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'Serious concerns' over Croydon University Hospital | |
(35 minutes later) | |
Elderly patients were discharged in their night clothes from a south London hospital, inspectors have said. | Elderly patients were discharged in their night clothes from a south London hospital, inspectors have said. |
The Care Quality Commission report said inspectors had become aware of several such incidents at Croydon University Hospital. | |
Their report said there were "serious concerns" over poor staffing levels at the hospital's older people's ward and accident and emergency (A&E) unit. | Their report said there were "serious concerns" over poor staffing levels at the hospital's older people's ward and accident and emergency (A&E) unit. |
Croydon NHS Trust said it has hired 50 nurses to deal with staff shortages. | Croydon NHS Trust said it has hired 50 nurses to deal with staff shortages. |
The report said the hospital's A&E unit did not consistently provide safe care. | The report said the hospital's A&E unit did not consistently provide safe care. |
It highlighted high vacancy levels in the A&E unit and said the layout was "cramped" but said plans to rebuild the unit would improve the situation. | It highlighted high vacancy levels in the A&E unit and said the layout was "cramped" but said plans to rebuild the unit would improve the situation. |
'Poor patient experience' | 'Poor patient experience' |
Inspectors said the older people's ward was their "biggest area of concern" with understaffing resulting in a "poor" standard of care. | Inspectors said the older people's ward was their "biggest area of concern" with understaffing resulting in a "poor" standard of care. |
They said they were concerned about the high number of old people discharged in the evening and overnight and said many were discharged in their night clothes. | They said they were concerned about the high number of old people discharged in the evening and overnight and said many were discharged in their night clothes. |
Many elderly patients were going home to care homes or were being handed over to other agencies and it was better to discharge them during the day, the report said. | Many elderly patients were going home to care homes or were being handed over to other agencies and it was better to discharge them during the day, the report said. |
The CQC's chief inspector of hospitals, Professor Sir Mike Richards, said: "While most patients praised the care they had received, poor patient experience was still a theme across the trust. | |
"Long-standing staffing problems at the trust are currently being addressed by a large recruitment drive, but there were still significant staffing challenges in A&E and some inpatient wards." | "Long-standing staffing problems at the trust are currently being addressed by a large recruitment drive, but there were still significant staffing challenges in A&E and some inpatient wards." |
John Goulston, chief executive of Croydon NHS Trust, said: "Over the last few months we have appointed an extra 50 qualified nurses. | John Goulston, chief executive of Croydon NHS Trust, said: "Over the last few months we have appointed an extra 50 qualified nurses. |
"In our A&E department in January we had vacancy rates of 50% for qualified nurses and in January that would be down to 20%." | "In our A&E department in January we had vacancy rates of 50% for qualified nurses and in January that would be down to 20%." |
He added that in some cases, elderly people's families preferred for them to be discharged in the evening. | He added that in some cases, elderly people's families preferred for them to be discharged in the evening. |
But he said the trust needed to prevent the inappropriate evening discharge of patients in the future. | But he said the trust needed to prevent the inappropriate evening discharge of patients in the future. |