The Care Quality Commission (CQC) leads on hospital inspections and encourages improvements to all care services.
In May 2020 the CQC published its inspection report of Stockport NHS Foundation Trust, rating the Trust as `Requires Improvement`overall.
CQC's inspection summary stated:
- We rated safe, effective, responsive and well-led as requires improvement. We rated caring as good. We rated three of the trust’s 13 services as requires improvement, one as inadequate and nine as good. In rating the trust, we took into account the current ratings of the nine services not inspected this time.
- We rated well-led for the trust overall as requires improvement.
- We rated urgent and emergency care as inadequate. We rated medical care, maternity and children and young people’s services as requires improvement.
- Within urgent and emergency care, people were not always kept safe and were at high risk of avoidable harm during periods of heavy demand on the service.
- Risk assessments for patients with mental health needs were not being completed, meaning that opportunities to prevent or minimise harm were missed. We raised this with the trust and they took immediate action to address this.
- There was a lack of consistency in the effectiveness of the care, treatment and support that people received in some areas.
- There were significant issues with the flow of patients through the emergency department and the hospital so that patients were assessed, treated, admitted and discharged in a safe, timely manner. Emergency care was consistently unable to be provided in a timely way. Women could not always access the maternity service of their choice when they needed it. High numbers of patients were medically optimised and awaiting transfer or discharge.
- Governance and risk management systems were not always effective. There was a lack of oversight of key performance areas in the services.
- There had been improvements, particularly within medical care, regarding staff knowing how to support patients who lacked capacity to make their own decisions or those who were experiencing mental ill health.
- We rated caring as good in medical care, maternity and services for children and young people.
- There was improved compliance with the Fit and Proper Persons Requirement (Regulation 5 of the Health and Social Care Act (Regulated Activities) Regulations 2014).