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St Richard's Hospital Outstanding

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Inspection report

Date of Inspection: 23 January 2014
Date of Publication: 2 April 2014
Inspection Report published 02 April 2014 PDF | 102.22 KB

Overview

Inspection carried out on 23 January 2014

During a themed inspection looking at Dementia Services

During our inspection we visited Boxgrove Ward (specialising in patients with dementia), Fishbourne Ward (Escalation Ward due to winter pressures on hospital beds), Lavant Ward (stroke care), The Patient Discharge lounge, Medical Assessment Unit (MAU), and Accident and Emergency (A&E). We spoke with 13 patients who had dementia or possible dementia and their relatives. We also looked at the care records of patients with dementia. We spoke with 34 members of staff who were on duty in the areas we visited. We also left comment cards and boxes throughout the hospital on the day of our inspection, these cards encouraged people to write down any comments they had about the quality of care provided by the hospital to patients with dementia. The four comment boxes were left in the hospital for a week before being collected. We had 17 comment cards returned to us, all of which were from relatives of patients with dementia. All of the comments we received on these cards were complimentary about the care that their relatives had received in the hospital. One comment card said, �Every single dementia patient is different and Fishbourne Ward do their upmost to deal with this challenging aspect of mental health by treating everyone as an individual. My mum can be �difficult� but through it all they have striven to find her �way� � exceptional!� Another comment card said, �My very elderly mother is presently being cared for by the excellent team on Boxgrove. She is being treated with compassion, humour and dignity. All the staff I have come into contact with have been communicative and very helpful in a difficult and prolonged illness�.

We saw that patients were assessed on admission using a dementia tool. However, the hospital did not have a specific dementia pathway that followed this initial assessment. We found that the planning of care for patients with dementia varied across the areas of the hospital that we inspected. On Boxgrove Ward we found that patients were kept safe because their risks were appropriately managed by the staff. We also saw that staff worked closely with other providers and services to ensure that specialist assessments were completed and safe hospital discharges were facilitated. However on the other Wards and Units we visited some aspects of record keeping did not always reflect that staff had good understanding of the ways to provide care and support that met people�s care and welfare needs.

We spoke with two relatives who told us the hospital and its staff were �wonderful�. One person said �I know he is really well cared for here the staff are so kind, nothing is too much trouble for them�. Another told us, �He is not always easy but the staff don�t panic and are kind and caring�.

We spoke with two staff who told us they enjoyed working with patients on the ward. One nurse told us, �It is busy here but we have a great team which helps a lot�. Another said, �We do have a lot of patients with dementia and you really feel for them and their families, but sometimes it is hard to give them the one to one care they need because we are so busy�.

We found that the hospital had processes in place to liaise with other health professionals and care providers. However, we found some examples where opportunities to gather information about patients had been missed. Therefore the hospital missed the opportunity to share valuable information with other care providers when those patients were discharged.

We found that the hospital had procedures in place to monitor and ensure the quality of the service that patients were receiving.