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Sandwell and West Birmingham Hospitals NHS Trust, which also runs City Hospital in Birmingham and Rowley Regis Hospital, has been given a requires improvement rating from the Care Quality Commission.

England’s Chief Inspector of Hospitals has rated the services provided by Sandwell and West Birmingham Hospitals NHS Trust as Requires Improvement following an inspection by the Care Quality Commission.

This inspection included the following core services; emergency department, medical services, surgery services, end of life care services, outpatient and diagnostic imaging services and the Birmingham Midland Eye Centre. Further unannounced inspections were carried out on 6, 11, 12 and 13 April 2017.

CQC has rated the trust as Requires Improvement overall. It was rated as Outstanding for being caring, Good for being well-led and Requires Improvement for being safe, effective, responsive. The trust’s previous rating was Requires Improvement.

Inspectors found that many services had improved since our 2015 inspection with End of Life Care being rated as Outstanding at both hospitals and in the community service; however, community inpatients was rated as inadequate.

CQC’s Chief Inspector of Hospitals, Professor Ted Baker, said:

“Although some improvements had been noted since our previous from October 2014, the trust had not made all the necessary changes to alter their rating.”

“Staff in the outpatients department did not have their competencies assessed to ensure they were confident and competent to carry out their role. The trust did not always ensure there was enough staffing or appropriate skill mix.”

“CQC rated the community inpatient services as inadequate because of lack of mental health capacity assessments, poor care planning and inconsistent assessment of risk.”

“Paediatric Ophthalmology services were delivered in a service that was not focused on the needs of children.”

“Despite these concerns, we found a number of areas of outstanding and good practice across Sandwell and West Birmingham Hospitals NHS Trust. “Staff must be particularly commended for their caring approach and we rated this area as Outstanding overall. We also rated end of life services and community health services for children and young people as Outstanding.”

“Patients and family members said that the care was not only excellent but that staff always went that extra mile. We observed interactions across the trust and spoke to numerous patients and relatives whom said they were treated well and kept up to date and well informed about their treatment.”

“The trust leadership knows what it needs to do to bring about improvement in the areas identified and our inspectors will return at a later date to check on what progress has been made.”

The CQC has told the trust it must take action in several areas, including:

  • Patients in the emergency department must receive treatment within one hour of arriving in line with the Royal College of Emergency Medicine (RCEM) recommendation.
  • Medical care services must ensure temporary staff being used are competent to fulfil the role.
  • Records of care and treatment in surgery provided to patients are accurate and complete.
  • The trust must ensure doctors use the appropriate proforma in place for effective clinical pathways.
  • The trust must improve local governance and ensure risks to the service are escalated, recorded, actioned and reviewed in a timely manner.

Inspectors saw several areas of outstanding practice, including:

  • The palliative and end of life care service ensured that patients and their families were involved in their care and their choices and preferences were upheld, including where they would prefer to be for their care and when they died.
  • Staff showed great compassion, empathy and an understanding of patient’s needs and preferences.
  • Newton 4 ward at Sandwell displayed a high-level person centred care approach. A number of innovative practices were developed on this ward, which included the breakfast therapy club to aid with patient rehabilitation, rewarded by the Stroke Association.
  • The palliative and end of life care service integrated coordination hub acted as one single point of access for patients and health professionals to coordinate end of life services for patients.

Full reports for the trust are available on the cqc website.

When faced with illness or immobility, it can be a struggle to carry out everyday activities that you may have once performed with ease. Our discreet personal care service is designed to support you with your day-to-day living, as well as providing you with the encouragement and emotional support that you may need to remain living independently. Our personal care service can assist you with personal hygiene needs ( washing, dressing, continence care) administering medication, at a time to suit your convenience. Maintaining your dignity is of paramount importance to us, which is why our Carers will ensure you feel comfortable at all times.

The best person to know what support you need to remain as independent as possible in your own home is you. That is why everything we do is designed around your needs and goals. These can be relatively simple like help with shopping through to high dependency 24 hour care.

  • Housekeeping
  • Personal care
  • Companionship
  • Support with information and advice
  • Housing support
  • High dependency care
  • Live-in care
  • Respite care
  • Medication management
  • Hospital to Home service
  • Complex and specialist care

Home care  can be arranged on an hourly, daily, weekly basis or a much longer plan to suit your needs. We  provides in-home care and support services to people so they can live as independently as possible in their own homes and communities. We support people to live life the way they choose.

Our trained caring friendly staff have your Dignity and respect at the forefront of delivering personalised care in the comfort of your own home. When providing home care for yourself or a family member or friend, we take the time to get to know you and make sure you are continually happy with the care you received and the staff that support you.

