Enter and view: Bowmere Hospital, the Countess Of Cheshire Health Park

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Summary of report content

Healthwatch Cheshire West conducted an two Enter and View visits to Bowmere Hospital on 7 and 8 January 2015. Bowmere Hospital, located on the Countess of Chester Health Park, is a modern building replacing the former Deva Hospital on this site. The service is operated by Cheshire and Wirral Partnership NHS Foundation Trust, with the hospital providing a range of mental health services for adults, young adults and adolescents. These include psychiatric intensive care units and inpatient wards. Specialist services at the centre include assessment or medical treatment for persons detained under the 1983 Act, caring for people whose rights are restricted under the Mental Health Act, dementia, eating disorders, mental health conditions, substance misuse problems, treatment of disease, disorder or injury – formal and informal treatment. Each of the wards visited had an experienced ward manager who appeared to know their patients well. The hospital policy is that ward managers have a clinical background and resource managers have been appointed to relieve them of administrative burdens. The Enter and View Authorised Representatives reported feeling that that all wards and staff work closely together. All staff appeared happy, caring and good communication skills were noted. They further noted that an air of calmness was apparent in the wards we visited, cleanliness was excellent throughout and bathrooms and toilets were clean and uncluttered. Rosewood and Willow wards had laundry rooms where clients were encouraged to do their own laundry. The overall impression of these wards was that the standard of care is very high in pleasant well planned surroundings that were well cleaned. The visiting team felt that felt that staff were devoted to their job and cared for the welfare of their patients. The Authorised Representatives were told that there is a strong commitment to involve and support carers and families who contribute to planning the care programme for clients. There is significant co-ordination taking place with consultants in the community, the Trust's other community teams and other agencies including social care. The visiting team reported being pleased to see that each ward had a display board showing staff photographs and explaining the management structure. Within the wards visited, there appeared to be an overall consistent methodology of delivery to clients, which ensures clients are provided with good quality care and outcomes. This was further enhanced by the fact that there appeared to be a low turn over of staff within the service. The report suggests that the trust consider improvements to accessible toilet located near to cafeteria, follow up on patients requests for bean bag seats, consider accessibility issues regarding the Intermediate Flats on site. The report also notes that the hospital’s website needs updating with more information provided in layman’s terms. The provider responded to say that staff all reported that the Authorised Representatives from Healthwatch Cheshire West were respectful of the ward team and the patient’s privacy and dignity and provided a relaxed and positive visit. The Trust is delighted about the positive feedback provided following the visits and welcome the feedback from the Authorised Representatives and the opportunity to improve the services we provide. We will review the environment specifically relating to the accessibility of the toilet facilities within the main corridor, the patients requests for bean bags and the outside environment.

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General details

Report title 
Enter and view: Bowmere Hospital, the Countess Of Cheshire Health Park
Local Healthwatch 
Healthwatch Cheshire West and Chester
Date of publication 
Thursday, 8 January, 2015
Date evidence capture began 
Wednesday, 7 January, 2015
Date evidence capture finished 
Thursday, 8 January, 2015
Type of report 
Enter and view
Key themes 
Access
Administration
Admission
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Consent to care and treatment
Decor
Diagnosis
Discharge
Engagement
Food and nutrition
Health and safety
Health protection
Holistic support
Information providing
Lifestyle and wellbeing
Medication
Quality of care
Quality of treatment
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Support
Healthwatch reference number 
Rep-5134

Methodology and approach

Was the work undertaken at the request of another organisation? 
Not known
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? 
Not Known

Details of health and care services included in the report

Secondary care services 
Acute services with overnight beds
Child and adolescent mental health services (CAMHS)
Inpatient care
Psychiatry/mental health (hospital services)
Mental health services 
Child and adolescent mental health services (CAMHS)
Eating disorder services
Mental health crisis service
Mental health recovery service
Psychiatry / mental health (other services)

Details about conditions and diseases

Types of disabilities 
Mental health
Types of long term conditions 
Mental health condition
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 
8
Age group 
Not known
Gender 
All
Ethnicity 
Not known
Sexual orientation 
Not known
Other population characteristics 
People who misuse drugs
Does the information include public's views? 
No
Does the information include carer's, friend's or relative's views? 
No
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? 
Positive

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
No
What type of impact was determined? 
Implied Impact

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.