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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.

Last year’s report by Skills for Care on the state of the adult social care sector and workforce in England estimated that just under 340,000 social care employees leave their jobs each year. On average, in care homes there are about 2,800 unfilled manager jobs at any one time while, despite concerted recruitment drives, vacancy rates for social workers in the statutory sector have jumped from 7.3% in 2012 to 11% in 2016, and turnover rates continue to climb.

Sharon Allen, chief executive of Skills for Care, says: “Recruitment and retention is without a doubt the biggest issue for adult social care employers because to have sufficient [levels] of the right people with the right skills is absolutely fundamental to providing quality care and support. It is a big concern for everybody and we’re trying to help promote careers in social care … but there are many challenges.”

With 80% of all jobs in adult social care held by women, something is clearly making women want to leave the sector. And the problems are not just confined to social care. In the NHS, figures from NHS Employers show that 77% of the workforce is female. There are currently 24,000 nursing vacancies (including in social care), according to the Royal College of Nursing (RCN).

In community health nursing, there has been a 12% drop overall in full-time equivalent staffing numbers since September 2009, despite growing demand.

In the East Midlands, district nurse Mary Black says her team and other colleagues are struggling to cope, because of a mixture of unfilled vacancies, maternity leave and long-term sickness absence, which directly affect patient care. “We firefight every single day: moving patient visits, ringing round to see if other teams can help, and we often have to cancel or defer. We have bank and agency nurses to cover vacancies, but not usually sickness or maternity leave, so it means the staff who are left have lots more visits to do each day,” she says. “There is no continuity, as often there’s a different agency nurse each day and there are a lot of duties and patient visits that an agency nurse can’t do, so the complex patients fall to our permanent members of the team. Agency staff often cancel at the last minute and sometimes don’t turn up.”

Black says: “It often feels like we’re not giving our patients a very good service, we cannot spend the time with them that they often need. Incidents and complaints will have risen.”

Rob Davies, a senior physiotherapist at a large hospital in the south-west, which he asked not to be named, says it struggles to attract recruits from further afield. For the last eight months, there have been 12.5 full-time equivalent vacancies for junior physiotherapists and two for senior specialist ones. With major trauma status, and a busy outpatient unit, an overnight and weekend service, the 140 members of the physiotherapy team are swamped, even when they have a full roster of staff. Stress is now the biggest cause of workplace sickness, he says. “[Staff shortages] affect everything from how you manage the caseload, and what you can do for patients, and it contributes to staff stress. It affects morale. I’m surprised that more of us in our department don’t go off sick.

“When you don’t have the right staff levels, we have to see patients on a prioritised basis,” he says. “Patients don’t get the quality and sometimes it means people get sub-optimal outcomes. It’s frustrating and demoralising.” Some of his colleagues have voted with their feet: leaving for private sector jobs with better work-life balance, or moving somewhere with lower house prices. “They are on the same money as it’s nationally done but the property prices are different,” Davies says. In the South-West, the shortages are particularly acute for more junior grades. “It tends to be easier to recruit more senior physios as they are a band up so the pay is better but it still can be an issue getting the right people down to us.”

Last month’s report on the public sector workforce by the Reform thinktank is blunt about the impact of staffing problems. “Public services fail when employees fail,” it concludes. “This is the dramatic lesson from a number of high-profile errors in recent public service delivery. In many instances, quality is compromised, not because of individual incompetence, but the way the workforce is structured and organised.”

With potentially fewer candidates from the EU and more existing staff retiring, it will be crucial for the NHS and social care sectors to attract younger people. Allen says that there is already close working with schools and job centres to promote social care as a career and adult social care has had “phenomenal success” with apprenticeships, although the government’s levy on large employers to help fund apprenticeships could risk this success. “There’s more we can do to promote social care as a really great career for young people,” says Allen. “It’s not just about getting people in, it’s about keeping them.”

Coventry Care Job Opportunities

As one of the fastest growing health and social care providers, we have a wide range of job opportunities available. From Healthcare Assistants to Support Workers, specialised care and complex care roles, home carers, Secure Healthcare are looking for dedicated and passionate care workers to deliver high standards of care.

