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

Report title 
Enter and view: Countess of Chester Hospital, Ward 43
Local Healthwatch 
Healthwatch Cheshire West and Chester
Date of publication 
Tuesday, 18 March, 2014
Date evidence capture began 
Tuesday, 18 March, 2014
Date evidence capture finished 
Tuesday, 18 March, 2014
Type of report 
Enter and view
Key themes 
Access
Administration
Admission
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Consent to care and treatment
Continuity of care
Decor
Discharge
Food and nutrition
Health and safety
Health promotion
Health protection
Holistic support
Information providing
Integration of services
Prescription
Quality of care
Quality of staffing
Quality of treatment
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Support
Healthwatch reference number 
Rep-5085

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
Care of the elderly
Pharmacy

Details about conditions and diseases

Types of disabilities 
Not known
Types of long term conditions 
Not known
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 
5
Gender 
Female
Ethnicity 
All
Sexual orientation 
NA
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 
Administrative
Nurses
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.