Enter and View Visit Report Royal Shrewsbury Hospital Ward 24 – Cardiology

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Summary of report content

Healthwatch Shropshire undertook an Enter and View visit to Ward 24 at the Royal Shrewsbury Hospital as they had had both positive and negative feedback from the public about cardiology services.  They spoke to 12 people on their visit, including staff, patients and relatives.

Findings

  • The Ward has 32 beds; 12 endocrinology beds, 12 cardiology beds and 8 coronary care beds for patients needing a higher level of nursing.
  • Staff told Healthwatch Shropshire they are often required to work on other wards meaning Ward 24 does not always have enough specialist trained staff leaving other staff to work long shifts
  • There were high levels of satisfaction with the ward recorded on the Friends and Family and Patient Experience questionnaires.
  • Healthwatch Shropshire saw curtains used to maintain patient privacy during care.
  • One patient said that call bells were always answered quickly and three patients said that staff explained everything to them clearly.
  • The ward was clean and calm.
  • All the staff including Doctors were friendly and happy to talk to Healthwatch Shropshire.
  • Patients spoke highly of the staff and commented on how hard the staff worked.
  • Staff and patients said “more staff” would be good. Some patients were not sure about their plans for discharge.
  • Patients said the food choice is good but one patient was unhappy as they had not received a lactose free meal. A member of staff immediately dealt with this situation.
  • Patient discharge can be delayed by difficulties in getting care packages in place, for example at the weekend, by a lack of beds in community hospitals and by difficulties in arranging patient transport.
  • The floorplan and directional signs on the corridors and website are confusing

Recommendations

  • The Trust should continue to work with the transport service and care providers to reduce delays in discharges wherever possible.
  • The Trust should improve staffing levels to reduce the number of staff being moved and asked to help on other wards; in order to improve staff morale and patient experience.
  • The Trust should review floorplans on noticeboards and the website to enable relatives to find the ward easily.

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General details

Report title 
Enter and View Visit Report Royal Shrewsbury Hospital Ward 24 – Cardiology
Local Healthwatch 
Healthwatch Shropshire
Date of publication 
Monday, 28 October, 2019
Date evidence capture began 
Monday, 23 September, 2019
Date evidence capture finished 
Monday, 23 September, 2019
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Decor
Discharge
Food and nutrition
Quality of catering
Quality of staffing
Service delivery organisation and staffing
Staff attitudes
Staff levels
Healthwatch reference number 
Rep-4983

Methodology and approach

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

Details about conditions and diseases

Conditions or diseases 
Cardiovascular 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 
12
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Types of health and care professionals engaged 
Doctors
Nurses
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? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
No
What type of impact was determined? 
Implied Impact

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.