Enter and view: Countess of Chester Hospital; Orthopaedic Trauma Ward

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Summary of report content

Healthwatch Cheshire West conducted an Enter and View visit to the Orthopaedic Trauma Ward of the Countess of Chester Hospital on 11 March 2014. Patients on the Ward present with a variety of orthopaedic conditions - hip fractures, spinal injuries, broken bones due to road accidents. The youngest patient on the ward on the day of the visit was aged 43 and the eldest aged 98. 90% of the patients are aged 70 and over. During the course of the last month a large number of patients had dementia and extra staff were required as these patients needed one-to-one care and support. While the visiting team observed that the ward was clean and well run, the younger patient on the Ward noted that it could be noisy at night with the elderly patients becoming restless. The ward utilised 'This is me' booklets provided by the Alzheimer's society to provide reassurance to patients with dementia in an unfamiliar environment, as well as providing useful personal information to staff if patients were unable to provide this. No recommendations were made and no response from the provider is contained within the report.

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General details

Report title 
Enter and view: Countess of Chester Hospital; Orthopaedic Trauma Ward
Local Healthwatch 
Healthwatch Cheshire West and Chester
Date of publication 
Tuesday, 11 March, 2014
Date evidence capture began 
Tuesday, 11 March, 2014
Date evidence capture finished 
Tuesday, 11 March, 2014
Type of report 
Enter and view
Key themes 
Access
Admission
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Consent to care and treatment
Decor
Engagement
Food and nutrition
Health and safety
Health promotion
Holistic support
Medication
Patient records
Quality of care
Quality of catering
Quality of staffing
Quality of treatment
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Healthwatch reference number 
Rep-5079

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
Dementia
Orthopaedics

Details about conditions and diseases

Conditions or diseases 
Injuries, accidents and wounds
Musculosceletal conditions
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 
6
Age group 
All
Gender 
All
Ethnicity 
Not known
Sexual orientation 
Not known
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
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? 
No
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.