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Archived: Frenchay Hospital Requires improvement

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Inspection report

Date of Inspection: 22, 24 March 2011
Date of Publication: 25 May 2011
Inspection Report published 25 May 2011 PDF

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Inspection carried out on 22, 24 March 2011

During a routine inspection

People told us that staff treated them with respect and that they were involved in decisions about their care.

We observed that people�s privacy and dignity was respected by staff both in delivering care and when discussing their care for example in supporting a person to move from their chair into their bed whilst wearing a hospital gown, the curtains were closed.

One person said �you cannot fault the nursing staff but they are busy�. Another person said �the doctors have told me what is going to happen, but today I went for some tests and I only knew about it when a porter came to collect me�.

Another person who said they had been to Frenchay Hospital on many occasions said �I always have the care and attention I require, the nursing staff are busy but they do their best�.

�They draw the curtains every time. Everybody has been wonderful and lovely. They are all angels�.

One person said �the doctors were very good but sometimes there was a delay in what should happen, for example, a change of medication or you may get told about a test and this may not happen for a couple of days�.

One person we spoke to said �I am independent in all areas of my personal care and this was encouraged by the ward staff�. Another person said �the staff help me to have a wash but encourage me to do the areas that I can manage�.

We reviewed peoples� medical records and found that written consent is obtained for surgical or invasive procedures such as an operation or an endoscopy. Consent was sought in an appropriate manner recording the risks associated with the procedure and both the clinician and the person�s signature.

People told us that they had good care from the staff. However one person we spoke to said they felt they were short staffed all of the time and staff were �hard pushed�.

We saw that suitable care was provided and staff were caring and considerate towards people who use the service. However, admission documentation was not completed with person centred information such as their food likes and dislikes and details of their usual daily routine, although the documentation template had sections which cover person centred information. We were told that the admission documents are completed by the ward or unit admitting the person but that this information is not reviewed again to complete the missing information when a person changes wards.

Although there were mixed sex wards, men and women were afforded some privacy within single sex bays, which have single sex toilet facilities within them and separate single sex washing facilities in line with government standards.

People told us that staff were responsive to their needs and responded on time when they used the call bell.

People told us that on the whole the food within the hospital was good. People told us that they have a choice of meals although if they moved wards their food order did not necessarily follow them and although they may have a choice on the new ward initially it may only be sandwiches and not a hot meal. People told us that they enjoyed the food they had.

The wards that we saw were clean and had suitable facilities for hand washing. There was alcohol gel available at the entrance of each ward and signs alerting visitors to use it. People who use the service told us that they felt that the wards were cleaned regularly. We observed cleaning going on during the visit. Each ward had a number of domestic staff to assist with the cleaning of the ward.

North Bristol Trust seeks the views of people, using in-patient surveys. The Trust uses the information gathered to monitor and improve the quality and safety of services. This was confirmed in quality audits completed on wards. We were told by the senior management team where common trends had been identified then the matrons would liaise with the wards to devise an action plan.

People we spoke to said they would be able to complain to the staff on duty if they were concerned about the care they had received.