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Hospital of St John & St Elizabeth Good

All reports

Inspection report

Date of Inspection: 4 November 2011
Date of Publication: 19 December 2011
Inspection Report published 19 December 2011 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

Our judgement

Most patients experience effective, safe and appropriate care that meets their needs. However, care plans are not created with patient involvement where appropriate and fluid balance charts are not always accurate. Overall, we have suggested improvements with this essential standard.

User experience

Most, but not all patients told us that they were very satisfied with the quality of care received. Most patients spoke highly about the staff and the care they received. Patients described staff as polite and courteous. Patients and carers told us that they had not seen their care plans and were not sure if the had one.

Other evidence

Each patient had individual risk assessments completed. These included assessments of pressure areas and nutritional status. Each patient had pre-prepared generic care plans for physical health problems. Additional specific care plans were included where necessary on some occasions. There was limited involvement of the patients in the development of care plans. Care plans, mostly, but not always reflected the care given. For example, due to their generic nature, care plans often identified problems that were not relevant to the individual patient, or patients had specific care delivered for a problem, that was not reflected in their care plan.

Records of the patients' progress were documented in chronological order in the medical record. Each patient had call buzzers to summon assistance, within their easy reach. Nurses mostly, but not always, responded quickly to call buzzers. In the event of emergencies, nurses are fully versed with the procedure to be followed. We observed that fluid balance charts were not always accurately totalled.