Enter & View visit to Mary Seacole Ward
Ward at Queen Mary’s Hospital, Roehampton, which provides an Inpatient Elderly
Rehabilitation Service.
What we did
We met, separately, with staff from the clinical commissioning groups with responsibility for commissioning integrated care and with senior clinicians and managers from Mary Seacole ward and the Inpatient Elderly Rehabilitation Service.
We obtained a great deal of background information about the service and decided to limit the focus of our visit to the experience of those patients who were actively engaged in rehabilitation therapy, designed to recover independence.
An Enter & View team of six spent the day on Mary Seacole ward and interviewed 15 out of 19 patients who had been identified by staff as meeting our criteria, plus the relative of another patient.
With patients’ permission, we had access to their care plans so that we might assess the type of treatment goals being set, and the extent to which patients were involved in setting them.
Key Findings
- To provide information leaflets for patients and their families explaining what to expect from their stay including general information on: personalised goal orientated rehabilitation therapy, the range of different staff, who to approach with any concerns and the discharge planning process.
- Mary Seacole ward are already developing a ward leaflet and told us how the information we had suggested would be communicated.
- Review arrangements for rehabilitation goal setting, progress monitoring and involvement of patients and their families.
- The therapy team is working with colleagues from Ronald Gibson House to develop a joint goal setting process, including paperwork to share with patients and families.
- Going to Introduce white boards by patient beds linked to goal setting, and a new tool for staff for more consistent conversations about discharge.
- Consider the case for an increase in rehabilitation therapy staff resources to increase the intensity and/or quality of therapy for patients who might benefit, including the possibility of extending therapy cover to weekends.
- Access to additional therapy time and support from Ronald Gibson House therapists were introduced alongside the Mary Seacole Ward therapy team.
More Findings
Most patients were positive about the standard of nursing care and the attitude of nurses on Mary Seacole ward.
Several patients would have liked to receive written information in advance about Mary Seacole and its rehabilitation facilities.
Some patients expressed concern about the nurses’ workload.
The ward was relying on a high number of temporary staff and we wondered whether this might explain an apparent lack of relaxed interaction between patients and nursing staff.
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