient against the risk of falls, nutrition status, skin integrity and pain. the service is performing well and meeting our expectations. Staff said matrons and senior nurses were visible and supportive within the department, they felt valued, listened to and respected and felt confident to raise any concerns with their line managers. The department performed similarly to or better than national averages in the Emergency Department Survey 2016 and between November 2016 and December 2017 in the time from arrival to initial assessment.