Enter & View Visit to Elderly Rehab Ward at Queen Mary's Hospital, Roehampton
Posted on 15/02/2019
Effective rehabilitation services fall under the umbrella of integrated health and social care and can help to promote faster recovery from illness, unnecessary hospital admissions and maximise independent living.
Mary Seacole ward at Queen Mary’s Hospital (Roehampton) provides an Inpatient Elderly Rehabilitation Service, so we decided to organise a visit to see how this service compares with similar services in the borough of Wandsworth.
In preparation for, and during, our visit we met with a number of staff, managers and senior clinicians at the service and eventually decided to focus on the experiences of patients who were actively engaged in rehabilitation therapy designed to recover independence.
On the day of our visit, we spoke to 15 patients and were allowed access to their care plans which helped us to see just how involved patients are with their treatment goals.
The report from our visit, which summarises our findings and recommendations, is attached along with the ward's response.
As health care services at HM Prison Wandsworth are provided by St George’s University Hospitals NHS Foundation Trust, we decided to visit the prison to find out more about the quality of those services, particularly for more disadvantaged groups such as older prisoners or those with mental health problems.
Our visits to the prison were conducted over the course of a year and during that time we were able to speak to a variety of people at the prison including the General Manager, prison inmates (including prison Healthcare representatives) and visitors to the prison. We were also able to attend the Prisoner Forum - all these avenues contributed to us being able to gain a fairly accurate picture of both physical and mental healthcare provision at the prison.
Our findings and recommendations are included in the attached report. We received a response to our report from the prison's General Manager, also attached.
Enter & View Visit to Ronald Gibson House Intermediate Care Unit
Posted on 03/08/2018
Intermediate Care (IC) is intended to be a range of integrated services that promote faster recovery from illness; prevent unnecessary acute hospital admissions and premature admissions to long-term care; support timely discharge from hospital; and maximise independent living. IC services in Wandsworth are not yet fully integrated but include both home-based and nursing home care. IC largely serves the needs of older people experiencing difficulty regaining their independence after illness, falls or other injuries.
In line with our current interest in the care of older people and following our visits to senior health wards at St George’s Hospital in September 2017, we were invited by Wandsworth and Merton Clinical Commissioning Group to visit the IC facilities at Ronald Gibson House, a 16-bed unit in a care home on the Springfield Hospital site in Tooting. When we visited there were thirteen patients in the unit. We interviewed eight patients, three relatives and one paid home carer. We also spoke to the GP responsible for medical oversight of the unit, and three other members of staff.
The role identified for intermediate care is clearly an important one. The balance of the feedback we received from patients and their relatives about the standards of care at RGH was largely positive, although some of it led us to wonder about the optimum levels of rehabilitative therapy and also nursing staff levels.
For more details from our visit, a look at the recommendations we made to the unit and their response to those recommendations, please see the attached report.
Enter & View Visit to Senior Health Wards at St George’s Hospital
Posted on 24/01/2018
Once St George’s University Hospitals NHS Foundation Trust began to implement its new strategy to improve the inpatient care of older patients, in line with the ‘Safe and Effective Care’ strand of its Quality Improvement Plan, Healthwatch Wandsworth was invited to visit the wards to talk to patients and carers, assess the current situation and learn more about the planned improvements.
Our Enter & View team decided that, in addition to looking at general standards of care for older people, it would also focus on the care provided for patients affected by dementia whose experiences are often overlooked.
Our visits were concentrated in three main wards - Amyand, Heberden and Rodney Smith - where the highest concentration of older patients was located at the time of our visit which took place in September last year and lasted two days. During that time we spoke to a total of 13 patients and 10 of their relatives/carers.
More information on our visit and findings can be found in the attached report. Also attached is St George's response to our recommendations.
One of the main aims of our ‘Enter & View’ team’s current strategy is to find out more about patient experience at St. George’s Hospital. Early in 2017 we were invited to visit the renal services department. Following our visits to the hospital's renal services department, we visited Colliers Wood Dialysis Unit. The Unit has been open for six years and was designed to provide dialysis for people with chronic renal conditions but who do not require a stay in hospital.
Following major changes within St George's Trust, which had a negative impact on the delivery of its renal services, it was decided that community based satellite units would be needed to deal with the overflow of dialysis patients from St George’s. Colliers Wood is one of those additional units.
We interviewed a total of 25 patients, most of whom were between 60-79 years of age and had been attending Colliers Wood for between 4 - 6 years. Although they reported initial problems during the transition from St George's to Colliers Wood, things seemed to have largely settled down by the time of our visit.
Most patients expressed high levels of satisfaction with their care and treatment, and medical and nursing staff were praised for being respectful, helpful, and kind. Patients particularly valued the opportunities for socialising with each other at the Unit.
Our findings and recommendations, and the Unit's response to our report, are attached for information.