With Secure Healthcare as your home care service provider, you will enjoy personalised service built around your needs. Secure Healthcare pride ourselves on treating people with the same care, kindness and dignity that we would expect our loved ones to be treated.

We pride ourselves on ensuring  persons needing support are Safe, our care treatment and support helps you to maintain quality of life based on best available evidence, our staff involve and treat you with compassion, kindness, dignity and respect. We ensure our services are responsive to your needs and our management ensure high quality care is provided based on an individuals needs.

Living independently at home is something most of us would like to do for as long as possible. When that time comes to make the decision to ask for extra support to continue to live independently as much as possible, our home care services are tailored for exactly that. If you wish to learn more about how we can support you, please contact us and let one of our advisers come to see you and your family for a more detailed plan on how we can support you.

As we get older, there are plenty of challenges to overcome. Mobility can be an issue. Your memory could begin to fade. The things you used to take for granted become more difficult. The development of a health problem or a condition such dementia may mean you need someone to watch out for you.

Most of us want to stay in our own home – it’s not only good for mental and physical wellbeing but allows us to stay connected to our local community, the friends and people we’ve shared our space with for so long.

Dementia and increasing frailty as the years go by naturally leads everyone to evaluate what’s best for the future. Decisions about what to do are usually down to close family members who can be torn between keeping mum or dad in their home and making sure they stay as safe and secure, and happy, as possible.

It’s easy to think there’s no real alternative but to move your loved one into a care home where they can receive professional, around the clock attention. For years, it’s been the traditional way we care for our older relatives. But for many people it’s simply not the right solution.

Live-In Carers

There can be numerous reasons why you don’t want to choose the care home option. Mum or dad may well want to stay in the family home for a start. If they’ve lived in the same location for most of their life, why wouldn’t they want to stay? You might be worried the care homes in your area are not up to the right standard or that they cope with too wide a range of residents and won’t be able to give your loved one the attention they need.

Another option is to hire a live-in carer. This is where a professional carer comes into your home and stays in the spare room, catering to your elderly parent’s needs on a full-time basis. While care homes are staffed with compassionate and caring professionals, they can’t normally give the kind of one to one care that older people need.

With a live-in carer, this is exactly what you get.

At Secure Healthcare Solutions we know that care isn’t a once size fits all issue. What works for one person, won’t necessarily be suitable for another. We also know that elderly relatives who remain in the familiar surroundings of their home have a better quality of life than those who find themselves uprooted to a care home.

Letting a stranger into your home to look after your mum or dad can be a big decision, of course. Our selection process is quite involved with a care assessment test and face to face interview as well as on the job monitoring. We make sure that all our staff are fully vetted and have a DBS check. Their job is to build a strong, caring relationship, not just with their ward but those around who have an emotional and familial connection. That’s why we take such care on who comes to work for us.

At Secure Healthcare Solutions, we believe t’s not just about having a full-time carer at home. It’s about the right plan tailored for your needs, getting the perfect match and a carer who essentially becomes a part of the family. Yes, they can handle all medical, health and personal needs but they also provide the companionship that so many of us need in later life.

If you wish to learn more about how we can support you, please contact us and let one of our advisers come to see you and your family for a more detailed plan on how we can support you.

Let us help you get the care you need for the life you want.

As we get older, there are plenty of challenges to overcome. Mobility can be an issue. Your memory could begin to fade. The things you used to take for granted become more difficult. The development of a health problem or a condition such dementia may mean you need someone to watch out for you.

Most of us want to stay in our own home – it’s not only good for mental and physical wellbeing but allows us to stay connected to our local community, the friends and people we’ve shared our space with for so long.

Dementia and increasing frailty as the years go by naturally leads everyone to evaluate what’s best for the future. Decisions about what to do are usually down to close family members who can be torn between keeping mum or dad in their home and making sure they stay as safe and secure, and happy, as possible.

It’s easy to think there’s no real alternative but to move your loved one into a care home where they can receive professional, around the clock attention. For years, it’s been the traditional way we care for our older relatives. But for many people it’s simply not the right solution.

Live-In Carers

There can be numerous reasons why you don’t want to choose the care home option. Mum or dad may well want to stay in the family home for a start. If they’ve lived in the same location for most of their life, why wouldn’t they want to stay? You might be worried the care homes in your area are not up to the right standard or that they cope with too wide a range of residents and won’t be able to give your loved one the attention they need.

