Unsafe Discharge from Hospitals Care Home Manager Speak of their Experiences of the System, Rochdale

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Summary of report content

Data was collected by a face to face meeting or a conference call with 24 Care Home Managers using a prepared questionnaire. Findings: • 95% of care home managers surveyed had residents that had experienced an unsafe discharge within the last twelve months. • 50% had between 1-2 residents experience an unsafe discharge in the last twelve months • 33% had between 3-5 residents experience an unsafe discharge in the last twelve months • 54% had residents who had waited between 4-5 hours • 38% had residents who had waited between 2-3 hours • No participants had residents who waited less than an hour • 44% had 1-2 residents discharged without the correct paperwork • 22% had 3-5 residents discharged without the correct paperwork Further intelligence evaluated through the Healthwatch Rochdale database discovered: • 50% of the feedback highlighted patients were being sent home without the correct paper work. • 30% of feedback was in regards to medication, with residents being discharged without medication or instructions on how to take the medication. Recommendations: • All hospitals instigate systems to improve communication with patients, families and external Health and Social care professionals which will involve them in discharge planning and ensure that they are provided with the correct information with regards to medication, follow-up care and appointments that the patient requires. • Production of an action plan on the system to improve communication with patients, families and external Health and Social care professionals. • Raising awareness of advanced planning, including advanced directives, such as DNAR (Do not attempt Resuscitation) orders, living wills and nominating a family carer to act as power of attorney (for health) could help ensure better care provision and lived experience for people. • Heywood Middleton and Rochdale Clinical Commissioning Group to set up a Task and Finish group to carry out a deep dive in relation to patient, families and care home managers experience of the discharge from hospital process.

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General details

Report title 
Unsafe Discharge from Hospitals Care Home Manager Speak of their Experiences of the System, Rochdale
Local Healthwatch 
Healthwatch Rochdale
Date of publication 
Tuesday, 4 April, 2017
Date evidence capture began 
Tuesday, 4 April, 2017
Date evidence capture finished 
Tuesday, 4 April, 2017
Type of report 
Report
Key themes 
Administration
Discharge
Healthwatch reference number 
Rep-6451

Methodology and approach

Was the work undertaken at the request of another organisation? 
Not known
What type of organisation requested the work 
N/A
Primary research method used 
Structured interview
How was the information collected? 
Website Feedback
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Secondary care services 
Acute services with overnight beds
Social care services 
Residential care home

Details about conditions and diseases

Types of long term conditions 
Not known

Details of people who shared their views

Number of people who shared their views 
24
Age group 
Not known
Gender 
Not known
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? 
Yes
Types of health and care professionals engaged 
Service manager
Does the information include other people's views? 
Yes
What was the main sentiment of the people who shared their views? 
Negative

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? 
Not known
Is there evidence of impact external to the report? 
Not known

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.