Announced Inspection Report care for older people in acute hospitals

Size: px
Start display at page:

Download "Announced Inspection Report care for older people in acute hospitals"

Transcription

1 Announced Inspection Report care for older people in acute hospitals Gilbert Bain Hospital NHS Shetland March 2014

2 Healthcare Improvement Scotland is committed to equality. We have assessed the inspection function for likely impact on equality protected characteristics as defined by age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, and sexual orientation (Equality Act 2010). You can request a copy of the equality impact assessment report from the Healthcare Improvement Scotland Equality and Diversity Officer on or contactpublicinvolvement.his@nhs.net Healthcare Improvement Scotland 2014 First published May 2014 The publication is copyright to Healthcare Improvement Scotland. All or part of this publication may be reproduced, free of charge in any format or medium provided it is not for commercial gain. The text may not be changed and must be acknowledged as Healthcare Improvement Scotland copyright with the document s date and title specified. Photographic images contained within this report cannot be reproduced without the permission of Healthcare Improvement Scotland. 2

3 Contents 1 About this report 4 2 Summary of inspection 5 3 Our findings 7 Appendix 1 Areas for improvement 15 Appendix 2 Details of inspection 17 Appendix 3 List of national guidance 18 Appendix 4 Inspection process flow chart 19 Appendix 5 Glossary of abbreviations 20 3

4 1 About this report In June 2011, the Cabinet Secretary for Health, Wellbeing and Cities Strategy announced that Healthcare Improvement Scotland would carry out a new programme of inspections. These inspections are to provide assurance that the care of older people in acute hospitals is of a high standard. We will measure NHS boards against a range of standards, best practice statements and other national documents relevant to the care of older people in acute hospitals, including the Clinical Standards Board for Scotland (CSBS) Clinical Standards for Older People in Acute Care (October 2002). Our inspections focus on the three national quality ambitions for NHSScotland, which ensure that the care provided to patients is person-centred, safe and effective. The inspections will ensure that older people are being treated with compassion, dignity and respect while they are in an acute hospital. We will also look at one or more of the following areas on each inspection: dementia and cognitive impairment falls prevention and management nutritional care and hydration, and preventing and managing pressure ulcers. This report sets out the findings from our announced inspection to Gilbert Bain Hospital, NHS Shetland from Thursday 27 March to Friday 28 March This report gives a summary of our inspection findings on page 5. Detailed findings from our inspection can be found on page 7. The inspection team was made up of two inspectors and one public partner, with support from a project officer. One inspector led the team and was responsible for guiding them and ensuring the team members agreed about the findings reached. A key part of the role of the public partner is to talk to patients and listen to what is important to them. Membership of the inspection team visiting Gilbert Bain Hospital can be found in Appendix 2. The report highlights three areas of strength, 11 areas for improvement and one area of continuing improvement. All areas for improvement from this inspection can be found in Appendix 1 on page 15. Wherever possible, the areas for improvement are linked to national standards published by Healthcare Improvement Scotland, its predecessors and the Scottish Government. They also take into consideration other national guidance and best practice. We will state that an NHS board must take action when they are not meeting the recognised standard. Where improvements cannot be directly linked to the recognised standard, but where these improvements will lead to better outcomes for patients, we will state that the NHS board should take action. A list of relevant national standards, guidance and best practice can be found in Appendix 3. More information about Healthcare Improvement Scotland, our inspections, methodology and inspection tools can be found at 4

