The trust which runs St Helier Hospital in Sutton has improved in the eyes of inspectors but the hospital’s emergency department is still rated ‘requires improvement’.
The Care Quality Commission (CQC) rated Epsom and St Helier University Hospitals NHS Trust as ‘Good’ overall following an inspection in May.
Previously it was rated as ‘Requires Improvement’.
Inspectors found that although there was progress in most areas, the emergency departments at both Epsom General and St Helier hospitals remained as ‘Requires Improvement’.
But deputy chief inspector of hospitals, Dr Nigel Acheson, said there were examples of outstanding practice in the trust’s maternity service.
He said: “I was particularly impressed with the standard of maternity care at the trust, which had received a prestigious award."
But inspectors found in many areas, the environment was not appropriate for the services with old and unsuitable buildings.
The CQC says these four points need to be addressed urgently:
Ensuring there are suitable, safe environments for children and young people presenting with mental ill health to be assessed in the emergency department.
Ensuring there are systems for identifying risks to children and young people in the emergency department at St Helier Hospital.
Adequate staffing across surgical units at St Helier Hospital to provide safe delivery of care to patients.
Better management of medicines.
Chief executive Daniel Elkeles said: ““We recognise that there are some areas that need further development, and we would like to assure our patients and local communities that we are already working on that, and in fact, have already made some of the suggested improvements.
“That said, this is a very positive inspection report and I would like to take this opportunity to thank the 6,000 staff of Epsom and St Helier for working so hard, 24-hours-a-day, seven-days-a-week – you are all my heroes.”
Press bench packed
This case is generating much media interest and the press bench is now full.
The jury and defendants are about to re-enter the courtroom.
The public gallery is also well attended with members of Jodie's family there including her father.
Why do some witnesses give evidence behind a screen?
BBC Home Affairs Correspondent
During court hearings, some witnesses are
allowed by the judge to give their evidence without being present in court or
without being seen by everyone in court.
In such cases, 'special measures' are
introduced which might involve a witness testifying from behind a screen so
only the judge, jurors and barristers can see them, or by video-link from
somewhere outside the courtroom.
The central purpose of 'special measures'
is to make it less stressful for witnesses to give their evidence.
The measures can be applied to witnesses
for either side - the prosecution and the defence - and the kind of cases in
which they can be used are set out in guidance by the Crown Prosecution
They include trials in which people allege
they have witnessed serious violence or been the victim of a sexual
Those who are assessed as 'vulnerable' -
if they're under 18, have a mental health problem or disability - may also be
permitted to testify from behind a screen or by video-link.
A variety of other types of 'special
measures' are also available, such as hearing evidence without the public being
present - but this is applied less often.
Jodie Chesney's boyfriend Eddie Coyle arrives at court
Eddie Coyle, who was dating the 17-year-old at the time of her death, is due to give evidence at the Old Bailey.
Mr Coyle, 18, will be giving his evidence from behind a screen.
Two defendants 'accept they went into the park'
They jury has been shown some more CCTV, this time from the Retford Road area, near to the location where Jodie was stabbed.
Mr Aylett said this CCTV has been examined and enhanced by an expert in imagery analysis, Ashley Windsor.
Mr Windsor says the two figures who appear to be going into the park are "consistent" with them being Svenson Ong-a-Kwie and one of the teenage boys.
"In the event," Mr Aylett says, "It seems that Mr Windsor is
"On behalf of both Svenson Ong-a-Kwie and the boy, it is accepted
that they were the two who went into the park."
Defendants 'part of a joint plan to cause serious harm'
Prosecutor Crispin Aylett QC is coming to the end of his opening speech and has recapped a few of his earlier points to the jury.
He says: "At the outset I made it clear that the prosecution
allege that all four defendants were part of a joint plan to cause at least
really serious bodily harm to someone - not necessarily Jodie - in that
"If the prosecution are right about that, then it matters not which of
them actually stabbed Jodie nor who the second male in the park was.
I said that I would come back to such evidence as there is on these issues.
starting-point is to say that the prosecution accept that, in Retford Road, the
first defendant was at all times behind the wheel of the Vauxhall Corsa."
Jury told details about clothing worn by defendants
On the day that Manuel Petrovic was arrested in
Leicester, police officers went to his father’s house in Leicester, Mr Aylett has told jurors.
seized a grey Puma tracksuit that appears to be what Petrovic
had been wearing on the night of Friday 1 March."
Police also recovered a pair of "Adidas tracksuit trousers" from one of the teenage defendants.