 

At Secure Healthcare, we know our staff are our main asset and the reason our clients continue to use us is due to the high quality standards of care our staff deliver. Secure Healthcare cover Nursing Homes, Care Homes, NHS, Private Hospitals, Prisons and community work in the West Midlands, East Midlands and London. Full-time agency workers are welcome, with block bookings and contracts available.

Our business operates 24 hours a day 7 days a week and ensures we give you constant and regular work on a daily, weekly and long term basis, we build strong relationships with our personnel which allows us to make your work with us hassle free.

 

 

Great Benefits of working with Secure Healthcare Solutions

High pay rates
Flexible shifts
Regular shifts
Block bookings
Online timesheets
Dedicated Consultant
Refer a friend scheme
Free Uniform
Free Training
Meet and Greet (First Shift)
Internal Taxi Service for shifts
Onsite Financial Advice

If you are a healthcare professional in the Coventry Area and have great passion for care, then Secure Healthcare could be the right option for you! – Why not view all Care Assistant Jobs in Coventry here and apply today. – See more at: http://securehealthcaresolutions.co.uk/candidates/hca-healthcare-assistant-and-support-workers/

Coventry Nursing Job Opportunities

A nurse is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. We specialise in providing nursing jobs in the healthcare industry. We successfully place permanent candidates in their dream jobs and we have a great reputation of placing temporary nurses on an adhoc agency basis. Specialising in Nursing and Care home, mental health, learning disabilities, community nursing, NHS, Private Hospitals and prisons to name a few.

Our relationship with private healthcare providers, NHS mean that we can offer a wider variety of settings to our candidates. Not only general Nurse jobs but also specialist roles such as  ITU nursing, Theatre, ODP/ODA, RSCN and pediatric on a temporary and permanent basis.

Competitive pay rates and weekly payments

Rewarding the best; in a rewarding career – We care about and support all our employees. To attract the best candidates, our pay rates are amongst the highest in the industry.

Personalised support

Our Clinical Lead Nurse is here to provide expert advice – from identifying additional training to supporting you to write a reflective statement. We’ll also help you create a Continuing Professional Development Plan.

Training

To enable you to start working as quickly as possible we offer a choice of online modules, in house training or practical training with one of our accredited partners. We’ve recently added a one day Managing and Preventing Aggression (MAPA) course to our in-house options.

So.. if you a Nurse looking for a Job in Coventry … Look no further !

Secure Healthcare can ensure General and Specialist Nurses are placed in a setting that meets their skills, wants and desires on a temporary or permanent basis.

Coventry Dental Job Opportunities

When managing a busy and demanding career in the Dental profession , it can leave you with very little time to focus on looking for your next move in finding the best career opportunity out there. But finding an ideal job can be life changing, making the whole experience worth taking. Whether you are a dental nurse, dentist or hygienist, we not only have permanent jobs from our extensive clients but also Temporary / Locum work. We supply small independent practices, community clinics to large corporate groups and Hospitals, Prisons and Ministry of Defence.

We provide excellent rates of pay to both our staff and service providers so why not contact our dental consultant and see what we can offer you.

We provide both long term and short term cover, emergency and short notice cover to meet service users needs, so no matter whether you are looking for full time agency, a new full time position or just adhoc cover to give you that flexible lifestyle, Secure Healthcare Dental Division can support you.

Candidate Types

Dental Hygienist

Dental Nurse

Dental Practice Manager

Dental Receptionist

Dental Therapist

Dentist

  • SIT BACK AND RELAX – Let us search for the work for you, we can offer you various assignments throughout the UK to choose from
  • PAYMENTS – Submit your time sheets when you want payments and the monies will be deposited into your account the following week.
  • NOTIFICATION OF WORK – Even if you are not fully registered with us (registration is free) we can notify you of work in your area and surrounding areas.
  • ON CALL – 24/7, 365 days of the year, we are always here for you when you need us.
  • OUR SERVICE – The service we offer is for you, tell us what you are looking for and we can offer you a bespoke service.
  • Excellent Rates of Pay – We pay among the highest in the industry.
  • Free Uniform
  • Refer a friend Scheme
  • Regular contact with your dedicated experienced consultant.