5 2 Summary of inspection Gilbert Bain Hospital, Lerwick, serves the people of the Shetland Isles. It contains 64 staffed beds and has a range of healthcare specialties. We carried out an announced inspection to Gilbert Bain Hospital from Thursday 27 March to Friday 28 March We inspected the following areas: ward 1 (general surgical) ward 3 (general medical), and Ronas ward (older adults and rehabilitation). Before the inspection, we reviewed NHS Shetland s self-assessment and gathered information about Gilbert Bain Hospital from other sources. This included Scotland s Patient Experience Programme, and other data that relate to the care of older people. Based on our review of this information, we focused the inspection on the care of people with dementia and cognitive impairment, nutritional care and hydration, and preventing and managing pressure ulcers. Ensuring that older people are treated with compassion, dignity and respect is a focus on all our inspections. On the inspection, we spoke with staff and used additional tools to gather more information. In all wards, we used a formal observation tool. We carried out three periods of observation during the inspection. In each instance, members of our team observed interactions between patients and staff in a set area of the ward for 20 minutes. We also carried out patient interviews and used patient questionnaires. We spoke with 11 patients during the inspection. We received completed questionnaires from 14 patients. As part of the inspection, we reviewed 10 patient health records to check the care planned and delivered was as described in the care plans. For this inspection, we reviewed all 10 patient health records for the care of people with dementia and cognitive impairment. Out of these 10 patient health records, we reviewed nine of them for nutritional care and hydration, and preventing and managing pressure ulcers. Areas of strength We noted areas where NHS Shetland was performing well in relation to the care provided to older people in acute hospitals. Senior charge nurses appeared to lead and manage their wards well. The dementia liaison service demonstrated joint working with other agencies to provide a comprehensive service for patients with cognitive impairment. Wards had access to a range of snacks which enabled them to provide patients with a hot snack out-with set meal times. 5

6 Areas for improvement We found that further improvement is required in the following areas. Improve working practices with the social work departments to make discharge planning more effective. We found a lack of information in the personalised care plans outlining the individual needs of older people. This care plan should identify the specific needs of the patient and how staff will meet these needs. Patients were not always assessed for the risk of developing pressure ulcers within 6 hours of admission to hospital, or regularly reassessed to take account of any developing risks. What action we expect the NHS board to take after our inspection This inspection resulted in three areas of strength, 11 areas for improvement and one area of continuing improvement. A full list of the areas for improvement can be found in Appendix 1 on page 15. We expect NHS Shetland to address all the areas for improvement. Those areas where improvement is required to meet a recognised standard must be prioritised. The NHS board has developed an improvement action plan, which is available to view on the Healthcare Improvement Scotland website We would like to thank NHS Shetland and in particular all staff at the Gilbert Bain Hospital for their assistance during the inspection. 6

7 3 Our findings Treating older people with compassion, dignity and respect All wards inspected were mixed sex wards. Patients were accommodated in single rooms or single sex bays. Buzzers, water jugs and personal items, such as spectacles, were within reach of the patients where appropriate. All patients were dressed appropriately. Information on display above the patient s bed was kept to a minimum. Patient and staff interactions We used a formal observation tool in all of the wards inspected to observe interactions between staff and patients. Patients were treated with dignity and respect, and the majority of interactions observed were positive. Staff responded to requests from patients for assistance in a timely manner. In the majority of interactions observed, staff used patients preferred name and engaged in friendly, polite conversations. The care plan used in one ward for bed rails uses the term cot sides. This language is not appropriate. Patient comments Patients were positive about the care and assistance they had received from all members of staff. Patients also had the opportunity to give us their opinion of the care they received through our patient surveys and interviews. Of the 14 patients who completed our questionnaire: 100% stated they had been given clear information about their condition and treatment 100% said staff check on them regularly to see if they need anything, and 100% said the quality of care they received was good. We received the following positive comments from patients through the patient questionnaires. Services are very good, staff are polite and helpful. I have been very impressed with not only the care I have received but also the kindness shown by staff but also their willingness to go out of their way to give extra help without being asked. This applies to all staff I have I have encountered irrespective of trade or grade. It has made my stay a pleasure rather than a penance. We spoke with 11 patients during our inspection. All were positive about the care that they received, and we received no negative comments. Staff have been very attentive and supportive. My treatment has been explained every step of the way. Staff are flexible with visiting hours, due to travel distances. During the inspection, we spoke with a public representative who works closely with NHS Shetland to help improve the patient experience. The public representative: 7

