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Archived: St Mary's Hospital

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Inspection report

Date of Inspection: 16 July 2013
Date of Publication: 15 August 2013
Inspection Report published 15 August 2013 PDF | 79.64 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 16 July 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

St Mary’s community hospital provided one ward on the ground floor, out-patient clinics which were accessible from the ground floor (which may include minor surgical and non-surgical procedures under local anaesthetic, including those provided by other organisations), and therapies staff provided both in-patient and out-patient services. There was also a Minor Injuries unit (MIU), X-ray facility and an in-patient alcohol detox programme provided.

At the time of our visit there was one patient receiving treatment on the ward. We were told about the attention given to them by staff and the professionalism shown by staff. They said the care they were given was very good and they were extremely well looked after by the staff at the hospital, and described the care as “marvellous”. We were told the staff discussed their care with them and they confirmed they had seen their care plan.

We spoke with the hospital cook who told us they went to see patients every day to discuss the menu and their choices. The cook also told us all the food was prepared on site, fresh from local sources, where possible, and that they provided 15 meals for people in the community every day.

We spoke with two cardiac rehabilitation staff who told us about the rehabilitation service provided in the local gym. Patients were screened for suitability by the cardiac rehabilitation specialist nurse prior to joining the programme.

One of the GP’s with medical responsibility told us about mental health care provision on the island and the new mental health care pathway that had been developed, which included multi-agency consultation and cooperation. We were told a community psychiatric nurse also attended the islands every fortnight.

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 looked at the care plan documentation of one patient on the ward at the time of our visit. The care plan was signed by the person themselves. The ward staff told us this was to demonstrate their involvement in the care planning process.

The care plans provided staff with information on the action they had to take to meet the person’s identified care needs. Patient’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We saw from the care plan documentation the patients choices and preferences were recorded which meant the completed forms were personalised and individual. We also observed that the documentation was relevant to the care the patient was admitted to the hospital for.

We saw both care plans and risk assessments were used on the ward. We saw risk assessments were in place regarding moving and handling, pressure relief, falls and nutrition. Risk assessments are a tool to identify any hazards and the action that staff must take to reduce the risk from the hazard.

The provider may like to note we were told the frequency of observations, such as blood pressure and pulse for example, was determined by hospital policy, but was not included in the patient’s care plan. This showed a generic approach rather than a patient centred approach, which reflected the assessment of the patient’s care needs.

We saw detailed discharge plans were developed, which involved the multi-disciplinary team and were relevant to the individual’s circumstances.

Patient experience responses provided by Peninsula CIC showed a generally high satisfaction rate with the care provided at St Mary's hospital. However, the provider might like to note there were five areas were patient satisfaction was 67% or below in June 2013. These areas related to the amount of ward noise at night, the provision of information about medication, the provision of information about conditions and treatment, discussions about discharge from hospital and discussions about any concerns the patient may have.