2.7 Summary of the results from the clinical audits reported and rated since the last Clinical Audit Group meeting in April 2017 Date action Date Baseline / plan to be action Audit name Directorate Audit Rating Re-audit developed plan by received Baseline audits from the 2015/16 audit plan Review of MEWS guidance Trust wide audit of MEWS All MH Baseline Unable to rate to be undertaken. Trust wide audit of Long Term Segregation Adult Baseline Requires improvement Not yet circulated Re-audits audits from the 2016/17 audit plan 2015 2016 National Quality Requirement (NQR4) Urgent Older People Re-audit Requires In place Care Good improvement Q2 16/17 Q3 16/17 Infection Control Summary Q3 2016/17 Trust wide Re-audit In place Good Good Q2 16/17 Q3 16/17 In place CYP Quarterly CPA audit Q3 16/17 results Trust wide Re-audit In place OP Good Good In place Adult Dec 2016 Feb 2017 All MH Actions taken at the time Essential Standards bi-monthly audit Re-audit Inpatients of the audit Good Good Q2 2016/17 Q3 2016/17 Trust wide Antimicrobial quarterly audit – Q3 16/17 (excludes Requires In place Good Urgent Care) improvement Quarterly CPR audit – Q3 16/17 Trust wide Ongoing Q2 16/17 Q3 16/17 In place
2.7 Summary of the results from the clinical audits reported and rated since the last Clinical Audit Group meeting in April 2017 Audit name Directorate Baseline / Re-audit Audit Rating Date action plan to be developed by Date action plan received Baseline audits from the 2015/16 audit plan Trust wide audit of MEWS All MH Baseline Unable to rate Review of MEWS guidance to be undertaken. Trust wide audit of Long Term Segregation Adult Baseline Requires improvement Not yet circulated Re-audits audits from the 2016/17 audit plan National Quality Requirement (NQR4) Urgent Care Older People Re-audit 2015 2016 In place Requires improvement Good Infection Control Summary Q3 2016/17 Trust wide Re-audit Q2 16/17 Q3 16/17 In place Good Good Quarterly CPA audit Q3 16/17 results Trust wide Re-audit Q2 16/17 Q3 16/17 In place CYP Good Good In place OP In place Adult Essential Standards bi-monthly audit All MH Inpatients Re-audit Dec 2016 Feb 2017 Actions taken at the time of the audit Good Good Antimicrobial quarterly audit – Q3 16/17 Trust wide (excludes Urgent Care) Q2 2016/17 Q3 2016/17 In place Requires improvement Good Quarterly CPR audit – Q3 16/17 Trust wide Ongoing Q2 16/17 Q3 16/17 In place