    Our pay rates are amongst the highest in the industry.

    Rewarding the best; in a rewarding career – We care about and support all our employees. To attract the best candidates, our pay rates are amongst the highest in the industry. View current roles that Secure Healthcare Solutions have available throughout the UK with high pay, great shifts and hours to suit you. Make the most of our Jobs to find your next career opportunity. It is important to take your time when applying for a new job to ensure you understand the specifications and that it is tailored to the role. It is also worth spending some time researching the organisation online and spending some time on the employer’s website. A great way in doing so is through Social Media , Testimonials and often the best tip in job hunting is to be the hunter , so just find some contact details of the Agency and give them a Call .

Register with one of the fastest growing healthcare agencies in Coventry and West Midlands

There has never been a better time to join Secure Healthcare Solutions in a full or part time jobs.

Call us on 0121 285 9449 or email us on info@securehealthcaresolutions.co.uk

In addition to recruiting and supplying staff to other home based healthcare providers, Secure Healthcare Solutions provide direct homecare services.

Housekeeping and housing support

House cleaning and all types of cleaning and other home chores can all be covered by a staff from Secure Healthcare Solutions who may do the actual job or arrange for it to be done by the right people. Payment of bills is also part of this service. Those who are still able to pursue hobbies and a social life benefit from the company’s trained assistants.

Personal care

Here the type of care is determined by the disability the patient has. The aim is however, one – to make the patient comfortable and to maintain their dignity. It entails personal hygiene, continence and other elimination matters. It also means making sure that supplies such as catheters, colostomy bags and other things that the patient may need are in stock and of the right quality.

Companionship

People who live alone may not necessarily be incapacitated by their health issues. However, loneliness can be just as bad. A friendly and professional companion from Secure Healthcare Solutions is always available whenever one is needed.

High dependency care

Here the patient needs near intensive care services. The services offered in this category are complicated and specialised. These are patients who may need respiratory support, tube feeding and intravenous medications or fluids. These are patients who may be having spinal or brain injuries. Others may be terminally ill and in need of round the clock palliative care. A skilled nurse from Secure Healthcare Solutions makes sure that such patients receive the best care possible and that all the doctor’s treatment orders are followed. These nurses also know the right questions to ask when necessary.

Live-in care

A person offering care on a continuing basis in a home considers many things. Secure Healthcare Solutions considers interests, hobbies, age and the type of disability of the client so that, the most appropriate staff is released to care for that patient. Where pets are involved, the staff’s attitude towards them is also considered. This guarantees a cordial co-existence between the carer and the client.

Respite care

Care giving can be stressful and with time burnout can result. When the care giver needs to be away for holiday or for other reasons, Secure Healthcare Solutions is ready to step-in and maintain the same care the client is used to.

Medication management

An aged patient, a mentally challenged person or a child can have difficulties in following prescribed drugs instructions. A qualified nurse is there to ascertain compliance and to prevent accidental over or under dosages. The nurse also makes sure that the medicines are kept safely and they are still potent and their expiry date is still far.

Home from hospital

Discharge from hospital can create new challenges for both patient and relatives. A Secure Healthcare Solution nurse makes sure that this transition is as smooth as possible. The nurse will arrange transport home after making all necessary clearance with the hospital. She will also make sure that all necessary equipment is available and will install what is needed by the patient at home. The homecare assistance will be tailored to meet the specific patient’s needs.

As family structure continues to evolve and homecare solutions continue to advance in various ways, people in need of specialised homecare will need more than old fashion type of assistance. The training offered by Secure Healthcare Solutions and the specific and direct homecare services it offers will become even more relevant. This is in view of the important role the company plays in the homebased healthcare industry that no individual carer can consistently match.