Enter and view: Airedale NHS Foundation Trust; Ward One, elderly care

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Summary of report content

Healthwatch Bradford and District conducted an announced Enter and View to Ward One, Airedale NHS Foundation Trust, on 19 August 2013 in response to feedback from local people about the care of older people with a cognitive impairment on this ward. Prior to the visit the Healthwatch Bradford and District Authorised Representatives had received information on the dementia awareness training and the Butterfly Scheme adopted by the trust. Ward One is a mixed ward with a total of 30 beds with the left wing being for male patients and the right for female patients. It is a general ward for older people with a variety of medical conditions requiring hospital care and treatment. Many have cognitive problems, including dementia, as well as physical care needs, with the average age being over 80, and a few patients being over the age of 100. All patients over the age of 75 are assessed for cognitive impairments. The report notes that staff on the ward are aware that this is not the most suitable physical environment for these patients, due to the narrow corridors and shiny floors etc. The Trust has been awarded funding to refurbish this ward, to make it a better environment for people living with dementia. Comments from patients and relatives were, on the whole, complimentary of the care they received on the ward, and the visiting team agreed and made recommendations to further enhance the level of care being provided: The Authorised Representatives reported that, while the Butterfly symbol is in patient notes, it might be useful to find a way of making the symbol more visible, instead of having to open the patient notes. They suggested a magnetic butterfly placed at the end of the bed would be more visible to all staff (e.g. porters, cleaners) and felt it was important that all staff could see at first glance, and be aware, that the patient has a cognitive impairment and therefore might have additional needs. There were also recommendations relating to communication with patients, especially those whose first language is not English, and involving carers and relatives in the discharge conversations and plans. There is no response from the provider included in this report.

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General details

Report title 
Enter and view: Airedale NHS Foundation Trust; Ward One, elderly care
Local Healthwatch 
Healthwatch Bradford
Date of publication 
Monday, 19 August, 2013
Date evidence capture began 
Monday, 19 August, 2013
Date evidence capture finished 
Monday, 19 August, 2013
Type of report 
Enter and view
Key themes 
Administration
Building and facilities
Communication between staff and patients
Complaints procedure
Consent to care and treatment
Continuity of care
Decor
Diagnosis
Discharge
Holistic support
Information providing
Interpreters
Lifestyle and wellbeing
Medication
Quality of care
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Support
Healthwatch reference number 
Rep-5015

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
Primary research method used 
Observation
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Announced

Details of health and care services included in the report

Secondary care services 
Acute services without overnight beds / listed acute services with or without overnight beds
Care of the elderly
Dementia

Details about conditions and diseases

Conditions or diseases 
Neurological conditions
Types of disabilities 
Memory
Types of long term conditions 
Alzheimer’s disease or dementia
What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
12
Age group 
All people 18 and over
Gender 
All
Ethnicity 
Mixed / multiple ethnic groups
Sexual orientation 
Not known
Does the information include public's views? 
No
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Nurses
Service manager
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
No

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.