Enter and view: Foxglove, Jasmine and Japonica Wards at King George Hospital

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Summary of report content

Healthwatch Havering gather information on people’s experiences of health and social care services and there are times when it is appropriate for Healthwatch Havering to see and hear for themselves how services are being delivered: these visits are called ‘Enter and View’, they are not inspections. Healthwatch Havering visited Foxglove, Jasmine and Japonica Wards at King George Hospital on 10 May 2016. The key findings highlighted areas in relation to patient feedback, staff feedback and observation. Foxglove ward It was clarified that 17 beds for stroke patients remained at Grays Court in Dagenham at the time of the visit. A consultation by the CCGs on moving these beds to KGH had been undertaken. The consultation closed on 1 April and the outcome was awaited. Foxglove ward had 4-bed bays as well as side rooms and efforts were made to have separate male and female bays. All patients on the ward were receiving intermediate care, funded by the local CCGs and provided by NELFT. The average length of stay on the unit was around 19 days compared to a target of 21 days. There was currently a 94% occupancy rate. Some patients were able to go straight home from acute beds with support and hence would not need intermediate care. The ward had open visiting times although meal times were protected other than for relatives who assisted patients with feeding etc. Each patient had their own care plan and families were involved as much as possible. Home visits were usually carried out prior to discharge in order to assess patients’ home environment. The patient’s GP received a copy of the patient’s discharge letter. It was also confirmed that most boroughs took back equipment or mobility aids etc if they were no longer needed. Japonica ward The ward had a large dining/day room for patients which included a reminiscence pod. A number of activities were planned for dementia awareness week. The ward had dementia friendly signs and a bright colour scheme. Information on the butterfly scheme for patients with dementia was available on both wards. Between 52 and 57 beds are available for rehabilitation, with an additional four beds located on Jasmine ward during times of surge within the system. Incidents of falls and pressure ulcers were logged and information about them was displayed on the wards. There was a named nurse for each bed on the ward and details of ward processes were also on display. Large shower rooms were available on the ward. Jasmine ward The intermediate care beds on this ward were treated as one ward with Japonica. There was a sensory room available which acted as a quiet area for patients. A therapy area/gym was available on the ward as was a kitchen area which could be used for therapy and assessment of patients’ motor skills etc. Office space for the enhanced mental health liaison team was under construction in this area and these facilities would also be used for training. Patients could also access the hospital garden and so had access to an outside space. Forms for the friends & family test were available on the ward and photographs identifying all ward staff were also on display.

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General details

Report title 
Enter and view: Foxglove, Jasmine and Japonica Wards at King George Hospital
Local Healthwatch 
Healthwatch Havering
Date of publication 
Tuesday, 10 May, 2016
Date evidence capture began 
Tuesday, 10 May, 2016
Date evidence capture finished 
Tuesday, 10 May, 2016
Type of report 
Enter and view
Key themes 
Access
Building and facilities
Communication between staff and patients
Quality of care
Quality of staffing
Quality of treatment
Support
Healthwatch reference number 
Rep-6248

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
Primary research method used 
Observation
Structured interview
Survey
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
Acute services without overnight beds / listed acute services with or without overnight beds

Details of people who shared their views

Number of people who shared their views 
Not known
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
No
Types of health and care professionals engaged 
N/A
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? 
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.