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Pulross Intermediate Care Centre

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

All reports

Inspection report

Date of Inspection: 6 July 2011
Date of Publication: 24 August 2011
Inspection Report published 24 August 2011 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

Systems were in place to involve people in decision making about their care and staff are trained and advised about maintaining people's privacy and dignity.

Overall, we found that the Pulross centre was meeting this essential standard.

User experience

We saw that there was patient information available in the reception area, on notice boards and on a stand of leaflets. There were leaflets about the local authority safeguarding of vulnerable adults policy and procedures and about patient liaison services.

Two of the people receiving services at the centre were awake and told us their experiences of the unit. Both felt that their privacy and dignity were respected by staff currently employed. They felt that requests were responded to promptly and that behaviours of staff were positive. One person commented negatively about the attitude of a staff member who was no longer working at the centre but they felt able to express their views with staff.

Whilst touring the care centre we saw that, to preserve people's privacy and dignity, bays were single sex and staff put signs on doors to tell people when they were assisting someone with getting washed and dressed. Clips were available to hold bed side curtains together during this process for those who were in four bed bays rather than single occupancy rooms.

Other evidence

The provider, Guy’s and St Thomas’ NHS Foundation Trust, told us that they have assured themselves to be fully compliant with this essential outcome area. They provided us with detailed information about the systems they have in place for involving people in their care. The Trust told us that 'putting patients first' is one of their core values and that they involve people in their care from initial assessment and care planning through to discharge planning. Where appropriate, relatives were also involved. Rehabilitation involves patient led goal setting and self management.

There was a patient liaison and complaints service in place. Comments cards and information about advocacy services were also available.

The management of the unit has recently been taken over by a new provider and work is underway to integrate policies and procedures across the merged organisation; whilst this process is ongoing, the unit continues to operate under some of the policies and processes of the previous organisation. There is a policy in place for dignity and respect at work and for obtaining consent from people. A dignity and respect statement is included in the patient Welcome Pack and is also included in the Pulross Ward Philosophy which was on the patient notice board. The Trust told us they were committed to ensuring that standards of privacy and dignity are maintained and that they were compliant with single sex standards.

Staff talk to people to find out about their personal hygiene needs and to ensure that people receive the assistance that they require. Choices and preferences relating to essential care are taken into consideration. There is a consent policy in place. All procedures are discussed and verbal consent is sought.

People's capacity to make decisions is assessed on admission. If someone is assessed as not having capacity to make a decision a 'best interests meeting' is held with the relevant parties including other professionals and family members or carers. Consent is sought prior to any intervention. Where people refuse essential care, staff are encouraged to document the patient's choice and explain any associated risks. Notes are also held at the end of the bed so that people can access them if they wish.

Patient involvement in their care is monitored. There is annual audit of the records that looks at how well patient views have been recorded. There is also monitoring of consent.

Cultural and specific needs are identified and recorded on admission and steps are taken to meet these needs, for example: arranging visits by religious ministers and meeting dietary requirements such as halal, kosher, vegetarian and Afro-Caribbean food. There is a language support service that provides interpreters for people, their family/carers and members of the public.