Chesterfield Royal Hospital NHS Foundation Trust

We inspected the hospital from 4 to 6 February 2020. As part of the inspection we visited the following areas: 

Ashover Ward (elderly medicine) 

Durrant Ward (frailty) 

Eastwood Ward (stroke services) 

Hasland Ward (haematology and diabetes) 

Manvers Ward (cardiology) 

Markham ward (respiratory) 

Pearson Ward (general medicine) 

Ridgeway Ward (gastroenterology 

Portland ward (winter ward) 

Emergency Management Unit 

Short Stay Unit 

Endoscopy Suite 

Basil ward

The Trust had 35,350 medical admissions from July 2018 to June 2019. Emergency admissions accounted for 21,125 (59.8%), 13,965 (39.5%) were day case, and the remaining 260 (0.7%) were elective.

During the inspection, we spoke with 42 staff of various grades, including ward managers, nurses, therapists, consultants, healthcare assistants, student nurses, housekeepers and administration staff. We spoke with 12 patients and their families, observed care and treatment and looked at 20 patient records which included 16 prescription charts. We looked at six records referencing Deprivation of Liberty Safeguards decisions/forms and 11 Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) forms, which integrated do not attempt cardiopulmonary resuscitation (DNACPR) decisions. We received comments from people who contacted us to tell us about their experiences, and reviewed performance information about the hospital.

The service was last inspected in September 2018. At that inspection, the medicine service was rated as good overall with effective, caring, responsive and well-led being rated good and safe as requires improvement. During this inspection we looked at the changes the medical service had made to address our concerns.