A recently published Care Quality Commission (CQC) inspection report has praised the input of the WMAHSN's West Midlands Patient Safety Collaborative in Walsall's community services gaining an outstanding rating.
On 20 December, the CQC published the report of its inspection of Walsall Healthcare NHS Trust. The trust is the only provider of NHS acute care in the Walsall borough, providing inpatient and outpatient services at the Manor Hospital as well as adult, children and young people and end of life care services in the community and serving a population of approximately 270,000 people.
The CQC paid its visits on 31 May and 20 – 22 June 2017, and while the report shows progress in each service area, a rating of “outstanding” was given to Walsall's end of life community services, while community health services for adults were rated as good. This makes Walsall Healthcare NHS Trust one of only a handful of community services in the country with this rating.
The CQC report acknowledges the input of the West Midlands Patient Safety Collaborative - hosted by WMAHSN - in contributing to the success of the service, particularly the Safer Provision and Caring Excellence (SPACE) programme and related improvements. The SPACE programme is a large-scale care home improvement programme being undertaken in the West Midlands, which aims to strengthen safety culture and reduce the incidence of adverse safety events.
The report said: "Patients living in nursing homes were both vulnerable and dependent. The trust had a team working across the Walsall borough which provided support and advice to the independent care home sector. A member of the team undertakes fragility assessments and a weekly visit to review patients. From January 2017, the team secured a two year fixed term funded contract for a quality lead nurse, to support with embedding the model to improve the quality of care in private nursing homes. In addition, funding was in place for a 12 month contract for education to reduce avoidable harms in residential care. The regional Patient Safety Collaborative had funded both posts.
"The private nursing home case management project had continued to develop and had secured additional funding from the West Midlands Academic Health Science Network to continue the development of the service. New initiatives included Learning from Excellence and Appreciative Inquiry, reduction in pressure ulcer incidence and implementation of quality boards in care homes.
"Staff told us, and we saw, that pressure ulcer incidence within private nursing homes had decreased and increased numbers of people were able to die in their care home where they had staff who knew them, rather than in an acute hospital."
The full report can be found on the CQC’s website.