8 assists in the production and content of patient leaflets, and is involved in ward walk-rounds with senior staff. Patient flow and capacity Eight patients were listed as delayed discharge in the hospital. These patients were waiting for either care services at home or long term care. This can cause problems with patient flow by reducing availability of beds for other patients who need to be admitted into the hospital. Boarding is when patients are moved from one ward to another to meet the needs of the service and not the patient s clinical needs. On one ward, staff told us patients can be moved to other wards to create beds for other patients. They can sometimes then be moved back if needed. Several ward moves can increase confusion in patients with cognitive impairment. Discharge planning Discharge planning is a continual process to make sure patients are safely discharged and do not have to stay in hospital longer than required. Effective discharge planning begins on, or shortly after, admission to hospital. NHS Shetland has discharge checklists in the patient health records. However, none of the notes we reviewed had the discharge checklists completed. In Ronas ward, we saw evidence of multi disciplinary team working to fully assess the needs of the patient and actively plan for discharge. Do not attempt cardiopulmonary resuscitation documentation Do not attempt cardiopulmonary resuscitation (DNACPR) documentation relates to the emergency treatment given when a patient s heart stops or they stop breathing. Sometimes medical staff will make a decision that they will not attempt to resuscitate a patient. This is because they are as sure as they can be that resuscitation will not benefit the patient. For example, this could be when a patient has an underlying disease or condition and death is expected. When this decision is made, opportunities should be taken to have honest and open communication to ensure patients and their families are made aware of the patient s condition. However, in some cases, clinical staff may decide not to share this information as they feel it may cause too much distress for the patient and their families. We reviewed four health records for DNACPR documentation. Three of these had been fully completed. The fourth had no review date entered. This meant that it was unclear how long the decision was in place for, or if it would be communicated to others involved in the person s care, on their discharge from hospital. Leadership We found effective leadership at ward level: wards were calm and organised staff stated that they felt supported, and patients told us they always knew who was in charge of the wards. Senior staff carry out walk-rounds on the wards. During walk-rounds, the hospital s senior management come to the wards to speak to patients and staff, to allow issues on the ward to 8

9 be raised directly to them. Senior charge nurses said that this is beneficial as action plans are produced and followed up. Area of strength Senior charge nurses appeared to lead and manage their wards well. The culture within the ward was to put the patients at the centre of care. Areas for improvement 1. NHS Shetland must ensure effective discharge planning begins on, or shortly after admission, and is a continual process. 2. NHS Shetland must work with the social work department to ensure that patients are not kept in hospital longer than they should be. 3. NHS Shetland should review their bed rail care plan to ensure that the language promotes patient dignity. 4. NHS Shetland should ensure that the management of patient flow in the hospital does not compromise patient safety, care or dignity. Dementia and cognitive impairment Patient environment NHS Shetland has been trying to improve the hospital environment, and we saw some good examples of this: signage in the wards was large with good contrast pictorial signage is used for toilets, shower rooms, bedrooms and sitting room, and entrances to rooms were in contrasting colours to the walls, making it easier for patients to identify rooms. One ward has a sitting room and dining room. The sitting room provides an opportunity for social interaction between patients. Patients spoke highly of this. Screening and assessment NHS Shetland s self-assessment states that all patients over 65 years of age who consent to screening are assessed in the accident and emergency department for cognitive impairment. We found that 50% of patients whose records we reviewed were assessed for cognitive impairment on admission to hospital. However, the result of this did not always lead to further investigation or assessment. In some cases, assessment for cognitive impairment may not be appropriate, for example due to a medical condition. Patient health records in the hospital did not document where this was thought to be the case. This could mean delirium or cognitive impairment is not identified, or the opportunity for early diagnosis and treatment is missed. Staff had no clear guidance to tell them the action to take when the assessment identified a possible impairment. 9

