Enter & view: In-Patient Elderly Rehabilitation Service (IERS), Mary Seacole Ward, Queen Mary's Hospital, Roehampton

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Summary of report content

Healthwatch Wandsworth undertook an enter and view to Mary Seacole Ward (MS) at Queen Mary’s Hospital, Roehampton, which provides an Inpatient Elderly Rehabilitation Service, to compare with a visit to another integrated care facility. The visit took place on 13 November 2018 and they spoke to 15 patients.

Most patients were positive about the standard of nursing care and the attitude of nurses on MS. Several patients would have liked to receive written information in advance about MS and its rehabilitation facilities. Some patients expressed concern about nurses’ workload. The ward was relying on a high number of temporary staff, and Healthwatch wondered whether this might explain an apparent lack of relaxed interaction between patients and nursing staff. The therapy team at MS was clearly committed to the provision of a personalised, goal oriented and multi-disciplinary approach to rehabilitation in integrated care, within their constraints and client profile. However, it was not clear that information on this was fully shared with the rest of the team.

A few patients felt that their rehabilitation programme seemed less intensive than expected. MS is a 40-bedded inpatient ward, following hospital routines. Some patients commented favourably on the comparative peace and quiet on MS, following their experience of busy wards in different acute hospitals in the locality. Healthwatch considered however, that more could be done to provide greater activity and autonomy for rehabilitation patients by, for example, encouraging people to wear their own clothes, and providing a range of more stimulating social activities.

Overall, they concluded that the rehabilitation service being delivered on MS is generally delivering a positive bed-based IC service. However, this is not the only service being delivered on the ward, as variable numbers of older patients who are not able to benefit from an IC service are also admitted when there are pressures elsewhere in the acute hospital sector. This provides additional challenges for the MS service and reduces the number of available IC beds.

There were 10 recommendations aimed at improving the service provided.

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General details

Report title 
Enter & view: In-Patient Elderly Rehabilitation Service (IERS), Mary Seacole Ward, Queen Mary's Hospital, Roehampton
Local Healthwatch 
Healthwatch Wandsworth
Date of publication 
Thursday, 1 October, 2020
Date evidence capture began 
Tuesday, 13 November, 2018
Date evidence capture finished 
Tuesday, 13 November, 2018
Type of report 
Enter and view
Key themes 
Communication between staff and patients
Continuity of care
Holistic support
Integration of services
Quality of care
Quality of treatment
Staff levels
Healthwatch reference number 
Rep-7842

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Structured 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 
Inpatient care

Details of people who shared their views

Number of people who shared their views 
15
Age group 
All people over the age of 65
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? 
Not known
Does the information include staff's views? 
Not known
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? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
Not known
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.