Observations of care - Folkington ward, Eastbourne District General Hospital and MacDonald ward, Conquest Hospital provided by East Sussex Healthcare NHS Trust (ESHT)

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Summary of report content

During a two week period during November 2016, Healthwatch East Sussex’s Authorised Representatives (ARs) visited two wards in the Trust to observe the care frail elderly patients receive. The visits were unplanned and were designed to capture the interactions between staff and patients as a visitor or relative might experience.

Overall, Healthwatch East Sussex's observations and comments were largely very positive about the aspects of care they observed, with most describing their findings as ‘very good in lots of ways’, however there was a strong sense reflected in observations that patients received little stimulation and would benefit from some level of activity.

They also felt that there would be benefit to patients from the development of consistent approaches to delivering good dementia care across both wards.

The key recommendations from this work include:

  • Improved staff leadership and sharing good practice, staff at all levels of experience on both wards to share good practice and learning.
  • A meaningful programme of stimulating activities to be devised for patients that is achievable for staff to deliver.
  • To review staff training with a focus on what good dementia care looks like. This should include not only personal care, dignity and respect but also atmosphere, approach and attitude, together with how staff talk to patients; and
  • The Enter and View activity should be repeated in May 2017.

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General details

Report title 
Observations of care - Folkington ward, Eastbourne District General Hospital and MacDonald ward, Conquest Hospital provided by East Sussex Healthcare NHS Trust (ESHT)
Local Healthwatch 
Healthwatch East Sussex
Date of publication 
Friday, 1 September, 2017
Date evidence capture began 
Monday, 14 November, 2016
Date evidence capture finished 
Friday, 25 November, 2016
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Food and nutrition
Quality of care
Quality of catering
Quality of staffing
Quality of treatment
Staff levels
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
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? 

Details of health and care services included in the report

Secondary care services 
Care of the elderly
General surgery

Details about conditions and diseases

Types of disabilities 
Learning or understanding or concentrating
Types of long term conditions 
Alzheimer’s disease or dementia
What type of pregnancy or maternity themes are included in the report 

Details of people who shared their views

Number of people who shared their views 
not known
Age group 
Not known
Sexual orientation 
Not known
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? 
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 

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.