Enter and view: Elderly Care Unit, Homerton University Hospital

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Summary of report content

Healthwatch Hackney conducted an announced Enter and View visit, at the Elderly Care Unit, Homerton University Hospital on 16 February 2018, because insight gathered through engagement across various health providers across Hackney suggested the unit may benefit from an independent review of the service. The Elderly Care Unit (ECU) is a 56 bed ward for patients over 65 years old who require acute care and rehabilitation, the ward was fully occupied on the day of the Enter and View visit. The 14 patients and one family member spoken to were generally positive about the ward with all those who had given a rating said it was a 4 out of 5 or higher. The Enter and View Authorised Representatives made a number of observations including the doors to the infection control bays being left open, and that the clutter in the corridors were a trip or fall risk. Healthwatch Hackney made 18 recommendations, one of which appears to have been based on information about falls which it received prior to the visit, although the Enter and View Authorised Representatives do not appear to have discussed this concern with patients. The response from the Hospital provides a plan outlining the action and the timeline for completion against all relevant recommendations.

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General details

Report title 
Enter and view: Elderly Care Unit, Homerton University Hospital
Local Healthwatch 
Healthwatch Hackney
Date of publication 
Friday, 6 April, 2018
Date evidence capture began 
Friday, 16 February, 2018
Date evidence capture finished 
Friday, 16 February, 2018
Type of report 
Enter and view
Key themes 
Access
Administration
Admission
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Consent to care and treatment
Continuity of care
Discharge
Food and nutrition
Health and safety
Health protection
Patient records
Quality of care
Quality of staffing
Quality of treatment
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Healthwatch reference number 
Rep-6888

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
Other (please specify)
Primary research method used 
User stories
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

Secondary care services 
Acute services with overnight beds
Care of the elderly
Dementia

Details about conditions and diseases

Types of disabilities 
Multiple
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 
17
Age group 
All people over the age of 65
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? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Administrative
Nurses
Service manager
Does the information include other people's views? 
Yes
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? 
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
Tangible impact (not cost related)

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.