Milton Keynes University Hospital NHS Foundation Trust has had its rating upgraded to “good” overall following its latest inspection by the Care Quality Commission.
It was inspected in October 2014 and it was rated as “requires improvement” overall by the regulator.
“We found staff that were passionate about providing high quality care”
The CQC returned in July this year to carry out a focused inspection, visiting the adult and children’s emergency department, medical care wards, maternity and gynaecology services and the end of life care service.
A number of improvements had been made since the 2014 visit, which means the trust’s rating has now changed to “good” overall, said the CQC today in its latest report on the trust.
The Buckinghamshire trust was rated as “good” for being effective, caring, responsive and well-led. However, it was still rated “requires improvement” for being safe.
Inspectors said they “witnessed some areas of outstanding practice” across the trust.
These included a dedicated bereavement box that contained appropriate equipment, soft lighting, and bed furnishings to provide a comfortable environment for patients needing end of life care, which had been piloted on ward two.
The medical care service was also singled out for its proactive elderly care team that assessed all patients aged over 75-years-old, planned for their discharge and made arrangements for any ongoing care needs, and also for its “dementia café” providing emotional support to patients living with dementia and their relatives.
“Our ‘good’ rating is testament to all the hard work and dedication of our staff”
However, the CQC said there were still some areas where improvements must be made at the trust.
Its non-invasive ventilation policy was out of date and had not been reviewed, which meant there was a risk that staff were not following current guidelines, noted the CQQ.
There was also poor compliance with assessing the risk of venous thromboembolism, but the CQC noted that the maternity service had an action plan in place to address the problem.
Professor Sir Mike Richards, the CQC’s chief inspector of hospitals, said a number of improvements had been made at the trust since the last inspection.
“We found staff that were passionate about providing high quality care and patients described them as caring and professional,” he said.
“The emergency department leadership team had significantly improved the its performance in meeting the four-hour target to improve safety in seeing and assessing patients,” he said.
Sir Mike also noted that the trust’s hospital standardised mortality ratio was “significantly better than the expected rate” and generally outcomes for patients were positive.
Sir Mike Richards
“Improvements had also been made in the completion and review of patients’ ‘do not attempt cardio pulmonary resuscitation’ forms,” he said.
He added: “We found a maternity improvement board had been established to review incidents and risks and information was used to develop and continually improve the service.”
Milton Keynes University Hospital NHS Foundation Trust serves a population of around 252,000 living in Milton Keynes.
It provides hospital services including an emergency department, critical care, general medicine including elderly care, general surgery, paediatrics and maternity care.
Professor Joe Harrison, the trust’s chief executive, said: “We have come a long way from the last inspection and our ‘good’ rating is testament to all the hard work and dedication of our staff and I would like to thank each and every one of them.
“I am confident that we can continue to build on the fantastic achievements and improvements that we have made over the last few years to meet the challenges of the future and deliver excellence services to the population of Milton Keynes,” he added.