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Acute Admissions Unit - Level 3. 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. Budding medics have a doctor overseeing them, with workshops, hospital practice and work . It has 22 beds and two operating theatres and 129 employees. This included greater emphasis on evidence-based practice and training. We will ask you to sign a property and valuables disclaimer on your admission as part of the admission documentation process. Provide SDEC services at least 12 hours a day, 7 days a week. Options for food and drink had improved for patients in the clinical decisions unit but audits of the use of the malnutrition universal scoring tool (MUST) noted poor compliance with trust standards. 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. Not all nursing staff working in outpatient clinics where children were cared for were trained to child safeguarding level 3. Signposting was not dementia friendly and did not accommodate visual deficit needs. The board above your bed will state your name, the consultant leading your care and your named nurse. They treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. Records were brief and suggested limited discussion and challenge. 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). The service took account of children and young peoples individual needs and made it easy for people to give feedback. Recent audits took place for JAG (joint advisory group on gastrointestinal endoscopy) accreditation, which they are currently awaiting the outcome. This included assessing the patient against the risk of falls, nutrition status, skin integrity and pain. Matrons assistants support matrons with the clerical side of their job such as monitoring training compliance, collecting, and collating data for clinical audits. Records were clear, up-to-date, stored securely and easily available to all staff providing care. Staff delivered patient care in line with evidence based care and best practice guidance. Incidents were investigated by senior staff with lessons learnt shared across the trust. Inadequate Where the NEWS score was elevated to a higher level there was automatic review by the medical emergency team. Staff we spoke with were highly motivated to provide care that was kind and promoted dignity. 27 February 2020. / 50.7864829; 0.2697638. Systems and processes were in place to assess, monitor and manage risks to patients. Patient records were available, kept secure and up to date. Aurora Behavioral Health System works to make the admission process for our patients as easy as possible. There was a proactive approach to meeting the needs of those from different cultures or with complex needs. 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. A regular trolley service, with a selection of newspapers, magazines and confectionery, is available on most wards. Holliers Hill, Bexhill-on-Sea, East Sussex, TN40 2DZ As such, Rosewood Ranch admits clients 24/7 for our Inpatient and Residential programs. 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. 0300 131 4500, Eastbourne District General Hospital For example, safety checklists were used and monitored to ensure the safety of patients undergoing a surgical procedure. This meant any child presenting at risk from complex mental health issues after this time, would be transferred to the short stay paediatric assessment unit or Conquest Hospital site for overnight admission until assessment by a mental healthcare professional could be safely carried out. Clinical governance systems were embedded in the operation of the service and reviews of incidents, complaints and risks were frequently carried out. 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. Apply to Admission Care jobs now hiring in Eastbourne on Indeed.com, the worlds largest job site. 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 EMU accepted low risk women and pregnant people over 37 weeks for childbirth. The childrens service was in the process of introducing Excellence in Care audits and the tool included a regular paediatric early warning system (PEWS) audits. 0300 131 4500, Bexhill Hospital When things went wrong, staff apologised and gave patients honest information and suitable support. 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. Clinical leadership on the unit was strong and supported staff development. Practice changed where required improvements were identified. Consent was obtained in accordance with the trust policy and guidance from the professional regulatory bodies. The identification, reporting and investigation of incidents had improved significantly since our previous inspection. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding The service controlled infection risk well. Admissions FAQ . the service is performing badly and we've taken enforcement action against the provider of the service. The trust recognised the difficulties in matrons completing clinical and administrative work and they have introduced matrons assistants. 