Page 9 - TSAB Board Minutes - 23 September 2019

This document was classified as: OFFICIAL

Action Points Action Owner Deadline
1. NHS Assurance Framework to be discussed at the next JG 25/10/19
meeting

Agenda Item 13 South Tees Hospitals NHS Foundation Presenter: Helen Smithies
Trust CQC Report
Helen Smithies highlighted the key points from the CQC Report in relation to safeguarding:
 There were a number of announced and unannounced inspections between January and February
2019
 The overall rating for the Trust was ‘Requires Improvement’
 The categories of ‘well led’, ‘safe and effective’ were rated as inadequate.
 ‘Caring and responsive’ was rated good.
 ‘Critical care’ was rated inadequate, although patients and carers gave positive feedback. Noted
that there was a lack of knowledge regarding Female Genital Mutilation (FGM)
 Mandatory training was raised as a compliance issue
 Staff involved patients and more care to be taken in decisions about care and treatment
 Therapeutic care team demonstrated outstanding practice
 Urgent and emergency staff applied safeguarding procedures for adults and children so that
vulnerable people were protected from abuse
 Medicine – care for patients with compassion with a strong patient focus. Staff on all levels
advocated a positive patient experience
 Surgery – understood how and when to assess capacity and followed policy when a patient was
unable to consent. Staff understood their role and responsibility under the Mental Health Act and
Mental Capacity Act on how to support patients
 Diagnostic Imaging – staff knew how to recognise and report abuse

An action plan will be developed and submitted to CQC. There will be additional scrutiny from CCG to
monitor the action plan. STHFT are reviewing their training provision – a pragmatic approach will be taken
to look at an e-learning package. It is thought that the Trust should achieve 90% compliance by the end
of October 2019.

Agenda Item 14 Any Other Business Presenter: All
TSAB Terms of Reference
The Terms of Reference will need to be reviewed following circulation of Legal Considerations for SABs
document via the National Chair’s Network. Defer to the next meeting.

Members Induction Pack
Whatever changes are made within the Terms of Reference will need to be replicated in the Members
Induction Pack. Defer to the next meeting.

TEWC CQC Inspection
All TEWV services are currently being inspected by CQC. It was noted that West Lane hospital has closed.
AB requested that the CQC Report is presented at Board once published.

South Tees Children Partnership
LG advised that she has been invited to attend this meeting as they are keen to have input from the TSAB.
LG is willing to be the representative, but asked if anyone else wanted to pick this up. It was suggested
that LG attends the first meeting and feeds back to the Board.
Action Points Action Owner Deadline
1. Terms of Reference and Members Induction Pack to be LG 25/10/19
discussed at the next meeting
2. TEWV CQC Inspection Report to be discussed at Board TEWV Rep. TBC

Next Meeting Date: Friday 25 October 2019
Time: 9:30am – 1pm

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