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. Trust audits taking place were adult asthma, dementia, diabetes foot care, end of life care, falls, Parkinsons disease action, pulmonary rehabilitation, and cardiology and staff were aware of audits taking place. Managers monitored the effectiveness of the service and made sure staff were competent. The identification, reporting and investigation of incidents had improved significantly since our previous inspection. 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. The board above your bed will state your name, the consultant leading your care and your named nurse. Each report covers findings for one service across multiple locations. Suspended ratings are being reviewed by us and will be published soon. We will involve you and, with your consent, your family, carers or friends as appropriate. Our rating of this service stayed the same. We also inspected one other Maternity service run by East Sussex Healthcare NHS Trust. This information gives you some advice and helps you prepare for your procedure and visit to the Admissions Unit at Eastbourne DGH. The trust was established as East Sussex Hospitals NHS Trust on 1 April 2002, taking its current name on 13 May 2011. Along with the introduction of GP streaming this reflected a targeted approach to improving access and flow. We observed safeguarding folders, which identified the safeguarding lead and the referral process. There were business continuity plans in place for use in the event of a major incident. Staff had an understanding of what informed consent entailed. Record all patient activity in EDs, urgent treatment centres and SDECs using same day emergency care data sets. The outpatient department at Eastbourne hospital was undergoing an improvement programme for services provided to patients. Any other browser may experience partial or no support. There was evidence of effective multidisciplinary working with the hospital intervention team the security team and specialties when these were available. Third party children and adolescent mental health services did not accept assessments after 3pm. (877) 870-7012 to begin the admissions process. The trust rate of surgical site infections (SSIs) was better than the national average. Senior staff monitored and updated risks on the service risk register frequently and had initiated a number of strategies to reduce risks. 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. . We saw dedicated areas for children in the main outpatient waiting areas. 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. 877.870.7012. In addition patients consistently spent longer in the emergency department than the national average. 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. Clinical governance systems were embedded in the operation of the service and reviews of incidents, complaints and risks were frequently carried out. In most wards there is a bedside television, radio and telephone system called Hospedia. We interviewed leaders to gain insight into the trusts leadership and governance model of the service. And while figures continue to go up, Covid hospital admissions in Eastbourne remain incredibly low. Operated by Southern Service and Stagecoach South East, the . Alcohol Care Teams are embedded in Conquest hospital in Hastings and Eastbourne District General. 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. However the mental health liaison team had introduced monthly multidisciplinary meetings and responsive debriefs with the ED team to review care and effective use of mental health pathways. They are standing by 24 hours a day, 7 days a week to take your call. We also looked at a wide range of documents including standard operating procedures, meeting minutes, risk assessments and recently reported incidents. AURORA BEHAVIORAL HEALTH SYSTEM is Arizona's largest free-standing psychiatric hospital system. Leaders and staff understood and knew how to apply them and monitor progress. 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. Recruitment continued to provide challenges and whilst the trust had taken many steps to address this, the problem of recruiting sufficient permanent staff continued. Kings Drive, Eastbourne, East Sussex, BN21 2UD 0300 131 4500. We last inspected in October 2016 and rated urgent and emergency services as requires improvement overall. All those we spoke with were clear who their immediate manager was; this was not the case on the last inspection visit in 2015. It is a general medical and surgical facility. 0300 131 4500, Eastbourne District General Hospital the service is performing well and meeting our expectations. 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 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. 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. There were clinical side rooms and a community midwifery hub. Each report covers findings for one service across multiple locations, In . Kent Surrey and Sussex Air Ambulance (G-KSSC) pays a visit to Eastbourne Hospital this afternoon RM 2J6FRBR - Air ambulance transports critically ill patient from Eastbourne hospital to suitably equipped medical facility. Quality checks were carried out to make sure staff were clearly documenting observations on arrival and during childrens stay on the ward. the service is performing badly and we've taken enforcement action against the provider of the service. Senior staff told us most wards have full establishment of staff at the start of a shift. 192.com Business Directory - your top resource for finding Hospitals listings . EMU accepted low risk women and pregnant people over 37 weeks for childbirth. If your medication is not in stock then you may be issued with a prescription to obtain from a pharmacy. Strong clear leadership seen, staff felt well managed and well led. Facilities in the department included a dedicated area for patients with mental health needs and for children. 