Royal Berkshire Hospital Inspection Report Published

In April 2021 CQC inspectors carried out a spot check of the hospital's infection prevention and control. The report was published on 1st July 2021
Person wearing blue protective gloves

The inspection found:

• The service controlled infection risk well. Staff used equipment and control measures to protect patients, themselves and others from infection.

• The trust leaders had the skills and abilities to run the service. They understood and managed the priorities and issues surrounding infection prevention and control.

• There was good social distancing between beds in the areas/wards and temporary doors had been erected to maintain a safe infection prevention and control environment.

• The design, maintenance and use of facilities, premises and equipment kept people safe. Staff were trained to use them. Staff managed clinical waste well.

• The leaders in the service were highly visible and approachable for patients and staff. They supported staff to develop their skills, knowledge of infection prevention and control measures and applied them in practice.

• Staff told us there was a caring and supportive culture, the executive team was visible and fully engaged. Staff well-being strategies had been further developed and continued throughout the pandemic.

• Staff on the wards received good support and information from the infection control team to support effective infection prevention and control practices.

• There was a multi-disciplinary approach to managing infection control risks, which included the sepsis team, infection prevention and control (IPC) team, and microbiologists. Summary of findings 2 Royal Berkshire NHS Foundation Trust Quality Report 01/07/2021

• We recognised that the changing landscape of the COVID-19 infection will continue to be challenging, however, the team felt assured that systems and practices were sufficient to manage and adapt to the ongoing and future challenges.

• The CQC team were assured by the audits being carried out, that governance was strong enough to provide the oversight needed to identify risks and provide the hospital with the information to manage any challenges and issues moving forwards.

• Leaders and staff actively engaged with patients, staff, the public and local organisations to plan and manage infection control practices. They collaborated with partner organisations to help improve services for patients.

• The trust recognised the challenges around their facilities and estate and continued to assess and develop plans to mitigate these risks.

However:

• There were inconsistencies in the management of PPE for visitors on the wards. On some wards, visitors were given PPE at the entrance and in others they were already on the wards before they were given appropriate PPE.

• Some staff in the accident and emergency department said that they did not always feel supported, as they felt the IPC team did not answer their questions and were directed to the standard operating procedures.

• Although hand gels were available at entrances, it was not always in a prominent position with prominent signage to inform visitors to the trust.

• At the entrance to the emergency department, neither masks nor hand gel were in the direct path or vision of the visitors and access to them was obstructed by wheelchairs. The masks were on a table with no signage and hand sanitiser was on the wall.

The CQC did not formally rate the Royal Berkshire Foundation Trust after this inspection and said its previous rating of 'Good' remained.

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