Our previous inspection also identified concerns about staffing and caseloads within the service. Presentations from the meetings were shared with staff. BreathingSpace was a specialist unit for patients experiencing an acute phase of a chronic respiratory illness. You canread more about our cookies before you choose. The Rotherham NHS Foundation Trust was awarded foundation status in 2005 and provides a wide range of acute and community health services to the people of Rotherham (population approximately 261,000). Kimberworth Road. Staff were still working as separate health visiting and school nursing teams. However, staff were not always supported to have training to help them to develop additional skills and expertise. Good There were fourteen breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 and 2014. We raised our concerns during our inspection and following the inspection, the trust provided an action plan which aimed to review medicines management, oversight, audit and governance processes within the trust. The service received consistently high scores in the NHS Friends and Family Test and we saw that staff treated children, young people, and their families with dignity and respect. The Rotherham NHS Foundation Trust Library & Knowledge Service is here to support all NHS staff and contractors in Rotherham. Mortality outlier alerts look at patterns of death rates in NHS trusts. Staff told us that there had a been positive improvements in the culture within the service since our last inspection. Providesupport to staff delivering community end of life and palliative care to report patient safety incidents appropriately and ensure they are able to access training in incident reporting on a regular basis. The trust provides a range of community health services for adults, working across seven localities from the following sites; Rotherham Community Health Centre, Aston Customer Service Centre, North Anston Medical Centre, Health Village, Park Rehabilitation Centre, Rawmarsh Customer Service Centre, Maltby Joint Service Centre, Wickersley Health Centre and patients homes. The trust took immediate action to address these following our inspection. The Rotherham NHS Foundation Trust. This increased the risk of the spread of infection. We wrote to the trust immediately following our inspection to ensure that action was taken promptly regarding the management of discharge medications and service provision. Your information helps us decide when, where and what to inspect. The summary hospital-level mortality indictor (SHMI) and the hospital standardized mortality ratio (HSMR) between July 2013 and July 2014 shows no worse than the national average for the number of deaths. Ensure the policies and procedures for the management of the childrens and young peoples service are up-to-date, regularly reviewed, document controlled and readily accessible to staff. 2 March 2017. Join today and enjoy a number of benefits: joinbank.nhsp.uk. Cleanliness and Infection Prevention and Control, Published This meant they could not always access current information about their patients care and treatment plans. Or via post to the following address. the service is performing badly and we've taken enforcement action against the provider of the service. Whilst the improvements in leadership and culture were evident since our previous inspection, the trust recognised more work needed to be done to embed service improvements and for these changes to be reflected in positive patient outcomes. Staff were caring and compassionate and continued their caring role by supporting families after the loss of a loved one. Some GP surgeries were on the same patient electronic system and could see the care records provided by the community services. Have the flexibility to choose from a range of shifts to fit around your schedule. Review the leadership of the service so there is access to senior childrens nursing advice. Improve access and flow for patients attending fracture clinic appointments. All patients with mental health needs admitted to the childrens ward were reviewed by the CAMHS liaison team/nurse within 24 hours of admission and were followed up after seven days. By working shifts through NHSP, you have a huge impact on the lives of both NHS colleagues and patients and we all really value your support. Ensure that a regular and effective clinical audit schedule is developed. As patients are joining sessions online, they are less likely to be exposed to COVID-19 and appointment cancellations have fallen. Your Health. 2,837 were here. NHSP can help you achieve this through the bank. Staff spoke positively about the support provided by their teams and immediate management. It was authorised as a Foundation Trust on 1 August 2007, changing its name to Rotherham Doncaster and South Humber NHS Foundation Trust.[4]. Ensure that incidents are reviewed and investigated in a timely manner. Policies required to be reviewed in line with national guidance and the trusts timescales; these included DNACPR policy and syringe driver policy. All relevant staff must receive appropriate training and development. Staff were kind and caring. Senior staff in all community settings could complete fast track forms; this enabled care to be put in place quickly for patients whose condition was deteriorating and may have requested their preferred place of death at home. However, systems to manage performance effectively were not always implemented. The trust had also taken steps to ensure that access to child and adolescent sexual health services were available to young people outside of school term times. These were two very different units in the way they were run and managed. Some areas of this site, including Our Services, are still under development. Strengthen ways of learning from incidents and sharing good practice across the community end of life and