Performance

Care Quality Commission

All health and adult social care providers are required by law to register with the Care Quality Commission (CQC) if they provide regulated activities. The regulations are enshrined in law in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2009.

Registration
The CQC is the independent regulator for health and adult social care services in England and regulates the services provided by the NHS, local authorities, private companies and voluntary organisations.

The main activities of the CQC are:

  • Registration of health and adult social care providers to ensure they are meeting the fundamental standards of care.
  • Monitoring and inspection of all health and adult social Care providers.
  • Use of enforcement powers, such as fines or public warnings or closure, if standards are not met.
  • Improving services by undertaking regular reviews of how well those who arrange and provide services locally are performing and special reviews on particular care services, pathways of care or themes where there are particular concerns about quality.
  • Reporting outcomes of CQC activity to provide service users with information about the quality of local health and adult social care services. Service providers are informed to see where improvements are needed, and can learn from each other as to the best ways to deliver care.
     

UHCW NHS Trust is currently registered with the CQC, without any conditions, at the following two locations:

  • University Hospital, Coventry
  • Hospital of St Cross, Rugby

Inspections
CQC Inspections review compliance in terms of five key questions about the services provided:

  • Safe - Are people protected from abuse and avoidable harm?
  • Effective - Does the care of people, treatment and support achieve good outcomes, promote a good quality of life and is based on the best available evidence?
  • Caring - Do staff involve and treat people with compassion, kindness, dignity and respect?
  • Responsive - Are services responsive and organised so that they meet people’s needs?
  • Well-led - Is the organisation well led?
     

The inspections concentrate on the following core service headings:

  • Urgent and Emergency Services
  • Medical Care
  • Surgery
  • Critical Care
  • Maternity and Gynaecology
  • Children and Young People
  • End of life Care
  • Outpatients and Diagnostic Imaging

Inspection ratings are provided on a four-point scale:

  • Outstanding
  • Good
  • Requires Improvement
  • Inadequate

The CQC is now undertaking its second round of inspections, focusing on services previously rated as ‘Requires Improvement’ and ‘Inadequate’ as a priority.

The CQC have completed the following different types of inspections at UHCW NHS Trust:

Date Area Type of visit
28 September 2016 Outpatients and diagnostic imaging Unannounced follow up inspection
24 August 2016 (IR(ME)R) – Radiology Ionising Radiation (Medical Exposure) Regulations (IR(ME)R)
23 February 2016 Hospital of St Cross, Rugby Pilot Urgent and Emergency Thematic Review
11 May 2015 Safeguarding and care of looked after children – Coventry City Council Multi agency inspection as part of a national review of services for Safeguarding and Children looked after

10 - 13 March 2015

UHCW NHS Trust Comprehensive Inspection
15 January 2014 Dementia Care (A&E and relevant wards) Unannounced visit as part of national themed inspection
17 September 2013 Mulberry Ward, Hospital of St Cross Unannounced visit following concerns
11 February 2013 Mental Health Act Implementation Visit as part of annual scrutiny of compliance with Mental Health Act
7 January 2013 Short stay units – UHCW Unannounced visit as part of a planned programme of inspections
26 June 2012 Day Surgery, Hospital of St Cross Unannounced visit as part of a planned programme of inspections
20-23 March 2012 Termination of Pregnancies National review
28 December 2011 Ambulance waiting times at UHCW A&E Unannounced visit following concerns
31 October - 11 November 2011 Safeguarding and care of looked after children – Warwickshire County Council Multi agency inspection as part of a national review of services for Safeguarding and Children looked after
21 March - 1 April 2011 Safeguarding and care of looked after children – Coventry City Council Multi agency inspection as part of a national review of services for Safeguarding and Children looked after
14-16 March 2011 Dignity and Nutrition Themed inspection

 

The report in support of the comprehensive inspection on 10 - 13 March 2015 can be read here:

http://www.cqc.org.uk/provider/RKB.

The most recent CQC inspection was an unannounced follow-up inspection on 28 September 2016, due to the Trust being rated as ‘Inadequate’ for the Outpatients and Diagnostic Imaging core service in March 2015. The outcome of the inspection resulted in the rating for the Outpatients and Diagnostic Imaging core service being changed for the Safe domain to Requires Improvement and for the Caring domain to Good. This improvement did not change the overall rating for the Trust. The report can be read here:

http://www.cqc.org.uk/sites/default/files/new_reports/AAAG1229.pdf