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Royal Berkshire Hospital Outstanding

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Inspection report

Date of Inspection: 14 August 2012
Date of Publication: 12 October 2012
Inspection Report - DN published 12 October 2012 PDF | 52.31 KB


Inspection carried out on 14 August 2012

During a themed inspection looking at Dignity and Nutrition

People told us what it was like to be a patient at the Royal Berkshire NHS Hospital and described how they were treated by staff and their involvement in making choices about their care and treatment. 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, with a supporting inspector, a practicing professional and an Expert by Experience (people who have experience of using services and who can provide that perspective).

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of patients who could not talk with us.

This inspection focused on two wards providing care to elderly patients. On the day of our visit there were 28 patients on one of the wards, which provided care to female patients. The other ward was providing care to 22 male patients. We spoke with 16 patients and 11 relatives or other visitors during our visit. We also spoke with eight staff members and looked at six patients' records.

All the patients we spoke with said they were treated kindly and with respect. Most said the doctors had discussed their treatment with them. A couple of patients said they would like to be addressed by their preferred name, not the name on their records.

One visitor told us their relative came back from having tests done and was found in wet clothing. Staff had not informed them their relative's catheter was leaking. The visitor said sometimes when they arrived their relative needed to be washed. They said staff attended to the person immediately when requested.

Another visitor said they thought the care was ''OK'' for their relative. A further visitor told us their relative ''was being looked after well.'' A patient told us the care she received was excellent. She said ''I couldn’t be treated any better if I was the Queen.''

Patients said the meals were ''good'' or ''very good.'' They said they had different options to choose from and were served their preferences. They said portion sizes were sufficient.

All patients said there was a good variety of food and it was hot when delivered to them. One patient said only cold food options were offered if a meal was missed (staff told us meals could not be re-heated, for food safety reasons).

Most patients thought there were enough staff but said they were always busy. One said there were not enough staff on duty later in the day and they had to wait for the call bells to be answered. Patients told us the weekends were much quieter, which gave staff more time to spend with them.