The Commission on Quality of Care (CQC) also found that not enough nurses at the University & # 39; North Cumbria Hospitals NHS Trust were continuing mandatory training including in support of life.
"We recognize that recruitment remains & # 39; long-term challenge for trust"
Professor Ted Baker
The concerns were raised after an inspection in & # 39; July and August & # 39; this year.
F & # 39; the last week published a report (see attached PDF below), the CQC general qualification trust & # 39; "needs improvement".
The trust manages acute services Nurses of & # 39; Carlisle and Cumberland in Western Hospital & # 39; Cumberland in Whitehaven and maternity services in Penrith Community Hospital.
During this visit, the CQC assessed urgent care and & # 39; emergency, medical, surgical, maternity and child and youth services.
Inspectors found "failures of registered nurses and registered staff nurse vacancies" in all wards.
They warned that shifts "several" of registered nurses remained unfilled despite the confidence to implement "processes & # 39; escalation".
They added: "The foot & # 39; staff & # 39; nurses was also prevalent between lounges b & # 39; many rooms had teams that were described as & # 39; burned & # 39; . "
Additional support staff was not always available to wards b & # 39; more complex patients such as those with behavioral problems or aggressive tendencies, explained the inspectors.
They emphasized that the electronic systems for the registration of staffing levels and patient acuity unused b & # 39; consistently throughout the trust.
"Our report shows that we CQC significant improvement since the last inspection in 2017 despite the pressures that our services are under"
mental patients not yet very experienced long delays in the department & # 39; emergency while specialists expected to attend the local mental health trust.
The nursing and medical staff were failing to meet the target of & # 39; & # 39 compliance; 95% confidence for mandatory training, the rate for immediate life support "particularly low".
The CQC found "serious incidents" occurred due to delays in treatment for patients & # 39; sepsis, diabetic ketoacidosis (DKA) and stroke. Recognizing that trust was "aware" of the problem and has implemented new processes to treat, the inspectors said they were not incorporated at the time of their visit.
In the confidence of maternity services, 10% of women in the inspection time with care received a one for one in labor.
The watchdog also raised concerns about patient flow in the department & # 39; emergency, b & # 39; increasing number of & # 39; people waiting more than four & # 39; hours from decision to come to admission.
However, on a positive note, the inspectors found that staff worked hard to deliver the best care for patients who can.
They added: "Patients were supported by staff was kind and compassionate despite being under pressure."
It was found that the staff has understood their responsibilities with respect to & # 39; & # 39 incidents; reporting and duty & # 39; broadcasting.
Inspectors also noted improvements in staff morale in the trust area.
The inspectors added that the midwife and the medical staff worked well together to ensure that women receive the best care.
Inspectors stressed that the trust had taken "appropriate action to manage and mitigate the risk" with regard to staff nurses in child and youth services.
The trust was classified as "needs improvement" in areas of safety, effectiveness, response and management, but was considered "good" in the treatment.
The services inspected during the visit, the CQC saw urgent care and & # 39; emergency as "needs improvement", medical care as "needs improvement" surgery as "good", motherhood as "good" and children people as "good".
Edward ted Farming
The Northern trust & # 39; Cumbria appoint an interim director & # 39; nurses
Source: Simon Ledingham
The main hospital inspector, Professor Ted Baker, said he was concerned that patients were left for a long time without treatment in & # 39; Infirmary Cumberland and West Cumberland Hospital but added that the staff was "working with & # 39; a clear way to deliver the best care that can be under pressure ".
He said: "We recognize that recruitment remains & # 39; long-term challenge for the confidence and I am pleased that the team & # 39; leadership is responding to concerns qajjemna. The trust has gone & # 39; far but further improvements are necessary. "
Professor Baker added CQC continue to monitor closely and trust again & # 39; back in due time to restore & # 39; enter into its services.
Stephen Eames, chief executive at the NHS Trust at the University of North Hospitals & # 39; Cumbria, said: "Our CQC report shows that we have made significant improvements since the last inspection in 2017 despite the pressures that our -Services are under. "
He said that the rating "good" for the area of treatment was "staff working hard evidence".
However, he said the trust acknowledged that there were still areas where further improvements were needed, including non & # 39; nurses.
He said, the inspection, the degree of & # 39; trust nursing vacancy "continued to decline" due to increasing efforts to fill gaps such as attending job fairs across the country.
Speakers said that trust issues & # 39; mandatory training were highlighted by the CQC have to be addressed.
She added senior team & # 39; & # 39 running; nurses reviewed the staffing levels of nurses on trust & # 39; daily basis.