At least one standard in this area was not being met when we inspected the service and 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. 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. Kings Drive, Eastbourne, East Sussex, BN21 2UD The service only employed one play specialist to work cross-site. Staff completed and updated risk assessments for each child and young person and removed or minimised risks. At least one standard in this area was not being met when we inspected the service and. However records indicated persistent delays in completing investigations and contributing factors included those identified by quality audits, which the senior team had not resolved. 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. Following our report in January 2017 it was highlighted that the outpatient service must develop play services in line with national best practice guidance. Published 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. It will also include any special instructions personal to you. Our reports are here: Conquest Hospital Maternity Unit: https://www.cqc.org.uk/location/RXC01. We rated it as good because: Published Mr Lawson refuses to engage in onerous pre-tests, so there is no entrance exam. Where the NEWS score was elevated to a higher level there was automatic review by the medical emergency team. Infection prevention and control standards were variable. The trusts urgent and emergency care Friends and Family Test performance (percentage recommended) was better in comparison to the England average. The service had enough staff to care for patients and keep them safe. Daily checks of essential equipment were taking place with records available to confirm senior oversight of equipment checks occurring. The service was tailored to meet needs of individual people and are delivered in a way the ensure flexibility, choice and continuity of care. Budding medics have a doctor overseeing them, with workshops, hospital practice and work . We place some essential cookies on your device to make this website work. Hand hygiene audits in 2017 indicated consistently good practice with 98% compliance. 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. 27 January 2017. 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. Find Hospitals in Eastbourne listings on 192.com. 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. Aurora Behavioral Health Systems Patient Services team can also answer questions regarding funding. Talk Education Report - Eastbourne College Nhs Trust Hospital Jobs in Eastbourne - 2021 | Indeed.com Skip to Job Postings , Search 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 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. 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. Inadequate 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. 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. There were 735 mixed sex breaches on surgical wards at EDGH during a 12-month period. We carried out a short notice announced focused inspection of the Maternity service, looking only at the safe and well led key questions. For example, safety checklists were used and monitored to ensure the safety of patients undergoing a surgical procedure. Any prescribed tablets and medication that you usually take at home. We will involve you and, with your consent, your family, carers or friends as appropriate. The recently introduced electronic observation recording system had led to improvements in the management of deteriorating patients. 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. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service managed safety incidents well. 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. 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. Staff were aware of the duty of candour and gave patients honest information and support. Doctors, nurses and allied health professionals worked together to provide integrated care that met the needs of patients. Signposting was not dementia friendly and did not accommodate visual deficit needs. Acute Admissions Limited Headquarters. Data collection takes place on one day each month and reported within monthly governance meetings. Where individuals needed support this was provided. Admissions Process | Rosewood Centers for Eating Disorders 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. PDF The Economic Consequences of Hospital Admissions - Northwestern University The incident-reporting system indicated consistent oversight from the senior team and a detailed approached to establishing the causes. Staff knew how to contact the safeguarding team within the hospital and explained clearly how to make a safeguarding referral. Hospitals. Elimination of the three-day hospital inpatient requirement for Medicare coverage of post-hospital SNF care. 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. The reason for these was not documented in most cases. People were respected and valued as individuals. Senior staff monitored and updated risks on the service risk register frequently and had initiated a number of strategies to reduce risks. Source: Epic and KFF analysis of Epic Cosmos data Get the data PNG. 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. Staff we spoke with were highly motivated to provide care that was kind and promoted dignity. 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). Patients and relatives said staff go above and beyond and the care received exceeded their expectations. Only one new person was admitted yesterday. 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. Your friends and relatives will be able to call you directly (charges apply). Eastbourne District General Hospital - Departments and services The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD All inspections: Eastbourne District General Hospital - CQC Records were brief and suggested limited discussion and challenge. Kings Drive, Eastbourne, East Sussex, BN21 2UD, Medical care (including older peoples care). Each report covers findings for one service across multiple locations, In The Epic Health Research Network (EHRN) data show hospital admissions remaining below expected levels through at least April 9, 2021. 0300 131 4500, Bexhill Hospital Records for patients with mental health needs required improvement to assure us of patient safety. Prev 1 2 Next . 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. Your information helps us decide when, where and what to inspect. 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. Provided and 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 identification, reporting and investigation of incidents had improved significantly since our previous inspection. The plan for your discharge from hospital will start on your admission to hospital. 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. Latest data is for the East Sussex Healthcare NHS Trust, which covers the DGH, Conquest and Bexhill Hospital. However, the trust has supplied information to show these policies were in date but these were not displaying when accessed on the inspection. Admissions Unit - Eastbourne DGH - Information for the day of your the service is performing well and meeting our expectations. NICE guidance was used, monitored and audited in a number of clinical specialities, for example, Parkinsons quality standard (QS164). 