The only other item of clothing seized was the woollen hat worn by the other teenage defendant - this was shown as an exhibit to the jury on Wednesday.
Svenson Ong-a-Kwie 'got rid of clothes' from night before
Jurors have been shown CCTV footage of Svenson Ong-a-Kwie coming and going from the hostel he was living at.
Mr Aylett adds: "He
was no longer wearing the parka-style jacket with the fur-lined hood.
he was wearing a light grey jumper with dark stripes and a pair of blue
tracksuit trousers that appear to be several sizes too short in the leg.
would suggest that Ong-a-Kwie had got rid of the clothes that he had been
wearing the night before - and it is certainly the case that the jacket with the
fur-lined hood has not been recovered - and that he had borrowed a pair of
trousers from someone shorter than him.
"Of note, however, is the fact that Ong-a-Kwie is still
wearing a pair of grey Nike Air Max trainers.
a CCTV camera inside the hostel shows Ong-a-Kwie going to his room and
then coming out again - no doubt, to pay the mini-cab driver - in a pair of
Ong-a-Kwie comes out again a few minutes later, he has swapped his slippers for a pair of
black trainers and he had a drawstring bag with him.
"He was carrying a yellow JD Sports bag that contained
something that was similar in size to a pair of trainers," Mr Aylett said.
"Ong-a-Kwie walked off
in the direction of Mashiters Hill. When he came back, ten
minutes later, he came from the direction of Collier Row Lane and he no longer
had the bag with him."
Police go to Manuel Petrovic's home over 'abandoned car'
Mr Aylett has just made reference to Mr Petrovic's car which was found abandoned in Elvet Avenue on the night Jodie was stabbed.
Two police officers went to Mr Petrovic's address as they wanted to speak with the owner of the car.
"There was a note attached to
the front door," Mr Aylett says. “'Please don’t knock. Ring this number'.
"No doubt, this was to
deter people disturbing Mr Petrovic’s mother at all hours of the night.
"Ignoring the note, PC Livermore knocked on the door. Mr Petrovic’s mother, Kata Miskova,
came to the window and said that her son was out. She said that she did not
know when he would be back.
"It is, of course, perfectly
possible that Mrs Miskova had not heard her son coming home."
Svenson Ong-a-Kwie 'booked a cab'
About an hour after Jodie had been stabbed, Svenson Ong-a-Kwie booked a taxi for him and one of the teenage boys, jurors have been told.
"The mini-cab driver was Adam Tekkol," Mr Aylett says.
Mr. Tekkol could not remember anything about the fare.
"However, having thought
about it, he was then able to tell the police that there had been two
"They had both got into the back of his cab and they had both been
Manuel Petrovic and the other teenage boy made their way to Gidea Park, Mr Aylett added.
Prosecution continues with opening
Everyone is back in place in Court 8, there are around 20 people in the public gallery this morning.
Prosecutor Crispin Aylett QC started this morning by thanking the jury for bearing with him while listening "to one voice" all week.
He picks up from his opening making reference to when the defendants separated after Jodie Chesney had been stabbed in the park on 1 March.
What has happened so far in the trial?
On Monday a panel of 18 jurors were selected and this was whittled down to 14 by the time the prosecution opened the case on Tuesday.
The 12 jurors - plus two 'spares' - heard details from prosecutor Crispin Aylett QC about the night Jodie Chesney was stabbed in the park in the Harold Hill area of Romford in east London.
Yesterday, Mr Aylett spoke about the night of Jodie's murder and said her friends had received a text from Mr-Ong-a-Kwie's "drug phone" advertising a new strain of cannabis known as "Pineapple Express".
Bryce Henderson, 18, would contact Mr Ong-a-Kwie to buy some of this cannabis to be delivered to 'Amy's Park', Mr Aylett said.
However, there was no answer from the "drugs line", and they decided to buy from another dealer.
We are back in the Old Bailey for the fourth day of the Jodie Chesney murder trial.
Yesterday, jurors were told about drugs being delivered to St Neots Road Play Park, known locally as 'Amy's Park', where the 17-year-old was fatally stabbed on 1 March.
Prosecutor Crispin Aylett QC is expected to finish his opening speech.
Then Mr Aylett will start to call witnesses in the prosecution's case.
The first witness is Eddie Coyle - Jodie's 18-year-old boyfriend.
At 21:18 someone had text the drug line number: “M8
what is that”, Mr Aylett said.
was no reply to that text. For the next five minutes, Mr Petrovic's drugs line was not
used, the court heard.
