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    William Harvey Hospital in Kent is ordered to make ‘significant improvements’ Covid-19 rules fail

    William Harvey Hospital in Kent is ordered to make ‘significant improvements’ after nurses were found failing to follow Covid-19 rules

    • Care Quality Commission found nurse on Covid ward wore a mask incorrectly
    • Staff failed to use hand sanitiser going in and out of some hospital wards
    • Social distancing room regulations were also unclear in the medical centre 

    A hospital has been ordered to make ‘significant improvements’ after ward and emergency department staff – including a nurse on a Covid ward – were found failing to comply with pandemic rules.

    The William Harvey Hospital, run by East Kent Hospitals University NHS Foundation Trust, was given a health check by the Care Quality Commission on August 11.

    But dismayed inspectors have now ordered ‘urgent enforcement action’ and the emergency department to be risk-assessed for social distancing and coronavirus risks.

    They found that staff did not always wear personal protective equipment correctly in medical wards as well as on the Covid-19 ward.

    One member of the nursing team also seen incorrectly wearing a mask on a ward which had seen an outbreak of the disease.

    William Harvey Hospital which is run by East Kent Hospitals University NHS Foundation

    They also found that staff did not always use alcohol hand gel on entering and leaving wards and at least seven members of staff were seen entering and leaving a ward caring for patients with suspected Covid-19 without washing their hands properly.

    The emergency department staff also did not always have access to hand gel or hand washing facilities, with hand sanitiser dispensers remaining empty at both entrances even after the inspectors had raised the issue.

    And inspectors found there was an inconsistent approach to triaging patients with Covid-19 symptoms in the emergency department.

    Staff did not always wear PPE correctly in the emergency department, including failing to remove it between clinical areas and patient bays, and they did not always use the correct PPE, the inspectors said.

    They also highlighted that cleaning schedules were not kept up to date, meaning they were unsure that the wards had been cleaned properly.

    The inspectors said that not all rooms had signs to indicate how many people were permitted to be in that area while being able to socially distance, although managers told inspectors that every room should have these signs.

    Professor Ted Baker, chief inspector of hospitals for the Care Quality Commission watchdog

    Professor Ted Baker, chief inspector of hospitals for the Care Quality Commission watchdog

    Five members of staff were seen in one room which was too small to enable social distancing, the report said

    The CQC’s chief inspector of hospitals Professor Ted Baker said: ‘It is extremely disappointing to find that despite being warned about their hygiene, not enough work had been carried out to address infection control issues within the trust. It is particularly concerning during a time when infection control could never have been more important.

    ‘We had reviewed the work carried out by East Kent Hospitals University NHS Foundation Trust around infection prevention and control practices and issued a warning notice to them on August 3.

    ‘However, the scale of the concerns were so great that we carried out a focused inspection on August 11.

    ‘We used our enforcement powers by imposing conditions on the trust’s registration, to ensure people are safe.

    ‘We have assurance by our weekly engagement from the trust leadership that these issues are being addressed. We continue to monitor the trust closely.

    ‘We will return to inspect it, to determine whether significant improvements have been made and embedded.’

    Dr Sara Mumford, interim director of infection prevention and control at the NHS trust, said: ‘This inspection took place two months ago and we took immediate action to make improvements.

    ‘Since the inspection, we have retrained staff in the correct use of PPE and hand hygiene, put in place additional checks for cleaning, hand hygiene and PPE, reviewed and strengthened our policies and are making physical changes to the hospital to support social distancing.

    ‘Staff have worked incredibly hard throughout the pandemic to care for patients, and their care and safety remains our priority.’

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