Enter and view: Thornbury Hospital (Henderson Ward)

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Summary of report content

Healthwatch South Gloucestershire conducted an announced Enter and View visit to Thornbury Hospital (Henderson Ward) on 2 February 2018 as part of an ongoing programme of work to understand the quality of residents’ rehabilitation experience within both clinical and local care home settings. Henderson ward delivers reablement to avoid patients experiencing delayed transfers of care from hospitals. It is used as a ‘half way house’ for patients who are not well enough to be discharged home, but whom it is hoped will be able to return to independent living with more rehabilitation. The average length of stay on the ward is 28 days and the average patient is 91 years old. Patients must be over 18 years old. Most patients admitted to the ward need reablement after fractures and respiratory infections. Admissions are from Southmead hospital for reablement, or from accident and emergency if considered medically stable and non acute, but medically complex. GPs can also admit direct. The patients told Healthwatch South Gloucestershire Authorised Representatives that the discharge process was well organised and the staff were clear about the steps to be taken. However, it was observed that the building itself is old and in need of modernisation with long, narrow ward structures imposing limitations on individual space and personal privacy. The use of curtaining, to create the illusion of privacy adds to the sense of overcrowding. Patients on the Ward were, on the whole, complimentary about the food, the equipment and the quality of the care they received. The report makes two recommendations; one regarding the availability of shaving mirrors and one regarding the cool temperature of the Ward.

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General details

Report title 
Enter and view: Thornbury Hospital (Henderson Ward)
Local Healthwatch 
Healthwatch South Gloucestershire
Date of publication 
Wednesday, 4 April, 2018
Date evidence capture began 
Friday, 2 February, 2018
Date evidence capture finished 
Friday, 2 February, 2018
Type of report 
Enter and view
Key themes 
Admission
Building and facilities
Communication between staff and patients
Consent to care and treatment
Continuity of care
Decor
Discharge
Food and nutrition
Health promotion
Health protection
Integration of services
Quality of care
Quality of catering
Quality of staffing
Service delivery organisation and staffing
Support
Healthwatch reference number 
Rep-6815

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 
Unstructured Interview
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 
Care of the elderly
Occupational therapy
Physiotherapy
Social care services 
Adult social care

Details about conditions and diseases

Conditions or diseases 
Injuries, accidents and wounds
Respiratory conditions
What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
8
Age group 
All people 18 and over
Gender 
All
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
No
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
No
Types of health and care professionals engaged 
Service manager
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Positive

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.