Another option is to hire a live-in carer. This is where a professional carer comes into your home and stays in the spare room, catering to your elderly parent’s needs on a full-time basis. While care homes are staffed with compassionate and caring professionals, they can’t normally give the kind of one to one care that older people need.

With a live-in carer, this is exactly what you get.

At Secure Healthcare Solutions we know that care isn’t a once size fits all issue. What works for one person, won’t necessarily be suitable for another. We also know that elderly relatives who remain in the familiar surroundings of their home have a better quality of life than those who find themselves uprooted to a care home.

Letting a stranger into your home to look after your mum or dad can be a big decision, of course. Our selection process is quite involved with a care assessment test and face to face interview as well as on the job monitoring. We make sure that all our staff are fully vetted and have a DBS check. Their job is to build a strong, caring relationship, not just with their ward but those around who have an emotional and familial connection. That’s why we take such care on who comes to work for us.

At Secure Healthcare Solutions, we believe t’s not just about having a full-time carer at home. It’s about the right plan tailored for your needs, getting the perfect match and a carer who essentially becomes a part of the family. Yes, they can handle all medical, health and personal needs but they also provide the companionship that so many of us need in later life.

If you wish to learn more about how we can support you, please contact us and let one of our advisers come to see you and your family for a more detailed plan on how we can support you.

Let us help you get the care you need for the life you want.

Caring for a loved one with dementia poses many challenges for families and caregivers. People with dementia from conditions such as Alzheimer’s and related diseases have a progressive biological brain disorder that makes it more and more difficult for them to remember things, think clearly, communicate with others, or take care of themselves.  From angry outbursts to more physical manifestations of behavior, understanding and dealing with our loved one’s dementia behaviors may be one of the most stressful parts of being a caregiver.  Dementia involves more than just memory loss. A person with this disorder can be a challenge to take care of.  Caring for a loved one with dementia poses many challenges for families and caregivers.

The cause of the disease can have a bearing on the type of care given. Before embarking on caring for such a patient consider the following questions.

Is the dementia part of a brain disease process?

Is there a history of brain injury?

Is it the so called senile dementia which is considered part of the aging process?

Where to care for the dementia patient

Depending on the severity and predominant symptoms, a person with dementia can benefit from either home care or institutional based care. Where only personal care issues are involved, a general carer may be able to offer  care to the patient. However, where symptoms pose a risk to self and others, then a professional nurse may come in to offer at home care services.

Seven Tips for Communicating with a Person with Dementia

  1. Set a positive mood for interaction. …

  2. Get the person’s attention. …

  3. State your message clearly. …

  4. Ask simple, answerable questions. …

  5. Listen with your ears, eyes and heart. …

  6. Break down activities into a series of steps. …

  7. When the going gets tough, distract and redirect. 

Emotional  and Physical support

People with dementia feel anxious when they realize that they have mental related problems. Showing Care, patience and reassuring them will help them to cope better and enjoy improved self-worth. Other measures to help these patients lead a dignified life include:

  • Helping them remain clean
  • Helping them dress
  • Helping them eat a healthful diet
  • Assisting them to remain as physically active as possible. This will be determined by their degree of mental or physical disability.
  • Legal representation and protection.  Some people may take advantage of the altered mental status of dementia patients. Help them get their rightful state support where necessary and protect their finances from potential fraudsters.

When dealing with difficult behaviors from someone with dementia, it’s important to remember that they are not deliberately being difficult. Our loved one’s sense of reality may now be different from ours, but it is still very real to him or her. As caregivers, we can’t change the person with dementia, but we can employ strategies to better accommodate any problem behaviors. Both the environment you create at home and the way you communicate with your loved one can make a significant difference.

Dementia can cause mood swings and even change a person’s personality and behavior. This Fact Sheet provides some practical strategies for dealing with the troubling behavior problems and communication difficulties often encountered when caring for a person with dementia. If you are the main carer of a dementia person, don’t forget to care for yourself. Burnout is a real possibility. To avoid this, always source for help and take needed break every now and then.

Be aware of the signs of dementia

Memory loss is one of the key symptoms, but others include:

  • increasing difficulty with tasks and activities that require concentration and planning
  • depression
  • changes in personality and mood
  • periods of mental confusion
  • difficulty finding the right words

If someone you know is becoming increasingly forgetful, you should encourage them to see their GP to talk about the early signs of dementia.

Finally, there are so many more behavior interventions, treatments and specialty care providers now than ever before. Don’t be afraid to reach out and talk to one of our qualified advisers.

You can read more top tips for talking about dementia on the UK Alzheimer’s Society website.