Enter and view: Cotswold House, Warneford Hospital

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Summary of report content

Healthwatch Oxfordshire undertook an Enter and View visit to Cotswold House at Warneford Hospital on 11 July 2019. It is an adult eating disorder unit with 14 beds for inpatients (and 6 spaces for day patients). They heard from three patients on an individual basis and 10 within a group setting. They met with eight staff and heard from two family members. They found that patients and staff had turned a small unit into a lovely space with the use of arts, crafts and plants, however the unit does not appear large enough for its purpose . There were examples of excellent working practices such as information leaflets written by patients and carers. Staff clearly valued being part of a close, supportive and dedicated team. The garden is a huge asset in aiding the recovery of patients. There are ongoing problems with the plumbing and frequent breakdown / blockage of showers. Staff told Healthwatch that patients are presenting more and more with multiple mental health issues and with funding focused solely on eating disorders, it can be harder to make long term changes. There were 7 recommendations and the report contains a response from the provider.

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General details

Report title 
Enter and view: Cotswold House, Warneford Hospital
Local Healthwatch 
Healthwatch Oxfordshire
Date of publication 
Monday, 9 March, 2020
Date evidence capture began 
Thursday, 11 July, 2019
Date evidence capture finished 
Thursday, 11 July, 2019
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Engagement
Food and nutrition
Health promotion
Holistic support
Lifestyle and wellbeing
Quality of care
Quality of staffing
Service delivery organisation and staffing
Healthwatch reference number 
Rep-7404

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
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

Mental health services 
Eating disorder services

Details about conditions and diseases

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 
23
Age group 
All people 18 and over
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
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 
All care professionals
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? 
Not known
What type of impact was determined? 
Network related 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.