Derriford Hospital, Crownhill, Plymouth.Derriford Hospital in Crownhill, Plymouth is a Hospital specialising in the provision of services relating to assessment or medical treatment for persons detained under the 1983 act, caring for adults under 65 yrs, caring for children (0 - 18yrs), diagnostic and screening procedures, family planning services, management of supply of blood and blood derived products, maternity and midwifery services, surgical procedures, termination of pregnancies and treatment of disease, disorder or injury. The last inspection date here was 18th December 2019 Contact Details:
Ratings:For a guide to the ratings, click here. Further Details:Important Dates:
Local Authority:
Link to this page: Inspection Reports:Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.
15th April 2019 - During an inspection to make sure that the improvements required had been made
We carried out an unannounced focussed inspection of the emergency department at Derriford Hospital on 15 April 2019.
We did not inspect any other core services or wards at this hospital or any other locations provided by the trust. We did visit the day case recovery unit which was being used to provide additional overnight patient accommodation as part of the trust’s escalation plan. During this inspection we inspected using our focussed inspection methodology. We did not cover all key lines of enquiry. We did not rate this service at this inspection.
The trust has one emergency department which provides a 24-hour, seven day a week service. It is a designated major trauma centre providing care for the most severely injured trauma patients from across the south west.
Our key findings were as follows,
However:
We told the trust they must:
In addition, the trust should:
Professor Edward Baker
Chief Inspector of Hospitals
17th April 2018 - During an inspection to make sure that the improvements required had been made
Our inspection of the trust covered only this hospital. What we found is summarised above under the sub-heading Overall trust.
22nd March 2012 - During a themed inspection looking at Termination of Pregnancy Services
We did not speak to people who used this service as part of this review. We looked at a random sample of medical records. This was to check that current practice ensured that treatment for the termination of pregnancy was not commenced unless two certificated opinions from doctors had been obtained.
14th July 2011 - During a routine inspection
The views of all people seen at all locations at Plymouth Hospitals NHS Trust are incorporated in this section of this report. The views for each separate hospital is listed below. Derriford Hospital During our site visits to Derriford Hospital and the Child Development Centre, we went to twenty ward and clinical areas in addition to the outpatient clinics at the hospital. We spoke to over 100 patients and visitors. We also spoke with many members of staff. Most patients said they felt safe and said staff were very kind to them. We had many positive comments about staff. One patient said, ‘The staff are very kind and I shall miss them.’ Another told us that staff were ‘all quite friendly’. We were told that patients thought their privacy was protected and that they felt staff were respectful during their visit to the hospital. Patients also told us that they had felt involved in planning their care or treatment. Staffing levels were identified as a problem by patients. Comments included ‘There are not enough staff.’ ‘Things never happen when they [the staff] say they will’. ‘The staff are always smiling when they do come to assist but there just aren’t enough of them.’ Although, on our visit, at least 95 of the 100 patients and visitors, we spoke to told us they felt well cared for, we were informed that sometimes this was not the case. Patients mainly described the response to call bells the main problem with their care. Patients on other wards said were very satisfied with the amount of time they were waiting. Some patients told us they had not been told of why delays in treatment had occurred during their stay. Other patients on other wards described having to be moved in the middle of the night as disruptive. There was confusion about the different uniforms staff wore. Other patients said the uniforms were very confusing meaning they did not know who to ask for what. One person said ‘It’s enough to make any one muddled’. We were told that patients were pleased with the way they received their medicines in hospital. Some patients told us that they had to wait for medicines to take home on some occasions, but most patients said that they hadn’t had to wait too long. The views about the food provided within the hospital continued to vary. Comments included ‘very good’ and ‘excellent’ to ‘awful’ and ‘like school dinners, you either loved them or hate them.’ Patients thought staff worked very hard to keep ward areas clean. Patients and visitors complained to us about the car park, because of the cost and additional stress when appointment times were delayed or were late. Patients appreciated the access to the faith-room facilities, religious services and mobile shop run by the voluntary service. Patients told us they knew how to complain and that if they had any concerns they would raise them straight away with the staff on the ward. People also knew about the Patient Advisory and Liaison (PALS) team, although confidence was not high regarding the way complaints were currently managed. Royal Eye Infirmary We visited all areas of the Infirmary. We spoke with thirteen patients, four of which were children. We also spoke with 6 relatives, 6 parents and 9 members of staff. Patients said they thought their care and treatment at the Eye Infirmary was very good. We were told ‘The staff care for me beautifully, they are wonderful and excellent’ and ‘The staff are lovely, very reassuring and calming’. We were told that patients were very satisfied with the information given either verbally or in leaflets (including some in large print) and all were confident that they knew exactly the nature of their treatment. One person said ‘The paperwork received was very good’. Mount Gould We visited the clinic areas, at Mount Gould Hospital, that Plymouth Hospitals NHS Trust use. We spoke with four members of staff and four patients. We also spoke with one relative. All patients spoken with said they were well cared for and the treatment they had received was very good. All comments about staff were positive. Patients felt there were enough staff in attendance. Comments included ‘I waited no time at all’. One patient said, “I was anxious, but the Dr made me feel so much better, she put me at ease”. This person went onto say that the Doctor had asked lots of questions and was very interested. “I felt very involved in my care”. Another patient said ‘The doctors are lovely.’ Headquarters Headquarters is a ‘virtual location’ based at Derriford Hospital. It is used to organise community services (mainly maternity). It involves the organisation of midwives working in the community including at peoples homes, local GP clinics and children centres. We visited one children’s centre where we spoke with one midwife, three women and one partner. All women we spoke with said they had felt respected during the pregnancy, birth and post delivery period. Women explained that they had been given enough information throughout their pregnancy. The feedback regarding care was positive. One woman said ‘Its been nothing but brilliant’. Another woman said ‘My midwives have been lovely, I’ve had the same one most of the way through, it did not matter to me who I saw as they are all lovely.’ Two of the three women and the partner we spoke with said they had not needed to complain. However, none of the women or partner we spoke with knew how to make a complaint. Tavistock Hospital We visited the operating department and outpatient department at the hospital. We spoke with 7 patients, 3 relatives and 7 members of staff. Patients said staff caring for them were respectful about what their needs were. One patient said ‘they really took time to find out about me and put me at my ease.’ Patients all agreed that the care and treatment they received was excellent. Each person said that from the time of entering Tavistock Hospital they were well cared for having everything clearly explained. The positive feedback also referred to reception staff, nurses and doctors. Kingsbridge Hospital We visited two departments at Kingsbridge Hospital. We spoke with 3 patients and 5 members of staff. Patients said they had been given a choice of going to Kingsbridge hospital or Derriford. One patient told us ‘It is more convenient to visit Kingsbridge hospital rather than go into Plymouth.’ All comments about the hospital and care were positive. One patient said ‘I come here regularly for treatment and they are all excellent.’ Cumberland Centre We visited the x ray department, physiotherapy department and outpatients clinic. We spoke with 4 members of staff, three relatives or escorts and 4 patients. All comments received about the staff, and the care provided at the Cumberland centre, were positive. Patients told us they thought staff had been ‘Very polite and friendly’ during their care. One person said ‘It is so nice coming here rather than going up to the main hospital.’ Another patient said the care they had received was, ‘Brilliant’ and added that ‘they have cured my pain’. Liskeard Hospital We were unable to speak with any patients on the day of our visit to Liskeard Hospital because either clinics were not running that day, or had been cancelled. We were able to read a comment book left in reception in which people visiting the hospital had added numerous comments. All comments read were positive. These include people saying it was the best hospital they’d ever visited and commented about the excellent staff and excellent service provided.
22nd March 2011 - During a themed inspection looking at Dignity and Nutrition
During our visit patients told us they felt involved in their care and were very complimentary about the staff. Patients said they felt they had been treated with respect whilst in hospital and not felt embarrassed or uncomfortable during their stay. One person said ‘They are very caring and they listen and answer my questions’. Without exception, patients told us they thought they had their needs met. Patients told us staff encouraged them to ‘do as much as possible to keep active’. One person said ‘staff check I am OK and then just check on me now again. I find this very reassuring’. Patients talked of feeling involved in their care but also of ‘trusting’ doctors and nurses. The feedback about the taste of the food was varied, although everyone said there was enough to eat. Some patients said the food was awful, whilst others said it was the highlight of their day. One person said ‘I have an arrangement with the housekeeper to give me a larger portion of potatoes. One person said ‘Everything was in place’ about their special diet, ‘from the moment I stepped into the ward. I usually have a choice from two or three items each mealtime and fellow patients sometimes say they wish they could have my meals as well’.
16th February 2011 - During an inspection in response to concerns
Because we were reviewing practice in the operating theatres we did not speak to many people who use the service. The very small number of people we did speak with, said staff had been very kind and that they had been treated very well.
1st January 1970 - During an inspection to make sure that the improvements required had been made
We conducted a follow-up inspection on 11 and 18 December 2018. We did not review ratings as part of this inspection. This inspection was focused solely on the improvements required as detailed within two warning notices. These warning notices were issued to the trust on 13 August 2018, with the requirement to make significant improvements regarding the quality of healthcare by 26 October 2018. The following areas of concern were identified in the warning notices:
Medicines and Pharmacy
Diagnostic Imaging
We found the trust had not fully addressed or sufficiently acted on some of our concerns in the warning notice. The full warning notice and the actions taken needed better executive oversight. The detail of the warning notice had not been appropriately reviewed and acted on. However, we recognised the trust was making some progress and that a cultural shift would take time, which was relevant to both areas inspected.
In Medicines and Pharmacy we found:
However:
In Diagnostic Imaging we found:
However:
Following this inspection we told the provider it must take some actions to comply with the regulations, and it should make other improvements, even though a regulation had not been breached, to help the service improve. We also served the trust with a section 29A warning notice requiring the trust to make significant improvements within the diagnostic imaging department. Please see details at the end of this report.
Importantly, the trust must:
Pharmacy and Medicines
Diagnostic Imaging
In addition, the trust should:
Pharmacy and Medicines
Professor Ted Baker
Chief Inspector of Hospitals
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