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 safeguarding team had recently been expanded and was addressing specific areas of the trust where shortfalls in practice were identified. Eastbourne District General Hospital is a National Health Service hospital in Eastbourne in East Sussex, England. Admissions FAQ . HE 55 St Mary's Hospital: admission and discharge registers; 1947-1957 . 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. If you provide contact details, we will be in touch about your request within 10 working days. The unit has two main birthing rooms, one included a birthing pool, two en-suite postnatal rooms for women to be transferred into after they have given birth. RM AMHFKY - Protestors including MP's and opposition candidates march against cuts to local maternity services in Eastbourne. There remained gaps and inconsistencies in the quality and completion of patient records. 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. the service isn't performing as well as it should and we have told the service how it must improve. 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. Staff worked well together for the benefit of patients, supported them to make decisions about their care, and had access to good information. When things went wrong, staff apologised and gave patients honest information and suitable support. This included a workforce development plan, additional consultant shifts and better utilisation of resource plans for access and flow. Patient records were available, kept secure and up to date. Acute Admissions Unit - Level 3. There were clear and effective processes for managing risk and performance. Staff delivered patient care in line with evidence based care and best practice guidance. They will help you evaluate transportation services for your patient/client to . 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. 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. 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. the service is performing exceptionally well. Please give these to a nurse. There were systems in place to support learning, improvement and innovation. 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. Staff had an understanding of what informed consent entailed. TN40 2DZ, In To contact PALS at this hospital: phone 0300 131 4784. email esh-tr.palse@nhs.net. The trust recognised the difficulties in matrons completing clinical and administrative work and they have introduced matrons assistants. NHS England Same day emergency care Operated by Southern Service and Stagecoach South East, the . There was evidence of effective multidisciplinary working with the hospital intervention team the security team and specialties when these were available. There were systems that ensured children with long term medical conditions were seen by paediatric consultants with specialist interests, for example diabetes. However there was inconsistent recording of infection control assessments in patient documentation and we did not observe consistent practice during our inspection. However, monthly audits indicated low levels of compliance with trust standards relating to mental capacity assessments. Each report covers findings for one service across multiple locations. There had been times when these staff were not specialist trained in paediatric care. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Nursing staff shared concerns with the level of staffing on most medical wards. However non-availability or delays in responding to referrals to specialties had resulted in negative patient outcomes including for patients who needed a stroke assessment. Records were clear, up-to-date, stored securely and easily available to all staff providing care. Call us today, 24/7, for a free, confidential assessment. 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. There was a proactive approach to meeting the needs of those from different cultures or with complex needs. BN25 1DH, In 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. . How to get to Eastbourne Hospital by Bus? Whilst we noted significant improvements in the service from our findings on previous inspections, there were still areas where further work was needed. Theatres staffing met the recommendations of the AfPP and ward level planned nursing staffing versus actual staffing was usually met, albeit with temporary staff. Admissions Unit - Eastbourne DGH - Information for the day of your surgery File type: application/pdf Review date: July 2022 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. PDF Inpatient versus observation care - American Medical Association The service made it easy for people to give feedback. Other series are not available for consultation until 30 years from the last date of the document. They were focused on the needs of patients receiving care. Eastbourne District General Hospital. 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. From Cineworld 322 min From Brighton Pier 120 min From Gatwick Airport 156 min From University Of Brighton - Falmer Campus 116 min From Churchill Square Shopping Centre 117 min From Brighton [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. If you need assistance to stop smoking please speak to a member of staff who can refer you to the appropriate service. Eastbourne District General Hospital. 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. Alahna Kindred; Published: 17:34, 30 Sep 2020; Updated: 20:59, 30 Sep 2020; They provided emotional support to children and young people, families and carers. Bexhill On Sea, Quality checks were carried out to make sure staff were clearly documenting observations on arrival and during childrens stay on the ward. The service did not have a major incident policy for the mortuary, although they had started work to produce this. Eastbourne Station to Eastbourne District General Hospital by train, bus and walk. Staff were caring and compassionate, working to maintain privacy and dignity of their patients. 877.870.7012. We support protected meal times. Suspended ratings are being reviewed by us and will be published soon. Staff throughout outpatient services put patients at the centre of what they did. No rating/under appeal/rating suspended This included assessing the patient against the risk of falls, nutrition status, skin integrity and pain. The service had improved the triage process with significantly improved training and clinical competency checks for nurses and HCAs. Aurora Behavioral Health System works to make the admission process for our patients as easy as possible. Browser Support Staff knew where to access support and information. As such, Rosewood Ranch admits clients 24/7 for our Inpatient and Residential programs. There were readily observable changes made across the trust in relation to never events that had occurred, with learning widely disseminated. Leaders understood the challenges to quality and sustainability, and were taking action to address them. Please speak to the nurse in charge of your care or area. Phlebotomy clinics had set appointments and focused on calming children down prior to and during blood taking procedures. Seaford, Managers investigated incidents and shared lessons learned with the whole team and the wider service. Hospitals in Eastbourne - Business Directory - 192.com Staff recognised incidents and reported them through the electronic reporting system. Acute Admissions Unit - West Herts Hospitals the service isn't performing as well as it should and we have told the service how it must improve. 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-