Enter and view: Ladywell Unit

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Summary of report content

Healthwatch Lewisham gather information on people’s experiences of health and social care services and there are times when it is appropriate for Healthwatch Lewisham to see and hear for themselves how services are being delivered: these visits are called ‘Enter and View’, they are not inspections. Healthwatch Lewisham visited Ladywell Unit (Lewisham Hospital site) from 02/04/2014 until 14/04/2014. The key findings highlighted areas in relation to patient feedback, staff feedback and observation. Overall Healthwatch Lewisham had a good impression of the Ladywell Unit however felt there was some room for improvement. On the whole, patients shared positive experiences with Healthwatch Lewisham about their stay on the wards at the Ladywell Unit however some patients were less positive about their experience. Healthwatch Lewisham felt that standards of cleanliness were adequate however suggested that some areas needed attention. Temperature in all of the wards seemed to be a common theme and was repeatedly described as hot and stuffy with a lack of fresh air. Reports on food seemed satisfactory however patients felt there should be bigger portions and more choice. Food was a theme across most of the wards and appeared to be a talking point at weekly community meetings. Healthwatch Lewisham were very impressed with the community meetings that take place in the wards every week and saw this as a positive platform for patients to voice their opinions on services being provided to them. Healthwatch Lewisham felt that the community meetings are a good example of best practice. Patients spoke very highly of the gym in the hospital and Healthwatch Lewisham agreed that patients should be encouraged to use the gym to help with the patient’s health and wellbeing. A key improvement for the Unit is patients’ ongoing involvement in the care planning process and patients having a say in their treatment. Patients had a low awareness of having a care plan, often not being aware of their care plan at all. Those that reported having a care plan did not seem to have much ownership over them. Most people that Healthwatch Lewisham spoke to said they would like to be involved in a care plan and felt this would be a positive step towards their recovery. A common theme across the wards with the exception of Hayworth was the lack of activities taking place during the day, Healthwatch Lewisham felt this should be addressed. Healthwatch Lewisham also felt that staff on the wards could make more of an effort to get to know patients as individuals. There were 27 recommendations documented within the report.

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General details

Report title 
Enter and view: Ladywell Unit
Local Healthwatch 
Healthwatch Lewisham
Date of publication 
Monday, 14 April, 2014
Date evidence capture began 
Wednesday, 2 April, 2014
Date evidence capture finished 
Monday, 14 April, 2014
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Information providing
Quality of care
Quality of regulation
Quality of staffing
Quality of treatment
Service delivery organisation and staffing
Staff attitudes
Staff levels
Healthwatch reference number 
Rep-5914

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? 
Yes
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? 
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.