It was at this time, around 21:20, that Jodie was stabbed.
'Screams from the park'
Jurors were then told of CCTV footage from a property on Retford Close which contained sound of screams coming from the park.
Mr Aylett told jurors the footage will be shown to them in due course.
CCTV: Two people head towards 'Amy's Park'
Jurors are being shown CCTV from Friday 1 March at 21:19 of a black car driving along Retford Road away
from St Neot’s Road.
Another camera then picks up one or two people getting out of the car and striding towards the park and heading for the playground - 'Amy's Park', Mr Aylett says.
Public in gallery wear purple ribbons
Some of the members of the public sat in the gallery are wearing purple ribbon badges on their jackets in memory of the teen.
Purple was Jodie's favourite colour.
Press and public sit in on the trial
There are eight members of the media covering today's trial at the Old Bailey while a nearly full public gallery watch the proceedings in Court 8.
Return back to hostel 'consistent with picking up knife'
Jurors were shown CCTV of Svenson Ong-a-Kwie arriving back at the hostel around 20:51 - where he came out again about a minute later.
"Of course it will be remembered that, when the police searched Mr Ong-a-Kwie’s room just over a
week later, they recovered a knife", Mr Aylett said.
"There is no evidence that this was the
knife that was used to stab Jodie; on the other hand, it can at least be said
that Mr Ong-a-Kwie kept a knife (or knives)
in his room.
"Bearing in mind what was to happen, you may think that Mr Ong-a-Kwie’s return to his room at the hostel is at least consistent with his
having gone to pick up a knife."
'I need you ASAP' - texts between defendants
At 20:38, while Mr Ong-a-Kwie was on his way back to Collier Row, there
were some messages between his telephone and Mr Petrovic’s telephone, including "I need you ASAP", the court heard.
While Mr Ong-a-Kwie must still have been on his way back from
Harold Hill, he sent another text to Mr Petrovic saying “Where can I come see you? ASAP..."
Svenson Ong-a-Kwie 'upset' about something
The prosecution told jurors that while Svenson Ong-a-Kwie was
in Harold Hill he must either have heard or seen something that upset him.
his part, Joshua Compton said that there was no conversation between him
and Mr Ong-a-Kwie.
In any case, whatever it was, no sooner had the drugs been sold to
Joshua Compton than Mr Ong-a-Kwie was anxious to get hold of Manuel Petrovic, My Aylett said.
Further drug deals in the Harold Hill area
Although Bryce Henderson had no luck getting hold
of any "Pineapple Express" from Mr Onge-a-Kwie for himself and Kane Compton, Kane’s
brother Joshua, 21, had used the "drugs line" number to order some for himself.
Compton lived in Harold Hill, Mr Aylett told jurors.
Mr Ong-a-Kwie arranged to deliver Joshua
Compton’s drugs himself.
This is important because it places Mr Ong-a-Kwie in the Harold Hill area around 20:00, Mr Aylett said.
Drugs delivered to 'Amy's Park'
Jurors were reminded that Jodie and her friends had met up at Romford train station before going on to St Neots Road Play Park, known locally as 'Amy's Park' in Harold Hill at around 18:15.
Jurors were told that some of Jodie's friends had received a text from Svenson-Ong-a-Kwie's "drug phone" advertising a new strain of cannabis known as "Pineapple Express".
It was decided that on the evening of 1 March, one of the friends, Bryce Henderson, 18, would contact Mr Ong-a-Kwie to buy some of this cannabis to be delivered to 'Amy's Park', Mr Aylett said.
However, there was no answer from the "drugs line", and they decided to buy from another dealer.
The court then heard that Mr Henderson had bought cannabis from Mr Ong-a-Kwie in the past and the drugs had been delivered to him while he had been in 'Amy's Park'.
On this occasion, however, Mr Henderson sent a text to a different drug dealer - named "Jade" - who delivered £40 worth of cannabis to 'Amy's Park' around 20:00 in a blue Mercedes.
It was at this point that two males entered 'Amy's Park' and sat at the other bench from the group of friends and Jodie.
Back from lunch
We are back from a long lunch and expect the prosecution opening to continue until the end of the day.
Where not to live if you want a good care home
High concentrations of substandard care homes in some areas leave families with no choice but to accept an under-performing home for older and disabled relatives, an analysis suggests.
Over a third of beds were in settings rated as not good enough in a sixth of areas, the think tank IPPR found.
In two places - Newham in London and Manchester - at least half were.
Campaigners said high concentrations of substandard care would mean that good homes would be over-subscribed.