palliative care services. We saw a child who had travelled some distance for the treatment during our visit. Must ensure that there are robust local safe systems in place to keep community staff who are lone working safe, in line with trust policy. There was a limited number of audits in place and there was no audit plan. Staff including the trust chair, who we interviewed at the last inspection, were overall very positive about the changes in leadership. However, staffing shortfalls meant that nurses could not attend mandatory and other training. It provides a full range of district hospital and community services to Rotherham and the surrounding area. The trust held monthly mortality review meetings where all unexpected deaths were reviewed. Change my preferences Ensure that information about how to make a complaint or leave a comment is available in alternative formats and languages. Everything would grind to a halt without colleagues like these. The provider must also ensure that staff are trained to enable them to recognise when patients need support to make decisions and, where appropriate, their mental capacity is assessed and recorded. Adult Mental Health Services - RDaSH NHS Foundation Trust We cannot answer queries relating to care or. We inspected The Rotherham NHS Foundation Trust as part of our comprehensive inspection programme. Ensure that it improves the number of looked after children assessments carried out within the target timescale. Issues we identified at previous inspections, such as culture, mandatory training compliance, staffing and high caseloads for practitioners in the 0-19 service had demonstrated the trust had not fully addressed ongoing concerns. The risks and issues described by staff did not always correspond to those reported to and understood by their leaders. We also held focus groups with community staff and reviewed performance information from, and about, the trust. We observed consistently caring, sensitive and compassionate staff. All community areas provided good links with GPs and the palliative care team to manage the patients. Ensure staff have access to safeguarding supervision and support. There was a risk that medical records were not contemporaneous. An opportunity has arisen for a Staff Nurse to work within the busy Outpatients Department and Scarbrough Suite based within the Outpatients & Support Services CSU at The Rotherham NHS Foundation Trust. Complete the reviews of maternal and neonatal deaths and implement any further identified actions to support safe practice. Multidisciplinary attendance at key medicines committees was not always in place with two out of the last four meetings not meeting quoracy. Learning from incidents and complaints were shared at staff meetings. Although we were concerned that consent to care and treatment, at the Oakwood Community Unit, was not obtained in line with legislation and guidance, including the Mental Capacity Act 2005 for patients who lacked capacity, we saw that patients care and treatment was planned and delivered in line with current evidence-based guidance, standards, best practice and legislation. This page is monitored Mon to Fri, 9am-5pm. Job Advert - NHS Jobs Staffing levels in the OakwoodCommunityUnit were acceptable; when necessary flexible or agency nursing staff were used although further medical support was required at times. Alongside our current vacancies we offer volunteering, work experience and apprenticeship opportunities. Information about our Research and Development department, and how you can get involved in research. We don't rate every type of service. Staff had successfully offered the use of acupins for the relief of nausea, particularly in gynaecology services. We rated caring as outstanding. All relevant staff must be able to assess the capacity and best interests of patients in line with the Mental Capacity Act 2005 and its associated deprivation of liberty safeguards. We inspected the services at the Rotherham General Hospital, community inpatients at Oakwood Community Unit and Breathing Space, childrens and adults community services and community end of life care. If you're passionate about helping people, join our team of volunteers. Community inpatient staff varied in their vision of the future direction of the units they worked in. Please note: The following media are best viewed in. Health and Care Evidence, from Health Education England. We spoke with patients, carers and staff including community nurses, district nurses, matrons, health care assistants and doctors. There was an inconsistent approach to obtaining the views of children, young people and families using the service. S44 5BL. Regular team and service level meetings took place to allow governance issues to be discussed and we saw learning from formal complaints was shared with staff. The service was moving to skill mix teams and competencies were written for the different staff bands, however, at the time of our inspection these competencies were not yet in place. There had been a slow pace of change since moving to a 0-19 team and changes were not fully embedded. Key information about our sites throughout Rotherham. Departments and services - Rotherham Hospital - NHS At this inspection, we rated services for community end of life as requires improvement, because; The use of the end of life individualised care plan for adults was not embedded into practice and not used by all the services that provided end of life care. Planned staffing levels were not being achieved on a number of wards, particularly those in the medical care service. Examples of these included the Family Nurse Partnership, the audiology service, and a health visitor service for children, young people and families who were asylum seekers. The Rotherham NHS Foundation Trust (TRFT) is an innovative, high performing organisationwhich continues to develop and grow