Better Care

Inspectors rate BCHC care quality 'good' and 'outstanding'

Moseley Hall Hospital patient and nurse
A report by England's Chief Inspector of Hospitals, Professor Sir Mike Richards, has judged the quality of care provided by Birmingham Community Healthcare as ‘good’.

The Care Quality Commission (CQC) inspection, which took place between 23 and 27 June, found the Tust was well led, effective, responsive, caring and safe, rating the trust as ‘good’ overall.

BCHC staff were praised for their caring and compassionate nature.

The end-of-life service was rated 'outstanding' for its level of care and inspectors particularly noted the positive feedback received from patients and carers, with the majority saying they would recommend our services to others.

Detailed reports relating to the services inspected are available to download from the CQC website.

BCHC provides over 100 different clinical services in a wide range of community locations across Birmingham and beyond. Inspectors found many areas of good practice, including:

  • the podiatry service, where staff had used national guidance to identify ways of reducing unnecessary referrals which reduced the number of major amputations from diabetic or vascular complications.
  • by working closely with GPs and acute services, staff working with patients with chronic kidney disease, provided support and guidance to enable people to manage their own condition preventing people reaching crisis and needing hospital care.
  • the quality of care and extra steps that staff across end -of-life services carried out to support patients and their families.
  • ongoing work to provide dental services to specific groups of patients, often with complex needs.
  • community dental services provided cognitive behaviour therapy (CBT) to anxious patients in order to help them overcome their long-term anxieties.

CQC found some areas where the Trust should make improvements, which included:

  • ensuring that learning, following serious untoward and never events, is shared across all areas of the organisation.
  • making sure the quality of record keeping is improved and that audits accurately reflect practice.
  • the Trust needed to put appropriate decontamination processes and infection prevention audits in place to demonstrate improvements.
  • ensuring all staff are aware of their roles and responsibilities with regard to major incidents.
  • improving the telephone system at Birmingham Dental Hospital so patients can access clinic and appointment information in a timely manner.
  • working with partners to ensure the effectiveness of the transition between childhood and adults services and reduce unnecessary anxiety in young people, their parents or carers.

BCHC chief executive Tracy Taylor said: "I am delighted that the CQC inspection has proved thoroughly positive for us with inspectors noting how patients and carers praised staff for their ‘caring and compassionate nature’.

"This is a great credit and testament to all staff who work at BCHC, for their ongoing commitment to putting the patient at the very heart of everything we do.

"On behalf of the Board, I would like to place on record our gratitude for the commitment and dedication of everyone who played a part in delivering the very best care for our patients and service users. These findings are a great credit to all our staff and give us a very positive platform from which to continue developing into the future."

The new-style CQC process included larger inspection teams, made up of specialist nurses and therapists as well as people who use services as well as CQC’s own inspectors, to look at health services provided in the community.

Chief Inspector of Hospitals, Professor Sir Mike Richards said: “On all of our inspections, inspectors ask whether a service is safe, effective, caring, responsive to people’s needs, and well-led.

“Birmingham Community Healthcare NHS Trust was found to be providing a good service over all. Patient feedback during our inspection was positive and staff  were praised for their caring and compassionate nature.

“While some areas for improvement have been highlighted to the leadership at the trust, overall Birmingham Community Healthcare is a good trust providing safe, caring, effective and responsive services that are well led. The Trust knows what action it now needs to take to make any improvements.”