Enter and view: Countess of Chester Hospital, Ward 43

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Summary of report content

Healthwatch Cheshire West conducted an Enter and View visit to Ward 43, an female elderly acute medical ward, on 18 March 2014.

Our impression was of a busy, noisy ward, with barely enough space to accommodate the daily routine. The ward is undergoing a redecoration and the new bays look bright and welcoming and the toilet doors have new signage that is being rolled out across the hospital. These changes are the result of consultation with estate services, who, the visiting team were informed, has spent considerable time researching improvement in the dementia environment.

Staff were observed to be friendly and welcoming, although comments from patients reflected concerns about the workload on staff and the attitudes of one specific staff member.

The report made recommendations including: an increase in meeting space or storage space would be extremely welcome on the ward, a new spring on the entry/exit door would ensure that it closed properly; a mirror positioned opposite the entrance to the ward would allow the ward clerk to observe everyone entering and leaving the ward, thus improving security. (At the moment the ward clerk can’t see if the door is open or closed); improvements in prescribing could speed up the discharge process of the patients.

The report concludes that many of the problems on this ward will be solved when the new building on the site is completed - then decisions can be made as to where the ward will be located and more storage space and a better environment can be achieved. Whilst discharge times can be so lengthy, the report states, it would be beneficial to the patients to have a day room and an outside area to aid recovery.

There is no provider response included within this report.

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General details

Local Healthwatch
Healthwatch Cheshire West and Chester
Publication date
Date evidence capture began
Date evidence capture finished
Type of report
Enter and View
Key themes
Access to services
Administration (records, letters, results)
Triage and admissions
Building, Decor and Facilities, including health and safety
Cleanliness, Hygiene and Infection Control
Communication with patients; treatment explanation; verbal advice
Complaints
Consent, choice, user involvement and being listened to
Follow-on treatment and continuity of care
Discharge
Food, nutrition and catering
Written information, guidance and publicity
Prevention of diseases, including vaccination, screening and public hygiene
Lifestyle and wellbeing; wider determinants of health
Integration of services and communication between professionals
Medication, prescriptions and dispensing
Caring, kindness, respect and dignity
Staffing - levels and training
Quality of treatment
Service organisation, delivery, change and closure

Methodology and approach

Was the work undertaken in partnership with another organisation?
Not known
Primary research method used
Observation (eg Enter and View)
If an Enter and View methodology was applied, was the visit announced or unannounced?
Not Known

Details of health and care services included in the report

Details of health and care services included in the report
Other
Rehabilitation/enablement
Pharmacy

Details of people who shared their views

Number of people who shared their views
5
Gender
Women
Sexual orientation
Not known
Pregnancy/maternity
N/A
Types of disabilities
Not known
Does this report feature carers?
No
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