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. This included in the completion of baseline observations and information critical to monitoring patients for deterioration. (877) 870-7012 to begin the admissions process. Bexhill On Sea, Ward and departmental safety thermometer results showed improvements across the service. We rated it as good because: Published It is a general medical and surgical facility. The trust had been sent a letter by the Secretary of State congratulating them on being one of the most improved emergency departments nationally. We told the trust they must ensure consultant cover meets the minimum requirements of 16 hours per day, as established by the Royal College of Emergency Medicine. The reason for these was not documented in most cases. However there was inconsistent recording of infection control assessments in patient documentation and we did not observe consistent practice during our inspection. We'd like to use additional cookies to remember your settings and understand how you use our services. It will also include any special instructions personal to you. This was demonstrated through consistently poor audit results despite governance interventions. Eastbourne District General Hospital. Hospedia is a private company which provides this service and they set the charges, including the cost of incoming and outgoing calls. Any other browser may experience partial or no support. Staff kept detailed records of children and young peoples care and treatment. They understood and managed the priorities and issues the service faced. We reviewed 3 sets of patient care records. This included a workforce development plan, additional consultant shifts and better utilisation of resource plans for access and flow. The discharge lounge is staffed by nursing staff who can care for all your needs while you are there. When is meal time and what food can I bring into the hospital? 05 November to 12 December 2019 During a routine inspection. In general, medicines in theatres were well managed but we observed the block signing of controlled drugs which was contrary to best practice guidance. The service was tailored to meet needs of individual people and are delivered in a way the ensure flexibility, choice and continuity of care. Find Hospitals in Eastbourne listings on 192.com. Seaford, Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The trust was compliant with the intercollegiate document, safeguarding children and young people: role and competences for health care staff (March 2014). Our reports are here: Conquest Hospital Maternity Unit: https://www.cqc.org.uk/location/RXC01. 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. Data for the period December 2016 to December 2017 indicated variable performance in RCEM audits. The plan for your discharge from hospital will start on your admission to hospital. Call us today, 24/7, for a free, confidential assessment . We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. The service managed safety incidents well and learned lessons from them. Leaders understood the challenges to quality and sustainability, and were taking action to address them. The recently introduced electronic observation recording system had led to improvements in the management of deteriorating patients. 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. Infection prevention and control measures had improved since our previous inspection. 0300 131 4500, Provided and run by: Published / 50.7864829; 0.2697638. Download full inspection report for Eastbourne District General Hospital - PDF - (opens in new window), Published There were clinical side rooms and a community midwifery hub. Some aspects of service planning were expanding to meet increased patient demand. Records for patients with mental health needs required improvement to assure us of patient safety. Conquest Hospital We place some essential cookies on your device to make this website work. Bexhill-on-sea, Good Kings Drive, Eastbourne, East Sussex, BN21 2UD 0300 131 4500. People could access the service when they needed it and did not have to wait too long for treatment. At least one standard in this area was not being met when we inspected the service and. UK Covid-19 hospital admissions are highest since July with ICUs in London, North West & North East worst hit. 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. 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. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. 30-32, Gildredge Road, Eastbourne, East Sussex, BN21 4SH . 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. Managers monitored the effectiveness of the service and made sure staff were competent. 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. 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 This included no month in which patients were admitted, transferred or discharged within four hours of arrival. 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 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. We rated safe as requires improvement and well-led as good and the Eastbourne Midwife Unit as requires improvement overall. 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. Theatres staffing met the recommendations of the AfPP and ward level planned nursing staffing versus actual staffing was usually met, albeit with temporary staff. Aurora Behavioral Health Systems Patient Services team can also answer questions regarding funding. If youre staying in hospital as an inpatient youll be made comfortable and be cared for by our dedicated teams. Suspended ratings are being reviewed by us and will be published soon. We don't rate every type of service. Any other browser may experience partial or no support. 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. Aurora East. Latest data is for the East Sussex Healthcare NHS Trust, which covers the DGH, Conquest and Bexhill Hospital. There were times still when patient records were not available for pre-assessment clinics and consultations. Leaders had the integrity, skills and abilities to run the service. Our rating of the Eastbourne Midwife Unit was requires improvement. Alahna Kindred; Published: 17:34, 30 Sep 2020; Updated: 20:59, 30 Sep 2020; The service only employed one play specialist to work cross-site. the service is performing exceptionally well. Along with the introduction of GP streaming this reflected a targeted approach to improving access and flow. Banner Estrella Medical Center in Phoenix, AZ is rated high performing in 5 adult procedures and conditions. Staff had an understanding of what informed consent entailed. 