Dignity and Essential Care Inspection (DECI) report for Ysbyty Cwm Rhondda, Cwm Taf University Health Board published
Healthcare Inspectorate Wales (HIW) today publishes a report following an unannounced Dignity and Essential Care inspection to Ward B2 of Ysbyty Cwm Rhondda, part of Cwm Taf University Health Board. The inspection was undertaken on 23rd and 24th July 2014.
HIW inspectors were met by a staff team that demonstrated a warm, but professional attitude toward patients. All patients who spoke with HIW inspectors said that they were very satisfied with the way that they had been informed of, and involved in, decisions about their care and treatment.
HIW inspectors were provided with numerous positive comments from patients about the way in which they had been treated from the point of their admission.
HIW found that staff were welcoming toward visitors. Conversations held with patients and staff also demonstrated the efforts made by the staff team to involve relatives/carers in accordance with the wishes of the patients.
Conversations with a small number of patients indicated that they felt comfortable and pain free. However, HIW found that the ward was not using any form of assessment tool regarding this component of care and in accordance with the Fundamentals of Care.
Overall HIW found that people were helped as necessary to pay attention to their personal hygiene and appearance. However patients were not provided with the opportunity to wash their hands prior to eating their meals.
It was found that sufficient attention was paid to the choice of food available to patients in the form of a varied menu. Patients also said that they thought the food was excellent both, in terms of quantity and taste. However, patients’ water jugs were not replenished or refreshed more than once per day.
Patients told HIW that they were supported to clean their teeth/dentures. This assisted in enabling them to eat and drink and also assisted in preventing related problems.
Staff approached the provision of continence care with sensitivity; always ensuring that peoples’ dignity and privacy was maintained.
Scrutiny of a sample of care records demonstrated that patients were assessed for risk of pressure sores. The risk assessments were then used to create a plan of care which was specific to this aspect of patient need, in accordance with All-Wales guidelines.
Patients do not routinely undergo an assessment of their mental health needs alongside their general health needs from the point of admission to hospital.
HIW inspectors found that the nursing and medical leadership associated with the ward placed a particular emphasis on ensuring a positive culture amongst the staff team. This resulted in a demonstrable focus on the provision of individualised patient care and support and good collaboration and teamwork within the multi-disciplinary team and with other health and social care professionals.
Overall, HIW were satisfied with the arrangements and processes in place with regard to quality and safety. The exception being the identified deficits in relation to staff training on statutory topics such as safeguarding and health and safety, in addition to patient specific topics regarding nutrition, dementia/delirium and challenging behaviours.
Where HIW has identified findings which require improvement, the Health Board will be submitting a Plan setting out how it will address these. When agreed this will be published on the HIW website.
DECI Inspection report - Cwm Taf Ysbyty Cwm Rhondda 22 - 23 July 2014
Source: Healthcare Inspectorate Wales (HIW)