Basildon University Hospital

There was a culture of safety and learning. Risks were dealt with willingly as an opportunity to put things right, learn and improve. Staff felt confident to raise concerns, however, they did not always feel encouraged and supported to do so. Incidents were appropriately investigated, however, there were sometimes delays with embedding learning due to the time taken to complete investigations. Safety and continuity of care was a priority throughout people’s care journey. There were systems in place to ensure a collaborative, joined-up approach to safety that involved patients, along with staff and other care partners. There were effective systems and processes in place, and a strong awareness of the risks to people across their care journeys. People using the service were informed about any risks and how to keep themselves safe. Risks were assessed, and people and staff understood them. Risk assessments about care were person-centred, proportionate, and regularly reviewed. People were cared for in safe environments that were designed to meet their needs. However, some staff felt there was not enough equipment to meet the needs of patients, and equipment was not always maintained in line with policy. Recruitment practices were safe. However, compliance with training did not always meet the recommended target. Staffing levels did not always meet planned levels. However, twice daily staffing reviews and the use of the Birth-rate Plus Acuity Tool ensured staffing concerns were escalated and mitigations put in place to reduce risk. Staff received training that was relevant to their roles and responsibilities, and support they needed to deliver safe care. The approach to medicines generally reflected current and relevant best practice and professional guidance. Medicines were generally appropriately prescribed, supplied, and administered in line with relevant legislation and current national guidance.