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Archived: Liskeard Community Hospital

This service was previously managed by a different provider - see old profile

The provider of this service changed - see new profile

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Inspection report

Date of Inspection: 20 November 2013
Date of Publication: 28 December 2013
Inspection Report published 28 December 2013 PDF | 79.21 KB

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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 20 November 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

We spoke with three people who used the service to seek their views about the care and support they received. We saw a discharge from MIU and a triage of a patient attending MIU. Patients told us, and we heard, that the staff were kind, helpful and polite towards them. We heard staff providing patients with advice and support when leaving the MIU. We heard patients being reassured when visiting the MIU. On the wards we heard care assistants, nursing staff and doctors engaging with patients, providing advice, asking about their welfare and providing discreet support as required.

Patients told us they did not have to wait long if they called for assistance. They told us they were clear about the differences between care staff and therapists and understood the different roles. Two patients told us the meals were good and they felt well cared for.

We looked on the NHS Choices website where people who have used services can leave comments. Most of the comments for Liskeard Community Hospital related to visits to the MIU. In October one person commented “I used the minor injury clinic and was very impressed and grateful for the efficient, caring attention that I received. The nurses who dealt with me were very attentive and informative, including my wife in all the discussions. They gave me nursing care that I thought was a thing of the past”. Another comment was “I cannot commend the staff at the hospital highly enough. They were really helpful, prompt and pleasant at all times. With all the bad press hospitals seem to get nowadays, it was wonderful to attend one that was so excellent”.

The matron told us inpatients could eat their meals by their beds or if well enough were able to use the dining room. This showed people had choices and that the staff gave consideration to those choices.

We case tracked two sets of care records in detail, (one on each ward), and associated documents, such as risk assessments and daily care records. There was a written care plan which could be accessed by all necessary staff. Care plans are essential to plan and review the specific care needs of a person. They are a tool used to inform and direct staff about a person and their individual care needs. We saw the care plans provided guidance and direction to staff, and staff demonstrated they were knowledgeable and understood people’s individualised care needs. We saw each plan had detailed discharge plans. We saw that discharge details were also discussed daily during a “board round” (using a white board with brief patient details) where the multidisciplinary team discussed how discharge plans were developing for each person on the ward.

The care records also included skin risk assessments, nutrition risk assessments and manual handling assessments. We saw that all health care professionals such as physiotherapists also wrote about patients’ progress in the care records. This meant the whole team could look in the records and find out how a patient was progressing. One patient told us they were waiting for the physiotherapist to help them with their walking. They told us they had come to the hospital to get stronger before they were able to go home. They told us they had improved a lot and knew when they were going home and that some support would be needed at home “for a short time” and that “it was all being arranged”.

The care records we looked at showed liaison with other agencies, for example social services and district nurses which ensured the patient’s health care needs were met.

We saw that both wards were used by mainly older patients some of whom had a degree of dementia. The matron told us Peninsula Community Health had a lead nurse for dementia care and each ward had a dementia link nurse. The matron told us that ‘both’ of the wards would be made dementia friendly. This meant door colours and signage would be changed in line with best practice to help people orientate themselves and retain a level of independence when on the war