Agenda item

North Cumbria Integrated Care NHS Foundation Trust Care Quality Commission Action Plan

To consider a report from the North Cumbria Integrated Care NHS Foundation Trust (copy to follow).



The Committee was informed that following Care Quality Commission (CQC) inspections to the Trust during August and September 2020 they had been managing the following specific streams of work in relation to this:-


Ø    Warning Notice requirements - an urgent and emergency care (UEC) improvement plan was put in place to address the core themes issued as part of the warning notice.  Regular updates were provided to the CQC on delivering the required improvements and continued to be monitored on an ongoing basis;


Ø    Must Do and Should Do actions from the November 2020 inspection report.  The CQC report had outlined 51 must do and nine should do requirements.


The Committee received progress to?date and details of the six further strands of work which had been developed to support and sustain improvements for the long?term.


Members were informed that significant progress had been made in implementing the CQC recommendations and this had resulted in real improvements for the services which the Trust provided.  It was explained there had initially been a focus on the most urgent issues and strong foundations had been laid to ensure the actions were implemented in a sustainable way into 2021/22.


A discussion took place regarding the overview of requirements and members asked for further information regarding the Community and End of Life Care.  The Interim Chief Nurse highlighted concerns, informing members the actions required were regarding the accurate documentation on the end of life pathway and place to die.  She emphasised this was a process which should involve the entire organisations and not only palliative care.


Members noted the amber actions regarding Emergency Care and were informed they were regarding the functionality of the electronic system; plans were in place to eliminate those concerns. 


During the course of discussion the importance of an early diagnosis by Emergency Care for Sepsis was highlighted.  The Interim Chief Nurse explained this was a national issue and that NCIC had reinvigorated a programme which had been previously been in place to address this matter.


A discussion took place regarding the ‘Must Dos’ and a request was made for examples of concrete recommendations.  Members were informed these included training standards such as specific training in safeguarding, safe nurse staffing levels and sufficient resources to deliver services in a safe environment.


The Committee asked whether all staff received safeguarding supervision training.  It was confirmed that everyone received training which was commensurate with their role which included training to recognise all types of abuse including neurological issues.


A Member raised a concern regarding the negative culture amongst staff which affected the reputation of the hospital.  The Interim Chief Nurse informed the Committee that this had not been identified by the CQC but acknowledged the Executive Team were aware of the perception of the hospital and work was being undertaken to improve this.


In conclusion the Committee was informed that an Improvement Plan had been identified for 2021/22 to take forward further actions which included an agreed medical and nurse staffing model, review of the transfer policy and process, safeguarding supervision training, safeguarding champions, recognition reporting and investigation of incidents training roll out and a review of committee/meeting structures and Terms of Reference to ensure the flow of information from Ward to Board.


RESOLVED,     that the update be noted.


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