10 NHS Shetland has a dementia liaison service which includes a dementia clinical nurse specialist. The service has pathways to guide the assessment and diagnosis of dementia. GPs, community nurses and hospital staff can refer patients to the service. A community psychiatric nurse with dementia care expertise, along with a psychiatrist specialising in older people s medicine, complete the assessment. The psychiatrist is based in Woodend Hospital in Aberdeen. Through video conferencing, they provide advice, support and treatment plan details. We were told that this system works well. The community psychiatric nurse co-ordinates investigations. They speak with GPs and work with the dementia clinical nurse specialist and either the hospital or community staff to organise support after dementia has been diagnosed. The service has developed an anticipatory care plan for people with dementia to complete. This includes the Getting to Know Me document which allows the person to record key information which can then be used to inform: care in the hospital ambulance staff paramedics doctors, and nurses in the accident and emergency department. The dementia clinical nurse specialist also provides support to the seven dementia champions based within the hospital. Dementia champions felt supported by this. Delirium Although staff had an awareness of Healthcare Improvement Scotland s Think Delirium project, there was no screening tool used for the identification of delirium. The TIME (think, investigate, management plan, engage) bundle is a tool developed by Healthcare Improvement Scotland. It prompts staff to: think (exclude and treat possible triggers) investigate (and intervene to correct underlying causes) management plan, and engage (and explore with patient and family). NHS Shetland is working with Healthcare Improvement Scotland to implement its TIME bundle and the Scottish Delirium Association s delirium pathway. Adults with Incapacity (Scotland) Act 2000 The adult with incapacity form is used to authorise treatment for patients who are unable to consent themselves. We saw four adults with incapacity certificates. However, there was no evidence in the clinical record to show that an assessment of capacity to consent to treatment had been carried. For example: 10

11 one patient with dementia had no assessment of cognitive assessment or screening for delirium or an assessment of capacity to consent to treatment, and another patient had an adults with incapacity certificate in place, but had signed a consent form for surgery. While this may have been appropriate, there was no documented evidence of capacity to consent to treatment to inform these decisions. The adult with incapacity certificates were not always fully completed. The proposed interventions stated on the certificates were general and did not always reflect the actual interventions being carried out. For example: one certificate was for personal and clinical care whilst in hospital, but did not state the dates it was valid from and to, and two certificates were for medical management of medical problems. Also, the certificates did not always reflect that patients may have capacity to make some decisions. We saw evidence of care plans being used to inform and evaluate the care given. However, the care plans were generic and not completed to reflect an individual s needs. This meant that they did not provide enough detail to guide appropriate person-centred care. Area of strength NHS Shetland s dementia liaison service demonstrates joint working with other agencies to provide a comprehensive service for patients with cognitive impairment. Areas for improvement 5. NHS Shetland must ensure that all older people who are admitted to hospital are screened and assessed for cognitive impairment. 6. NHS Shetland must ensure that patients identified as having cognitive impairment have a personalised care plan in place. This should identify the specific needs of the patient and how the staff will meet them. 7. NHS Shetland must ensure that current legislation to protect the rights of patients who lack capacity is fully and appropriately implemented. Nutritional care and hydration NHS Shetland s self-assessment states that various risk assessments are carried out when patients are admitted to Gilbert Bain Hospital, including the Malnutrition Universal Screening Tool (MUST). This tool calculates the risk of malnutrition and should be completed within 24 hours of admission. This includes; information on a patient s height and weight the patient s body mass index any unplanned weight loss, and whether the patient is acutely ill or has not eaten for more than 5 days. 11

12 An appropriate care plan should be produced for each patient once the risk category has been established. Of the nine patient health records reviewed for nutritional care and hydration, only four had the MUST completed within 24 hours of admission. The other five were completed up to 5 days after admission. This can lead to patients who are at risk of malnutrition not being identified and having appropriate interventions and care put in place. A patient s MUST score gives a recommendation for how quickly they should be reassessed. Two patients did not have a review of their MUST within their recommended timeframe. For example, one patient who should be reassessed weekly had not been reassessed for 18 days. We saw evidence in one record that the patient s MUST score prompted referral to the dietitian. There was evidence of assessment by the dietitian and advice entered in the record. Staff told us they had a good relationship with the service. Six of the nine patients had a full nutritional assessment completed. This assessment includes information on: a patient s likes and dislikes any cultural or special dietary requirement, and if any adaptive aids or assistance are normally required. The standard care plans used for nutritional care, after completing MUST and nutritional assessment, contained limited personalised information. For example, a patient required assistance with eating and drinking, but their care plan did not identify how this would be met. Management of mealtimes Protected mealtimes aim to reduce non-essential interruptions during mealtimes, making sure that eating and drinking are the focus for patients without unnecessary distractions. We observed mealtimes, including breakfast and dinner, and noted that protected mealtimes were in place in all the wards. We saw posters on display to explain protected mealtimes and to indicate when meals would be served. Apart from breakfast in one ward, mealtimes were well managed. Meals were given out in a timely manner, and aids and help were given to patients who required it. However, hand hygiene was not always offered to patients before meals were served. Gilbert Bain Hospital had systems to identify patients who required help. However, the level of help required was not noted in the care records. In one ward, we saw breakfast served by the night staff at 7.30am before the day staff started their shift. This meant the number of staff available to help patients prepare for breakfast was limited. The staff member who did help was frequently called away to help other patients, which interrupted them serving the meals. Also in this ward, after meals had been served, we did not always observe staff checking if patients: needed help, or were managing to eat their meal. In another ward, one patient was observed trying to eat their dessert with a knife. This was brought to the attention of the nurse. 12