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. 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. 25 January 2023. Every effort will be made to find an appropriate bed in a single sex area as soon as possible dependent on your clinical requirements. 5. . Staff recognised and reported incidents and near misses. Let us know. The environment had improved since our previous inspection all areas were visibly clean and equipment was well maintained. Any prescribed tablets and medication that you usually take at home. Mr Lawson refuses to engage in onerous pre-tests, so there is no entrance exam. The service set out an improvement plan which introduced a safe surgical pre-assessment and blood taking clinics. 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. It shows just 7 Covid patients in hospital across the Trust, with two on ventilators. We accept all major insurances as well as Medicare and all AHCCCS plans. 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. 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. 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 service had a vision for what it wanted to achieve and a strategy to turn it into action, developed with all relevant stakeholders. Staff recognised incidents and reported them through the electronic reporting system. Hand hygiene audits in 2017 indicated consistently good practice with 98% compliance. Community & mental health inspection reports for Eastbourne District General Hospital can be found at East Sussex Healthcare NHS Trust. Facilities in the department included a dedicated area for patients with mental health needs and for children. 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. Any women that developed complications during labour were transferred to the acute unit at Conquest Hospital. However records indicated persistent delays in completing investigations and contributing factors included those identified by quality audits, which the senior team had not resolved. 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. In most wards there is a bedside television, radio and telephone system called Hospedia. of hospital observation status and an admissions process that is transparent and administratively simple. Your friends and relatives will be able to call you directly (charges apply). There were business continuity plans in place for use in the event of a major incident. The service ensured that staff had the skills, knowledge and experience to deliver effective care, support and treatment. Kings Drive, Eastbourne, East Sussex, BN21 2UD, Medical care (including older peoples care). Following our report in January 2017 it was highlighted that the outpatient service must develop play services in line with national best practice guidance. 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. 0300 131 4500, Eastbourne District General Hospital The trust rate of surgical site infections (SSIs) was better than the national average. They provided emotional support to patients, families and carers. Large amounts of money or valuables, such as jewellery or electronic devices etc. Patients and relatives we spoke with gave positive feedback about the care they received on the unit. Our rating of this service stayed the same. The senior team demonstrated a significant focus on improving sepsis screening and treatment. We support protected meal times. 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. 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. Alcohol or any illegal or non-prescription drugs. We understand that family members may wish to visit during meal times to help you eat, if this is needed. Any addresses or telephone numbers that you might need. Provision for patients with mental health needs was variable. The admission process includes these steps: Intake : You'll meet with one of our compassionate intake coordinators who will listen to your story and history, assess your situation, and determine how we can best help. Staff knew about the psychiatric liaison team based in accident and emergency department and that the team were available 24 hours every day. Apply to Nhs Trust Hospital jobs now hiring in Eastbourne on Indeed.com, the worlds largest job site. It may be necessary to move you to a different bed in the same ward or to a different ward at varying times of the day or night. Give feedback on care at this service. Our nurses will speak with you regularly to address any worries or concerns you may have, however please discuss any concerns you have with them at anytime. The Bare below the elbow policy was enforced more rigorously through the daily safety huddles. Managers investigated incidents and shared lessons learned with the whole team and the wider service. Record all patient activity in EDs, urgent treatment centres and SDECs using same day emergency care data sets. Your most recently prescribed spectacles or contact lenses (including cleaning fluid), any hearing aids and denture box. Have you found an error with this catalogue description? There remained gaps and inconsistencies in the quality and completion of patient records. The Epic Health Research Network (EHRN) data show hospital admissions remaining below expected levels through at least April 9, 2021. 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. We spoke with 6 staff members to understand what is was like working for the service, including midwives, maternity care assistants and housekeepers.