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The Princess Royal Hospital Inadequate

All reports

Inspection report

Date of Inspection: 11 October 2011
Date of Publication: 28 November 2011
Inspection Report published 28 November 2011 PDF

Overview

Inspection carried out on 11 October 2011

During a routine inspection

The inspection was unannounced and consisted of a team of five inspectors in the morning and four inspectors in the afternoon. We visited three wards providing adult inpatient care across the hospital. We spoke with 28 people who were receiving a service, 14 representatives and 18 staff from different disciplines. Overall people told us that they had received positive experiences during their stay in hospital and that they were, �satisfied� with the care provided. Some people however, including a number of people who shared information with us prior to our visit, had experienced poor outcomes that had left them feeling distressed and with their dignity compromised and their basic care needs not met. We observed some positive examples of good care during our visit but on one of the three wards we also saw people having to wait for support or not receiving the care required.

The hospital is working with outside agencies to improve the principles of good care and areas such as privacy and dignity and falls prevention had been identified for action.

We found that the introduction of protected meal time had had a positive impact on meal times for people creating a calmer and more relaxed environment. Most people felt satisfied with the quality of the food provided.

People told us that staffing was an issue giving numerous examples of having to wait for basic care and support. We saw that some people were left unsupervised when their plans and assessments identified that they needed to be supported. This could compromise patient safety as well as impacting on the quality of the experience that people in hospital received. We did see however some good examples of positive staff interactions and overall we found that staff had a good knowledge of people's needs

Although improvements had been identified to processes it was evident that not all wards had embraced the changes fully and that work is still required to ensure that all wards offer good quality and safe care and support. The hospital management team fully acknowledged this and were working to make improvements.

Records were not always completed leaving people at risk of not having the needs met safely.

People told us that they felt safe in the care of staff and that they had not observed any poor practice during their stay. Although not everyone had knowledge of the complaints procedure, they told us they would raise concerns with the staff on duty. Only one person told us that they had made a complaint during their stay and they were not satisfied with the outcome. Other information received prior to our visit reflected also that complaints were not always dealt with appropriately and that a small number of people continue to be in receipt of poor quality care when in the Princess Royal Hospital.