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Tiverton and District Hospital

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

All reports

Inspection report

Date of Inspection: 9 April 2014
Date of Publication: 10 May 2014

Overview

Inspection carried out on 9 April 2014

During an inspection to make sure that the improvements required had been made

During our last inspection in January 2014 we found improvements were still needed to ensure the hospital always acted in accordance with legal requirements where patients lacked capacity in relation to "do not resuscitate" orders.

The trust told us they had introduced regular audits of the treatment escalation plans (TEP), that detailed end of life care decisions and mental capacity assessment forms to ensure consistent and sustained compliance. We saw completed TEP audit forms. The forms were completed shortly after each new admission and collated weekly to be sent to the safety team for collation.

The patients we spoke with told us they felt involved in their care and treatment. Two patients told us their wishes around resuscitation had been discussed with them and their wishes adhered to. All of the patients we spoke with knew about plans for their discharge and the current work with therapists in order to prepare them for discharge home. One said �they talk to me about what is going on with my exercises� another said �I see the physio every day and have seen improvements in what I can do�.

We looked at nine sets of care records, which included a TEP and associated medical records across both wards and found they were all fully completed.

We were told and saw evidence that the GPs responsible for completing the TEPs and mental capacity assessments had received training in completion of the documents and had received follow up information for reference.