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Chesterfield Royal Hospital Requires improvement

We are carrying out a review of quality at Chesterfield Royal Hospital. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 11 August 2012
Date of Publication: 5 October 2012
Inspection report published 5 October 2012 PDF


Inspection carried out on 11 August 2012

During a themed inspection looking at Dignity and Nutrition

People told us what it was like to be a patient in Chesterfield Royal Hospital. They described how they were treated by staff and their involvement in making choices about their care. They also told us about the quality and choice of food and drink available. This was because this inspection was part of a themed inspection programme to assess whether older people in hospitals were treated with dignity and respect and whether their nutritional needs were met.

The inspection team was led by a Care Quality Commission (CQC) inspector joined by an "expert by experience" (people who have experience of using services and who can provide that perspective), and a practising professional. We visited two wards, both designated as primarily caring for older people receiving medical care and treatment. The provider delivered the regulated activities 'Treatment of disease, disorder or injury' and 'Diagnostic and screening procedures' on these two wards. Each ward had 31 patients on the day of our visit. We spoke with 16 patients, three relatives, and eight staff across a range of roles.

Most patients told us they felt staff respected their privacy and dignity. We observed positive and respectful interactions between staff and patients on both wards we visited. However, we also saw examples of patients' privacy, dignity and independence not being upheld or maintained.

Patients had mixed views about the food provided. Some patients were satisfied while others wanted more variety or wanted meals to meet their specific needs. We saw that patients had a choice of meals and the food provided looked appetising. We found that patients did not always have enough support to ensure they had adequate nutrition and fluids.

Patients told us they felt safe and felt able to report any concerns to staff. We saw that staff carried out assessments to determine if patients were at risk of falling and took action to reduce this risk.

Most patients told us that staff were very good but some patients had mixed experiences and told us some staff were not as helpful as others. For example, one patient said, "It's a difference between shifts, on one nothing's too much trouble, next shift it's 'in a minute' ". We saw that although both wards were very busy on the day of our visit and staff were continually occupied, most patients said their needs were met.

We found that patients had access to their nursing care records, though none of the patients we spoke with had looked at them. We saw that nursing care records were not always accurate or fully completed and often lacked detail.