Enter and view: Downhills Ward and St Ann's Hospital

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Summary of report content

Healthwatch Enfield gather information on people’s experiences of health and social care services and there are times when it is appropriate for Healthwatch Enfield to see and hear for themselves how services are being delivered: these visits are called ‘Enter and View’, they are not inspections. Healthwatch Enfield visited Downhills Ward, St Ann’s Hospital on Thursday 19 March 2015 and Wednesday 29 April 2015. The summary of findings highlighted areas in relation to patient feedback, staff feedback and observation. The overall impression Healthwatch Enfield gained from our visits to Downhills Ward was that the manager and staff work hard to provide skilled support to the patients in their care, but that their ability to provide an excellent service is limited, largely by circumstances beyond their immediate control. The ward operates in a very challenging physical environment in old premises which urgently need to be replaced. There appears to be severe pressure on beds, exacerbated by the shortage of suitable accommodation locally for patients to move into when they are ready to be discharged. Healthwatch Enfield found that patient experience is compromised by the poor environment, with some patients having to share four-bedded dormitories, and with limited access to secure outdoor space. Healthwatch Enfield also gained the strong impression that staff are over-stretched, and do not have enough time to deliver person-centred care on a consistent basis to all the patients. Healthwatch Enfield hope that some of the recommendations we have made can be implemented quite swiftly and at no great cost. Healthwatch Enfield recognise that other recommendations may be more difficult to implement and may take more time. There were 20 recommendations in this report.

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General details

Report title 
Enter and view: Downhills Ward and St Ann's Hospital
Local Healthwatch 
Healthwatch Enfield
Date of publication 
Wednesday, 29 April, 2015
Date evidence capture began 
Thursday, 19 March, 2015
Date evidence capture finished 
Wednesday, 29 April, 2015
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Health and safety
Health promotion
Information providing
Quality of care
Quality of regulation
Quality of staffing
Quality of treatment
Staff attitudes
Staff levels
Staff training
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
Primary research method used 
Structured interview
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 

Details of health and care services included in the report

Mental health services 
Psychiatry / mental health (other services)

Details of people who shared their views

Number of people who shared their views 
Age group 
Not known
Not known
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Does the information include staff's views? 
Types of health and care professionals engaged 
All care professionals
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
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.