Ealing Hospital in Southall is a Hospital specialising in the provision of services relating to assessment or medical treatment for persons detained under the 1983 act, diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures, termination of pregnancies, transport services, triage and medical advice provided remotely and treatment of disease, disorder or injury. The last inspection date here was 6th November 2019
Ealing Hospital is managed by London North West University Healthcare NHS Trust who are also responsible for 9 other locations
Contact Details:
Address:
Ealing Hospital Uxbridge Road Southall UB1 3HU United Kingdom
We undertook this focused inspection to follow up on the concerns identified in two Section 29A Warning Notices served in July 2018, following an inspection of the trust in June 2018. The warning notices set out the following areas of concern, where significant improvement was required:
In urgent and emergency services:
We were not assured that the department had the appropriate environment and equipment to care for children. The paediatric resuscitaire had been left unplugged.
Paediatric medications were not managed and stored safely and were not assured that staff consistently knew where they were in the department.
Though there was no paediatric emergency service, the department was treating children who attended the department though they were equipped and registered only to stabilise and transfer paediatric patients.
In medical services:
We were not assured that risk was adequately assessed for service users on medical wards. There were incomplete and incorrectly tallied risk assessments in patient admissions booklets.
Staff did not follow policies and procedures to manage medicines in the care of the elderly ward and the acute medical unit (AMU). There were expired medicines on the wards and they were left unattended. Fridge temperature checks were not regularly recorded and no action was taken when temperatures went out of range. Medicines were left in drugs trolleys following administration and were not consistently disposed of.
There were not adequate numbers of suitably qualified staff on medical wards. Vacancy, turnover and sickness rates were above the trust target.
Medical outliers were not adequately tracked and were missed on ward rounds.
Our key findings were as follows:
The trust had made significant steps to address the concerns raised by CQC at the last inspection, including a detailed action plan, and had met the concerns raised in the warning notices.
The emergency department had moved all paediatric medications to the drugs cupboard and had ensured that all staff knew where they were.
The medical department had taken steps to improve nursing staff recruitment and retention and had improved the completion of patient notes.
However, there were also areas of poor practice where the trust needs to make improvements:
There was still not adequate signage in the emergency department to alert patients that there was no paediatric service in the department.
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