Enter and view: The Ladywell Unit, Powell Ward

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Summary of report content

Healthwatch Lewisham conducted an announced Enter and View visit to the Powell Ward, an all male acute mental health care ward, in the Ladywell Unit on 9 July 2018. During the visit to Powell Ward, the Healthwatch Lewisham Enter and View Authorised Representatives observed it to be clean, hazard free and relatively quiet. Staff appeared friendly, helpful and welcoming. The majority of the patients spoken to appeared comfortable and happy on the ward. The main issues noted appeared to be around lack of activities for patients. A few patients spoken to listed ‘sleeping’ as an activity, which leads the visiting team to believe that patients are not being stimulated enough. There was an understanding that the staff do all they can, and an acknowledgement that they are restricted by resources. The Authorised Representatives were also concerned that the staff reported not having the same benefits as Lewisham and Greenwich Trust staff – mainly parking and security. The Authorised Representatives also noted that, whilst smoking is not something they would advocate, they believed that the patients should be able to go outside for a cigarette if they chose to do so. This would mean that patients are less likely to smoke in secret on the ward which could pose health and safety risks. Additionally, patients could be provided with stop smoking support and advice. The report made a number of recommendations which were responded to positively - the Trust have assigned a staff member to look at activities are wanted and to implement these on the ward, and the provider also gave a very thorough response to the recommendation regarding smoking and the policies which the Trust follows which do not allow for NHS staff to support the use of tobacco products.

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General details

Report title 
Enter and view: The Ladywell Unit, Powell Ward
Local Healthwatch 
Healthwatch Lewisham
Date of publication 
Thursday, 2 August, 2018
Date evidence capture began 
Monday, 9 July, 2018
Date evidence capture finished 
Monday, 9 July, 2018
Type of report 
Enter and view
Key themes 
Building and facilities
Car parking access
Cleanliness hygiene and infection control
Communication between staff and patients
Consent to care and treatment
Continuity of care
Food and nutrition
Health and safety
Health inequalities
Health promotion
Health protection
Holistic support
Information providing
Integration of services
Lifestyle and wellbeing
Quality of care
Service delivery organisation and staffing
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 
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 
Mental health crisis service
Mental health recovery service
Psychiatry / mental health (other services)

Details about conditions and diseases

Types of long term conditions 
Mental health condition
What type of pregnancy or maternity themes are included in the report 

Details of people who shared their views

Number of people who shared their views 
Age group 
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 
Service manager
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
Tangible Impact (cost related)
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.