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- Not all nursing staff working in outpatient clinics where children were cared for were trained to child safeguarding level 3. The trust had been sent a letter by the Secretary of State congratulating them on being one of the most improved emergency departments nationally. They were focused on the needs of patients receiving care. 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. Requires improvement Our rating of this service improved. When is meal time and what food can I bring into the hospital? They were visible and approachable in the service for patients and staff. 01323 645 555 View details. Protected meal times mean that we can help patients who may need assistance with eating and drinking and maintain privacy and dignity. Staff throughout outpatient services put patients at the centre of what they did. There was openness at risk meetings and learning from incidents was shared across the team in a variety of ways. 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. Prev 1 2 Next . 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. Equipment checks were now given a higher priority. 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. The Bare below the elbow policy was enforced more rigorously through the daily safety huddles. This included no month in which patients were admitted, transferred or discharged within four hours of arrival. 25 January 2023. There may be occasions when the only bed available is in a mixed sex area. Staff assessed risks to patients, acted on them and kept good care records. We inspected the Maternity service as part of our national maternity inspection programme. Eastbourne District General Hospital is a National Health Service hospital in Eastbourne in East Sussex, England. A new training programme was being rolled out. BN25 1DH, In The trusts referral to treatment time (RTT) for admitted pathways for surgical services had been worse than the England overall performance since July 2015. There was a continuous improvement programme in place across administrative services that included health records. We will ask you to sign a property and valuables disclaimer on your admission as part of the admission documentation process. Mental health services were provided by another trust. Holliers Hill, Bexhill-on-Sea, East Sussex, TN40 2DZ 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. Source: Epic and KFF analysis of Epic Cosmos data Get the data PNG. Apply to Admission Care jobs now hiring in Eastbourne on Indeed.com, the worlds largest job site. Four closures were due to lack of medical and nursing staff at Friston and six of these closures were due to insufficient paediatric nursing staff/skill mix of staff at the Conquest Hospital site to care for two patients with mental health issues needing one to one care whilst on the ward. 27 February 2020. 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. Staff were clear about their roles and accountabilities. The Patient Advice and Liaison Service (PALS) offers confidential advice, support and information on health-related matters, for patients, their families and their carers. This reflected a rating of inadequate for safe, requires improvement for effective, responsive and well led and good for caring. We rated it as good because: Published We accept all major insurances as well as Medicare and all AHCCCS plans. Managers monitored the effectiveness of the service and made sure staff were competent. We saw incidents and lessons learned documented on team minutes and observed it happening within safety huddles. Building: Acute Admissions Unit. the service isn't performing as well as it should and we have told the service how it must improve. Pyjamas or a nightdress, and a bed jacket, cardigan or dressing gown. This included an extension of the Hospital Intervention Team to 12 hours each day and a planned increase of overnight mental health team availability. 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. of hospital observation status and an admissions process that is transparent and administratively simple. Consent was obtained in accordance with the trust policy and guidance from the professional regulatory bodies. East Sussex Healthcare NHS Trust. The service had enough staff to care for patients and keep them safe. Admissions Unit - Eastbourne DGH - Information for the day of your surgery This information gives you some advice and helps you prepare for your procedure and visit to the Admissions Unit at Eastbourne DGH. 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. Eastbourne District General Hospital has 337 inpatient beds, and eight critical care beds. 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. A mental health liaison team provided urgent reviews within two hours of referral although there were gaps in the service out of hours. Quality improvement work had begun within speciality clinics and there were plans to develop this across outpatients as a whole. If you have a card detailing any current treatment, particularly a steroid card or Warfarin booklet, please bring this with you and inform one of the nurses. 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 safeguarding team had recently been expanded and was addressing specific areas of the trust where shortfalls in practice were identified. Staff knew how to contact the safeguarding team within the hospital and explained clearly how to make a safeguarding referral. The reason for these was not documented in most cases. The service ensured that staff had the skills, knowledge and experience to deliver effective care, support and treatment. 0300 131 4500, Provided and run by: Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Your information helps us decide when, where and what to inspect. the service is performing exceptionally well. Hospital admissions (narrow measure) to be similar to national average by 2026 (Appendix 2.3) Alcohol specific mortality in Hastings to be similar to the East Sussex average . Hospedia is a private company which provides this service and they set the charges, including the cost of incoming and outgoing calls. Staff worked well together for the benefit of patients, supported them to make decisions about their care, and had access to good information. 