The Care Quality Commission (CQC) has published a report following
an unannounced focused inspection of the acute services at John
Radcliffe Hospital, provided by Oxford University Hospitals NHS
Foundation Trust.
The inspection took place in May to look at infection prevention
and control (IPC) measures in place, as data showed the trust had
experienced an increase in hospital acquired healthcare
infections such as Meticillin-resistant Staphylococcus aureus
(MRSA), Meticillin-susceptible Staphylococcus aureus (MSSA) and
Clostridioides difficile (C.difficile).
As the service was not rated during the inspection, the previous
ratings remain. The overall rating for both the trust and the
hospital is requires improvement.
Inspectors found that the trust’s IPC teams had the skills and
abilities to run the service and manage infection prevention and
control. Leaders operated effective IPC governance processes and
learning across the trust was focused on supporting patient
safety. The trust also had an open culture which meant that
patients and staff could raise concerns about infection
prevention and control without fear.
Staff said they felt respected, supported and valued. The trust
actively engaged with them to understand their thoughts and
feelings during the pandemic and had developed an e-book ‘Stories
from the COVID-19 Pandemic: #OneTeamOneOUH’ which celebrated
staff who had made a considerable impact. Staff were also
encouraged to recognise colleagues who had achieved excellence in
their area of work. Trust leaders cared about the safety and
wellbeing of staff and had developed a wellbeing plan during the
pandemic called ‘Growing Stronger Together – Rest, Reflect,
Recover’, focused on taking time out to recuperate after
particularly busy periods. They had also put ‘nap pods’ in place
to enable staff to take a break and get adequate rest when
needed.
Inspectors did have some concerns, however. Not all signs and
floor markings were clear, leading to confusion amongst staff,
patients and visitors. In some areas, changes had not been made
to the communal seating, which resulted in visitors sitting close
together. There were no effective processes in place for
monitoring cleaning schedules of clinical and public areas. In
the emergency department there were sharps bins in non-clinical
areas, and some in clinical areas that were not in stands. More
storage was needed to allow effective cleaning and reduce the
risk of cross contamination, as boxes and some other items were
stored on the floor.
The report will be published on the website today (Friday 9
July).