Enter & View Visit to Champney's Ward & Renal Services Department, St George's
Posted on 02/08/2017
One the main aims of our ‘Enter & View’ team’s current strategy is to find out more about patient experience at St. George’s Hospital. Early in 2017 we were invited to visit the renal services department. We made a total of three visits to learn as much as we could about the renal services being provided at St George's.
Before we began our visits, we became aware that major changes had recently taken place in the organisation which affected delivery of the hospital’s renal services, including a reduction in the number of inpatient beds and dialysis stations.
We spoke to nineteen patients in all and on the whole received very positive feedback about the caring and responsive behaviour of staff. Most of the negative comments we received were about changes to appointments or the unreliability of the ambulance transport service.
We were very impressed with how well St George’s staff have responded to the challenge of maintaining the quality of patient care in the face of recent changes.
Our report and recommendations are attached below.
Our visit to Ward 2 at Springfield Hospital was part of a series of Enter and View visits to inpatient wards at South West London and St George's Mental Health NHS Trust. We visited the ward twice as our findings on the first visit were inconclusive, and spoke to 11 patients as well as to their friends and relatives.
Our findings on Ward 2 were very mixed and not always positive. However the ward management team has changed since our visits and the new team has plans for improvement. We were also able to make a number of recommendations for improvement which Springfield Hospital has responded to very positively. The report and action plan from our visit to Ward 2 are attached below.
We also visited Laurel Ward at Queen Mary's Hospital in Roehampton, and spoke to 8 of the patients. Our impressions of this ward were very positive overall; most patients were happy with their surroundings and with the treatment they receive from the nurses and other staff on the ward. Our recommendations for Laurel Ward were therefore very general in nature, but were well received and have either already been achieved or are in progress.
The report and action plan from our visit to Laurel Ward are attached below.
Enter & View Visit to Crocus Ward at Springfield Hospital
Posted on 03/03/2017
A team of five authorised volunteers from Healthwatch Wandsworth was involved in planning and undertaking a visit to Crocus Ward, at Springfield Hospital. With the agreement of senior managers, the team collected information by means of interview and observation. We spoke to a total of eight inpatients, two relatives and one former patient who happened to be there at the time of our visit.
Overall, we formed a favourable opinion of Crocus Ward as a place to receive treatment and care. The environment was stimulating, clean, pleasant and comfortable, with information clearly displayed and caring, personal attention to detail.
Although the Trust was recently inspected by the Care Quality Commission (CQC) back in March 2016, we wanted to complement the findings of that inspection, which rated Crocus Ward as 'Good', but also identified some areas for improvement.
Enter & View Visit to Ashley House Supported Living Scheme
Posted on 03/03/2017
A current strategic priority of the use of our Enter and View powers is to visit extra care and supported living housing schemes. We feel that tenants in such schemes get less chance to express their views compared with people using other health or social care services.
One such scheme is Ashley House, a Supported Living scheme that provides care and support for older people, based in the Battersea area. The scheme has been running for just over five years and whilst it was clear that the staff at Ashley House are committed to providing quality care and support as and when needed, it was evident from our interviews with the tenants that they have a wide range of needs and personal issues which could make providing care challenging.
We're pleased to report that the findings from our visit to Ashley House were, on the whole, very positive.
If you would like to read our report on Ashley House, please click the icon below.
Enter & View visit to Besley Street Supported Living Facility
Posted on 10/10/2016
A current strategic priority for the use of our Enter and View powers is to visit Extra Care and Supported Living housing schemes. We feel that tenants in such schemes get less chance to express their views compared with users of other health and social care services.
The first of our visits was to a supported living scheme for adults with learning disabilities, located at 120 Besley Street. This facility contains 6 bedsits and currently houses four tenants.
Our representatives were able to speak to three of the tenants about their experience of the scheme and how it meets their needs. We also spoke to their relatives to obtain their perspective on the scheme.
The report which contains details of the scheme, including our findings and recommendations, is attached below.
As part of our project to visit extra care schemes in the borough, we recently visited Ensham House in Tooting Broadway, which provides care for older members of the community. As extra care schemes are fairly recent, we wanted to visit the tenants and staff and hear what they had to say about the facility.
Out of the 45 flats in the building, 30 were occupied when we carried out our visit and we weren't able to talk to all of the residents on the day. As usual, the tenants we spoke to had mixed views about the care they receive but nontheless we were able to get a good overall picture of tenant satisfaction and areas for improvement.
Our report, along with the reponses from Viridian (the landlord) and London Care (the carers) is attached.
A current strategic priority for the use of our Enter and View powers is to visit extra care housing schemes. We feel that tenants in these schemes have less opportunity to express their views compared with users of other health and social care services.
As part of this project we recently visited Chestnut House which is located on the Lennox Estate in Roehampton. The scheme contains 41 fully furnished flats and a communal lounge and kitchen area. Eligible men and women over the age of 55 can be nominated to receive a tenancy, depending on their needs.
Many good things were observed at this facility by our team, and some things that we thought could be improved were fed back to the service provider.
Our report and recommendations and the response from Chestnut House are attached.
