Enter and view: Queens hospital In patient mealtimes, Havering

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Summary of report content

In 2016 Healthwatch Havering completed an Enter and View at a local Hospital focusing on In-patient meals and hydration care. The general expectations of meal quality are identified in terms of meeting Patient Needs as defined by the ten NHS England Nutritional Standards. Up to 2000 meals are typically provided daily at any average cost of £10.50 per day. The Meals preparation and delivery is a sub-contracted service to the Hospital. Orders are taken and transmitted electronically. Monitoring of quality involves a range of Practitioners and Managers, meal times are Protected and staff are regularly trained. Patients were closely observed on the Wards which included Respiratory and Elderly Care. There were some specific concerns noted such as a lack of fresh vegetables and puddings being served at the same time as the main course. Patient dietary needs were being met but on one of the Wards there was insufficient staff to attend to the feeding of Patients. Some patient’s meal choices were not being achieved and water levels were not topped up. However, Safety positions for digesting food were adhered to. It was noted that staff are aware of unsatisfactory issues arising but the local Healthwatch Service do not make specific recommendations since the Hospital Authorities and Management are aware of the concerns. It is advised however that a volunteer “feeding buddies” system is utilised more intensively. It is also noted that the food ordering process requires improvement and innovative solutions should be sought by the Hospital management.

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General details

Report title 
Enter and view: Queens hospital In patient mealtimes, Havering
Local Healthwatch 
Healthwatch Havering
Date of publication 
Tuesday, 25 April, 2017
Date evidence capture began 
Thursday, 6 October, 2016
Date evidence capture finished 
Thursday, 6 October, 2016
Type of report 
Enter and view
Other information of note about this report 
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
Not known
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? 
Not Known

Details of health and care services included in the report

Secondary care services 
Nutrition and dietetics

Details of people who shared their views

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 
Does the information include other people's views? 
Not known
What was the main sentiment of the people who shared their views? 
Not known

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 

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.