At the time of inspection the post for the trust lead nurse for safeguarding adults and learning disability acute liaison was unfilled and had been for the last six months. Explore ways to increase the level of enquiring and challenge among staff in relation to poor standards and performance. The service is provided by 42 part time GPs from local practices, 8 reception staff, 12 call handlers, 8 drivers and 11 administrative, management and board directors. The Chief Executive and the Chief Operating Officer were internal appointments and were working in other senior roles within the trust prior to taking up their new posts in 2013. The Cerner HIE platform provides a holistic view of patients’ records across different health care facilities. Most people using the service told us that staffing levels were satisfactory, although three people said their district nurses were sometimes late. The principles of MCA and DoLS were covered in the mandatory safeguarding training course, but staff understanding of the MCA and DoLS was variable across wards. I'm aware that's anecdotal, but I hate to think of pregnant women currently booked in at the Homerton being scared witless by these stories. Review the training provided to maternity care assistants to ensure they have the necessary skills and competencies to deliver safe care to mothers and babies. Since our last inspection of acute services at Homerton University Hospital NHS Foundation Trust in 2014 and 2015, the trust had addressed or shown improvement for most of the previously reported concerns and requirement notices, for which we commend them. 151 Buckingham Palace Road Staff had good knowledge of what to do in the event of a patient deteriorating. It is one of London’s designated perinatal centres and provides a range of highly specialised obstetric and neonatal intensive care services. Use a neonatal early warning score to record baby’s observations including taking their temperatures within one hour of birth. The trust had introduced measures to better anticipate and manage patient risks. Staff were knowledgeable about safeguarding and were confident to escalate concerns. Reported incidents wereinvestigated but the response was slowresulting in continued potential risks to mothers and their babies. The doctor came round to induce me and it was a slow process. Confusingly it offers two types of private services : We currently offer NHS funded care in two ways. Find out about events where we will be speaking or exhibiting, and see presentations we've given at recent events. The trust had responded to address whistleblowing incidences in both theatres and pre-operative assessment areas. For one thing, the demographics of Homerton's catchment area mean that it deals with a particularly high number of complex obstetric cases due to factors such as poverty, age, and religious beliefs. Private patients will be seen mainly at Spire Roding Hospital but may have some of their treatment at Homerton Hospital. This meant there were not always consultant-led elective caesarean sections or consultant ward rounds. The trust served a diverse population: the London Borough of Hackney and the City of London. Homerton provider fertility services for self-pay patients. Homerton Hospital is the registered location for the out of hours GP service provided by CHUHSE (the provider). We met with people who use the service and their representatives throughout the inspection. For example national early warning score (NEWS) in surgery and modified early warning score (MEWS) in maternity to assess and escalate deteriorating patients. We recognised that this service was achieving positive outcomes and helping people's recovery and rehabilitation but felt that at times the trust did not do enough to protect people's dignity on this unit. However, they also say that there are threats from other competitiors: The establishment of Barts Health: The merged organisation will significantly impact the provision of healthcare to the population of North East London and potentially lead to changes in commissioning behaviour,  www.homerton.nhs.uk/our-services/fertility-centre/funding-your-treatment/ The service is co-located within the Accident and Emergency (A&E) Department of Homerton University Hospital NHS Foundation Trust. Trust staff provided patient-centred support on wards, in clinics and in patients’ homes. Staff gave positive feedback about the leadership and culture of the service. Consultant obstetricians’ engagement with the local maternity network was limited, although we were told this was likely to grow. A smallpox hospital, built on adjacent land, opened in February 1871. Your information helps us decide when, where and what to inspect. Innovation and inspiration: examples of how providers are responding to coronavirus, Promoting sexual safety through empowerment, Monitoring the Mental Health Act in 2018/19, Browse the full list of services we regulate, Making sure people are kept safe from harm, abuse and neglect, CQC outlines plans to monitor infection prevention and control (IPC) over winter, At least one standard in this area was not being met when we inspected the service and we have taken. Records showed that staff had regular training. A focus on the patient at the centre of care is a key part of the local digital roadmap, with the aim to be paper-free at point of care by 2020. People told us they received individualised care and they felt safe with staff. They offered to show me and help me with breastfeeding. Information for care providers, including guidance about regulations, how to register with us, what incidents you must notify us about and what we look at when we carry out inspections. We have welcomed this as we often coordinate care for children with complex needs receiving input from multiple providers and have historically found it a challenge to access information about them quickly and reliably. For this reason, medical care is not rated as it did not cover all of the key lines of enquiry related to the core service. The trust provides some highly specialised tertiary services, including bariatric surgery and the Regional Neurological Rehabilitation Unit. We found patients received care that met their needs and was delivered in a respectful manner. The second way is self-funded care. City and Hackney Urgent Healthcare Social Enterprise (CHUHSE) is a community benefit society regulated by the financial conduct authority and governed by a board of executive and non-executive directors. If you're the provider who runs this service: Transport services, triage and medical advice provided remotely, Treatment of disease, disorder or injury. Patients and their relatives spoke very highly of the kindness and compassion shown to them by staff. This is not intended as a defence as I don't have all the information, and I would fight for every woman's right to the best possible maternity care, but I just think we need to be careful about introducing more anxieties for women at a time which is stressful enough already. Homerton University Hospital Foundation Trust provides general and specialist health services. http://www.hackneygazette.co.uk/news/disturbing_number_of_baby_deaths_at_homerton_hospital_maternity_unit_revealed_as_information_commissioner_orders_transparency_over_12_maternal_deaths_1_4451862This is really scary! In addition, Homerton offers a fertility service to private patients and expressly identifies the two-tiered aspect of the service: We will soon be able to offer a service to private patients. There are gems and there are lazy sods. Main Switchboard: 020 8510 5555. Advanced options. Consultant numbers were lower than expected for a unit this size and there had been a long running issue about whether to appoint a new consultant and how to attract more middle grade doctors. Nursing staff in the surgery service also did not meet trust targets for most mandatory training modules. Hackney’s population is estimated at more than 263,000 people. Improve the standard of record keeping, consistently recording mothers and babies observations, MEWOS and fluid balance. There are two GP Consultation and treatment rooms and a medicines store. Doctors will know the allergies of a patient arriving in A&E, for instance, and when a patient goes to the GP, they will see that the patient was recently in A&E due to a fall at home and had high blood pressure, for example. I've posted about this before. The trust has 46 neonatal intensive care cots. We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find, including performance ratings to help people choose care. Our observations of care and discussions with patients and staff identified some specific issues around patient experience in the Regional Neurological Rehabilitation Unit. For one thing, the demographics of Homerton's catchment area mean that it deals with a particularly high number of complex obstetric cases due to factors such as poverty, age, and religious beliefs. They understood and felt involved in their care. Staff were aware of policies and protocols in relation to the administration of medication and we observed adherence to these protocols. It was horrid. But they made me and DH comfortable (they may him a bed next to mine out of chairs and bean bags) Once labour started I was moved to the delivery suite, we had two great midwives, baby came all was smooth. We spoke with 41 people and 19 people completed our comment cards, which were available at the health centre and clinic on the days we visited these services. Most patients and their relatives said they received a very good level of care, treatment and support. For example, the surgical rehabilitation team visited patients in their homes for up to two weeks post discharge. Display information to demonstrate the service’s performance against safety measures or targets in all clinical areas. Trust policies were reviewed regularly and new clinical guidelines were disseminated to staff appropriately. This was considered good practice by the Alzheimer’s Society and all staff received a dementia awareness training session.