We recently made visits to Extra Care housing schemes a priority as we feel that tenants in these schemes have fewer opportunities to express their views compared with users of other health and social care services.
Part of the project involved visits to different Extra Care facilities in the borough of Wandsworth, talking to residents about the care and support they receive and whether they're happy with it or not. We also spoke to staff about their ways of working and the positive things that could be shared with others and what might be improved on.
Although we've written up reports for each of our visits to the different schemes, the summary report highlights areas of similarity and other general observations from the project.
Visit to Prince of Wales Drive Extra Care Housing Scheme for Older People
Posted on 11/04/2016
A current strategic priority for our Enter and View team is to visit Extra Care housing schemes, as we feel that tenants in these schemes have fewer opportunities to express their views compared with users of other health and social care services.
The Prince of Wales Drive extra care scheme is part of a complex opened in 1991 opposite Battersea Park, and is comprised of Mary Court and Joan Bartlett Houses. We paid them a visit in November 2015 and had a look at the facility, the care provided, mealtimes and activities at the scheme.
We also spoke with some of the tenants and were able to find out quite a lot about their experience of living at Prince of Wales Drive.
Our findings from the visit are included in the attached report and were also sent to Wandsworth Council, the CQC and the CCG for information.
Report on the Enter & View Team's Visits to Harding & Huguenot Care Homes
Posted on 16/12/2015
In August, the Enter & View team visited Harding and Huguenot care homes in Wandsworth, as part of a work stream involving visits to homes without nursing provision as these often come under less scrutiny.
Their findings and recommendations are included in the attached report. We are now awaiting action plans from each of the homes, based on our recommendations.
If you would like to volunteer with our Enter & View team, or you have suggestions regarding facilities in Wandsworth that you think would benefit from a vist, then please get in touch with us - email@example.com.
Beginning in 2014 our Enter & View team decided to visit care homes for older people and for people with learning disabilities. They wanted to talk to the residents to find out if they were happy with the care they receive at the home, and what might be improved.
The team collected lots of really good feedback from residents and staff at the homes, but as time went by it became clear that there were a number of common themes emerging from the visits, and also examples of good practice that could be shared between homes.
The commonalities and areas of good practice from both sets of visits have been summarised in two brief reports, which are attached for information.
E&V Visits Care Homes for People with Learning Disabilities (March 2015)
Posted on 23/03/2015
In October 2014, our Enter & View team decided to visit care homes that do not provide nursing, as often these homes are less scrutinized than others. Care homes for people with learning disabilities fall into this category.
Among the homes that were visited in the borough were St Mary's care home in Roehampton, Totterdown Street care home in Tooting, Anvil Close in Streatham, Wardley Street care home in Earlsfield and Old Hospital Close in Balham. As no two care homes are ever the same the visits were very informative and although they allowed for a degree of comparison, each home specialises in the care of slightly different disabilities and/or age groups.
We've now written up our reports for the homes and have received action plans back from St Mary's, Wardley Street, Old Hospital Close and Totterdown Street care homes. Outstanding reports and action plans from the other homes visited will be uploaded as they become available.
We'd like to sincerely thank our Enter & View team for their hard work throughout this last year. Despite their many personal and professional commitments, they're extremely hard working and productive, and we're proud to have them working with us.
Last year, our Enter & View team looked into the reasons behind the formation of the 'Enter & View' project and, more specifically, how our Enter & View team supports the objectives of Healthwatch Wandsworth locally.
E&V Visit to Redclyffe Residential Home (June 2014)
Posted on 06/08/2014
In May 2014 four members of our Enter and View Team visited Redclyffe residential home in Tooting. The home is run by a local charity and provides care for older people and those with dementia (in particular Alzheimer's).
They interviewed a number of the residents and also had the opportunity to observe residents and staff at the home going about their normal day to day activities. Following their visit our team made a number of recommendations which are included in the report attached below.
Our report was then sent to the home's Manager for information and a formal response was requested. Their response, in the form of an Action Plan, is also attached below.
Our Enter & View team's latest project involves visiting different care and residential homes for older people in the borough, to observe the standards of care received by the residents.
The first home to be visited was Lyle House care home in Roehampton. The reports below detail our team's findings and recommendations, along with the care home's response to our recommendations, in the form of an Action Plan.
This report is about peoples' experience of the discharge process from St George's Hospital and contains excerpts from interviews with patients and some of their carers, both before and after they left hospital.
To read the report in full, or St George's response to our recommendations, please click on either of the icons below.
E&V People with Learning Disabilities Report (June 2013)
Posted on 03/02/2014
Back in June 2013 the Enter & View team launched the report 'People with Learning Disabilities and Personal Budgets'. In response to this report, Wandsworth's department of Adult Social Services published an Action Plan which was formally agreed by the Director, Dawn Warwick.
To read both documents in full, please click on the icons below.
These reports summarise the Enter & View team's findings re the provision of day/resource centres for people with mental health problems in the borough of Wandsworth. Click the icons below to read in full.