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Royal Cornwall Hospital Requires improvement

All reports

Inspection report

Date of Inspection: 23 May 2012
Date of Publication: 11 July 2012
Inspection Report published 11 July 2012 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

Our judgement

The provider is compliant with this standard.

People’s privacy, dignity and independence was being respected.

User experience

Some of the people that were on Wheal Agar ward had dementia-type illnesses and therefore not everyone was able to tell us about their experiences. To help us to understand the experiences people had we used our SOFI (Short Observational Framework for Inspection) tool. The SOFI tool allowed us to spend time watching what was going on and helped us record how people spent their time, the type of support they got and whether they had positive experiences.

On Wheal Agar ward we observed people being assisted to stand up and move about appropriately. We saw that people were being offered a choice of meal and an explanation of what the meals were. We also saw staff chatting with people in an adult manner and at eye level with the patient.

One health care assistant on Carnkie Ward described flexible routines on the ward that aimed to be patient centred.

One person on Carnkie Ward told us that they had been treated with respect and kindness throughout their 11 day stay. She added that the staff were completely flexible in responding to her needs. This view was reiterated by a patients on Roskear Ward and the Medical Admissions Unit who described the staff as “kind and caring”, “brilliant in the night” and “can’t speak highly enough” of them.

People, on all the wards we visited, told us that they did not have to wait too long to have the bell answered. This view was supported by our observations. Apart from on Wheal Agar Ward where the provider might like to note that we were told by a visitor that their relative had had to wait so long for assistance they had soiled themselves already before anybody arrived.

Other evidence

During our visit to the Royal Cornwall Hospital we saw and heard staff interacting with patients in positive and inclusive way. We saw that, although staff were very busy, they treated people in a professional, friendly and respectful way.

On some of the wards we saw a notice by the nurse station with the name of the nurse in charge and names of other staff on duty.

Outside Carnkie ward we saw a notice about the importance of individual privacy. We had to ring a bell before being let onto some of the wards we visited. This was to maintain security for the patients and so that, outside of visiting times, the staff knew who was on the ward apart from the staff on duty.

The provider might like to consider that low staffing levels on some wards may lead to people having to wait for assistance, which can lead to loss of dignity.