Enter and view: Meadows Ward Liverpool Road, Countess of Chester NHS Foundation Trust

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Summary of report content

Healthwatch Cheshire West conducted an announced enter and view visit to Meadows Ward on 27 January 2015. The ward provides care for female elderly acute patients. Although it not considered a dementia ward, it often cares for patients with dementia. The visit was a follow up from a previous enter and view visit in March 2014, to identify whether recommendations had been implemented. On the day of the visit, the team engaged with 6 staff members, 3 relatives and 3 patients. The visit found that only one of the five previous recommendations had been implemented. The improvement noted was that the pharmacy technician was now on the ward daily which had sped up the discharge process. The team found that the day room facilities had not been improved and that there was no dedicated staff member to organised activities for long term patients, particularly those with dementia. The issue with the main door staying open after use had not been resolved, nor had the problem with additional storage on the ward. The ward has been redecorated but the team felt that the environment still needed brightening. The report did not make any recommendations but provide a response from the service provider suggesting that they are in the process of address the issues raised in the report.

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General details

Report title 
Enter and view: Meadows Ward Liverpool Road, Countess of Chester NHS Foundation Trust
Local Healthwatch 
Healthwatch Cheshire West and Chester
Date evidence capture began 
Tuesday, 27 January, 2015
Date evidence capture finished 
Tuesday, 27 January, 2015
Type of report 
Enter and view
Key themes 
Communication between staff and patients
Consent to care and treatment
Decor
Discharge
Medication
Prescription
Staff attitudes
Healthwatch reference number 
Rep-5148

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Observation
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
Dementia

Details about conditions and diseases

Types of disabilities 
Long term condition
Types of long term conditions 
Alzheimer’s disease or dementia

Details of people who shared their views

Number of people who shared their views 
12
Age group 
All
Gender 
All
Ethnicity 
All
Does the information include public's views? 
Yes
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 
Care / support workers
Nurses
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? 
Yes action has been taken or promised
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.