Enter and view: Elgar Enablement Unit Southmead Hospital

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Summary of report content

Healthwatch South Gloucestershire conducted an Enter and View visit to the Elgar Enablement Unit at Southmead Hospital December 2018. The unit provides those who are medically fit for awaiting discharg with accommodation until care assessments are completed and care is put in place for discharge. They were asked to undertake this visit by South Gloucestershire's Health Overview and Scrutiny Committee to understand how the care provided in this unit fits in to the 3Rs programme and understand people's experiences of being treated there. Observations and conversations were recorded from 7 staff and patients. Healthwatch volunteers observed that for a facility aiming to bridge the gap between hospital and a non-medical social outcome, there were few visual clues observed. It was observed that the unit remains very hospital like and lacks homeliness. There was mixed feedback from patients regarding the overall care they received. A number of recommendations were made to the unit including that patients medically fit for discharge be mobile and dressed each day; that more is done to make the Unit feel like a thriving enablement environment where patients are working towards discharge; that patients are kept informed of the physiotherapy and occupational therapy they will be receiving; and that patients are provided with a more regular programme of activities each week, with daily options where possible. The service provider responded well to these recommendations and provided in-depth explanation for each suggestion.

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General details

Report title 
Enter and view: Elgar Enablement Unit Southmead Hospital
Local Healthwatch 
Healthwatch South Gloucestershire
Date of publication 
Tuesday, 19 February, 2019
Date evidence capture began 
Wednesday, 12 December, 2018
Date evidence capture finished 
Wednesday, 12 December, 2018
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Food and nutrition
Information providing
Quality of care
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
Other local body
If this work has been done in partnership, who is the partner? 
South Gloucestershire's Health Overview and Scrutiny Committee
Primary research method used 
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

Secondary care services 
Occupational therapy
Social care services 
After care

Details of people who shared their views

Number of people who shared their views 
Age group 
All people 18 and over
Specific ethnicity if known 
Sexual orientation 
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 
Care / support workers
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? 
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.