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. Budding medics have a doctor overseeing them, with workshops, hospital practice and work . Where healing starts andthe road to recovery begins. Let's make care better together. The service managed safety incidents well. Overall: Good. 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. Map and contact details. Current mandatory and statutory training for nursing and medical staff did not meet trust targets. Staff felt respected, valued, and were proud of the organisation as a place to work and spoke highly of the culture within the service. There was a dedicated practice development nurse in post who provided support to all members of the emergency department team. It shows just 7 Covid patients in hospital across the Trust, with two on ventilators. Seaford, This included a workforce development plan, additional consultant shifts and better utilisation of resource plans for access and flow. 27 January 2017. 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. Friends and Family Test results showed a higher than average response rate and the scores were higher than the England average. Slippers or shoes that fit properly, to avoid slips or falls during your stay in hospital. This included greater emphasis on evidence-based practice and training. The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD Conquest Hospital On the day of discharge you may be transferred to a discharge lounge to wait for your transport home or for your medication. In the period from September 2018 to August 2019 there were 50,922 inpatient admissions and 229,647 outpatient appointments at Eastbourne District General Hospital. 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. 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. Apply to Nhs Trust Hospital jobs now hiring in Eastbourne on Indeed.com, the worlds largest job site. 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. This included in the completion of baseline observations and information critical to monitoring patients for deterioration. 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, Bexhill Hospital Find out more. Elimination of the three-day hospital inpatient requirement for Medicare coverage of post-hospital SNF care. Matrons assistants support matrons with the clerical side of their job such as monitoring training compliance, collecting, and collating data for clinical audits. They understood and managed the priorities and issues the service faced. 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). Records for patients with mental health needs required improvement to assure us of patient safety. We aim to accommodate all our patients in same sex wards. 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. 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. The unit operated 24 hours a day for low risk mothers. They will help you evaluate transportation services for your patient/client to . Those series are affected are indicated in their catalogue entries. The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD Eastbourne District General Hospital. This was demonstrated through consistently poor audit results despite governance interventions. Our rating of the Eastbourne Midwife Unit was requires improvement. They provided emotional support to children and young people, families and carers. The service controlled infection risk well. The midwifery led unit was closed from the 10 December 2021 until the 21 April 2022 due to staffing challenges. There's no need for the service to take further action. Aurora Behavioral Health Systems Patient Services team can also answer questions regarding funding. Any addresses or telephone numbers that you might need. Daily checks of essential equipment were taking place with records available to confirm senior oversight of equipment checks occurring. Provided and run by: East Sussex Healthcare NHS Trust. Browser Support 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. The vision and strategy were focused on sustainability of services and aligned to local plans within the wider health economy. An established escalation process involved progressively senior staff as waiting times increased and capacity decreased. AAA Team Home . The senior team demonstrated a significant focus on improving sepsis screening and treatment. Data provided by the trust showed improvements in the implementation of the sepsis pathway. Services were being transformed to make sure acute, outpatients, nursing outreach and community paediatric services holistically met the needs of children and young people. Learn more about PALS. If you provide contact details, we will be in touch about your request within 10 working days. Provision for patients with mental health needs was variable. They treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. Key services were available five days a week with out of hours and weekend cover also available when needed. The unit is run by a group of core midwives and maternity support workers (MSWs) and is supported by the community midwifery teams. 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. Leaders had the integrity, skills and abilities to run the service. Medicines management had been added to the safety thermometer as an additional performance measure. They supported staff to develop their skills and take on more senior roles. We visited the telephone triage area and the community midwives office. 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. Staff we spoke with were highly motivated to provide care that was kind and promoted dignity. We spoke with 6 staff members to understand what is was like working for the service, including midwives, maternity care assistants and housekeepers. 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. Where individuals needed support this was provided. Latest data is for the East Sussex Healthcare NHS Trust, which covers the DGH, Conquest and Bexhill Hospital. 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. Provide SDEC services at least 12 hours a day, 7 days a week.
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