at pace. There were no open mortality outlier alerts for the trust at the time of our inspection. We saw evidence that some patients found it difficult to get through to the district nurses via the telephone number they had been given. The provider should ensure that risks and concerns within the service are dealt with in an appropriate and timely way. The trust had a dedicated infection control team. Nutritional screening assessments were available in all patient records that we looked at. Rotherham NHS Foundation Trust 16 years 3 months Head of Health and Safety and Compliance (Estates) Nov 2015 - Aug 20226 years 10 months Extending my Health and Safety Lead role to include. there are some services which we cant rate, while some might be under appeal from the provider. Home About Undergraduate Postgraduate Clinical Skills Simulation Clinical Skills The Clinical Skills team at Rotherham delivers expert training to students and staff to support patient care. Some services were not meeting referral to treatment target times for initial appointments and there were lengthy waits for appointments following initial appointments. The Trust's annual budget is 83 million and it employs around 2590 members of staff. Ensure that consent to care and treatment is obtained in line with legislation and guidance, including the Mental Capacity Act 2005 for patients who lack capacity. Friends and family test results were 100% positive for both units. Most patients had the appropriate coloured jug by their beds. We spoke with 15 patients and looked at 10 patient records. The Trust was featured in Can Gerry Robinson Fix the NHS? This meant that children and young people were experiencing delays in receiving treatment and support for their health needs. At this inspection, we rated community services for children, young people and families as requires improvement because; We rated this core service as good for safe, effective, responsive and well led. Patients are accessing speech therapy remotely now this NHS Trust is This was because safety performance data was good; patients were protected from avoidable harm and abuse. Ensure community staff have access to information relating to people before providing care and treatment. The introduction of an activities coordinator at Oakwood Community Unit had transformed the service. Staff involved children, young people, and their families in care planning and provided tailored advice and guidance to ensure clinical needs were understood. Although there were governance structures in place to monitor and manage risks associated with district nursing staffing levels, demands on the service had not been addressed. This should include, mental capacity, safeguarding adults and children, resuscitation and living with dementia awareness. The trust served a population of over 257,600 people living in Rotherham and the surrounding areas. The care provided at BreathingSpace was exceptionally good and nursing staff were very knowledgeable about the care they were providing. We observed toilets meant for sole use being used by patients who were not considered as being an infection risk. Ensure a consistent approach to obtaining the views of children, young people and families using the service. I find that commitment awe-inspiring and I commend them., Almost sold out: Lakeside homes at Water's Edge Development fly off the market, Deteriorating state of Grange Park Golf course causes members to leave, Young entrepreneur launches TV series showcasing Rotherham's hidden gems, Rotherham United boss Matt Taylor responds to reports Derby County want centre-forward Conor Washington, All content Rotherham Advertiser | Privacy policy | Cookie policy | Terms and conditions | Advertise with us | Paid articles FAQs, This website uses cookies to offer the best possible experience. Colleagues enjoy a range of benefits, along with health and wellbeing . All rights reserved. the service is performing exceptionally well. The Rotherham NHS Foundation Trust (TRFT) is an innovative, high performing organisation which continues to develop and grow at pace. We rated it as requires improvement because: The Rotherham NHS Foundation Trust: Evidence appendix published 18 March 2019 for - PDF - (opens in new window), Published Safeguarding and mandatory training figures were also high. Ensure that information about complaints is captured and shared, including when they are dealt with locally and not recorded on the reporting system. Working through NHSP helps the Trust reduce its reliance on recruitment agencies enabling cost savings to be reinvested into where it matters most, patient care and safety. There was a high use of medical locum staff in some specialties. Community inpatient services are provided at Oakwood Community Unit and Breathing Space. Official information from NHS about Rotherham Hospital including contact details, directions, opening hours and service/treatment details About us | Rotherham NHS Foundation Trust Ensure that all DNACPR forms are completed appropriately and accurately ensuring that mental capacity assessments are completed for patients where it has been assessed they lack capacity. The trust had made some improvements from the CQC inspection in February 2015. Review the IT requirements of staff working in the community so that staff are not hindered by old and inefficient IT equipment. Assessments for social care and continuing healthcare were sometimes delayed and there was a lack of consistency in how peoples mental capacity to make decisions was assessed. How to find us - Rotherham Medical Education Centre Find out the benefits of working for us and how we support our colleagues. Community staff delivering end of life care felt they were not always listened to and many staff expressed community services were the poor relation compared to acute services and that the two had not been integrated.