Enter and view: Skylarks Unit

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Summary of report content

Skylark Rehabilitation Unit is a Discharge to Access Pathway 2 rehabilitation unit run by Sirona care & health in partnership with North Bristol NHS Trust (NBT) and South Gloucestershire Council. It is situated on the third floor of The Meadows Care Home, (run by Windmill Care), and provides 30 rehabilitation beds for those people registered with a South Gloucestershire GP following a hospital stay. Every Monday morning staff have a multi-disciplinary meeting to discuss the plans for each patient. The aim is to get patients, whenever possible, back to their own homes in a timely manner. This active discharge process is further supported by an action focused ‘Huddle’ on a Thursday to ensure each person’s discharge has been processed as agreed. However, there is a problem with delayed discharge because of the lack of resource in the community to provide packages of care, i.e. domiciliary care. At the time of the Healthwatch visit, eleven of the thirty patients were unable to be discharged for this reason, even though medically fit. The other concern highlighted by the visit was the number of admissions due to falls. It appears that a high proportion of admissions are due to falls. This begs the question of what can be done to prevent people from falling and what impact are services, such as falls clinics, having on this? Overall, Healthwatch South Gloucestershire was impressed by the standard of Skylark Rehabilitation Unit and the enthusiasm and dedication with which the staff worked. The 3Rs idea is a good one, and our observations to date suggest that the Pathway Two units are working well to relieve the problem of delayed transfers of care at local hospitals.

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General details

Report title 
Enter and view: Skylarks Unit
Local Healthwatch 
Healthwatch South Gloucestershire
Date of publication 
Wednesday, 13 June, 2018
Date evidence capture began 
Wednesday, 13 June, 2018
Date evidence capture finished 
Wednesday, 13 June, 2018
Type of report 
Enter and view
Key themes 
Cleanliness hygiene and infection control
Communication between staff and patients
Discharge
Food and nutrition
Information providing

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Observation
User stories
How was the information collected? 
Visit to provider

Details of health and care services included in the report

Social care services 
Extra care housing services

Details about conditions and diseases

Conditions or diseases 
Infections
Injuries, accidents and wounds
Musculosceletal conditions
Neurological conditions
Types of disabilities 
Mobility
Stamina or breathing or fatigue

Details of people who shared their views

Number of people who shared their views 
7
Age group 
All people 18 and over

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.