13 Menus and provision of snacks Hot snacks are available from the ward if patients miss a meal. The food, fluid and nutrition group has been re-introduced, which means link nurses are more able to influence care. This has already had an effect, and the NHS board plans to introduce an emergency snack box. There are good working relationships with the catering department at the hospital. One ward had a separate dining area in the ward for patients who wished to use it. The wards inspected had adaptive cutlery and crockery available for patients who required it. Each ward had access to snacks, soup and some tinned food. These could be heated in a microwave to give food to patients who had missed meals. Area of strength NHS Shetland hold a range of snacks at ward level which allows staff to offer hot food to patients who are unable to have their meal at the appropriate time. Areas for improvement 8. NHS Shetland must ensure screening for the risk of under nutrition is carried out on admission and on an ongoing basis. 9. NHS Shetland must ensure personalised nutritional care plans are developed, implemented and evaluated for each patient, as appropriate. They should include information about any assistance the patient needs to eat their meals, where appropriate. The care plans must provide sufficient detail to guide staff on how to help those patients. Area of continuing improvement a. NHS Shetland should continue with its plans to introduce an emergency snack box for patients. Preventing and managing pressure ulcers Assessment and care planning NHS Shetland uses an adapted Waterlow risk assessment tool to assess a patient s risk of developing a pressure ulcer. National guidance states that an assessment should be completed within 6 hours of admission. We found four out of nine adapted Waterlow risk assessments had not been completed within this timeframe. Where the adapted Waterlow had been completed, the assessment documentation did not state how frequently the patient should be reassessed. Inconsistent clinical care could potentially lead to patients developing pressure ulcers. The outcome of the Waterlow assessment should inform the frequency of the skin care bundle. A skin care bundle, SSKIN (skin, surface, keep moving, incontinence, nutrition), is in place and is incorporated within the active care checklist. This prompts staff to check patients skin more regularly and reduce variation in care practice. However, there was no evidence of personalised care planning being used to help prevent and manage pressure ulcers. We also found completion of the active care checklist was inconsistent, for example interventions were not always recorded when they should be. 13

14 Tissue viability service The tissue viability service, led by a senior charge nurse and supported by link nurses from within the hospital, works well. When required, specialist advice is available from Woodend Hospital in Aberdeen. Staff told us this works well. Specialist pressure-relieving equipment Availability of pressure-relieving equipment was good and we saw this in use. Wards had been provided with new, higher specification mattresses. Each area had six airflow mattresses. Two bariatric mattresses, used for patients who are overweight, were available. We observed patients on appropriate mattresses. Areas for improvement 10. NHS Shetland must ensure patients are assessed for the risk of developing pressure ulcers within 6 hours of admission to hospital, and are regularly reassessed to take account of any developing risks. 11. NHS Shetland must ensure all patients have a personalised care plan which identifies all of their individual needs in relation to preventing and managing pressure ulcers, and clearly demonstrates how those needs are to be met. 14

15 Appendix 1 Areas for improvement Areas for improvement are linked to national standards published by Healthcare Improvement Scotland, its predecessors and the Scottish Government. They also take into consideration other national guidance and best practice. We will state that an NHS board must take action when they are not meeting the recognised standard. Where improvements cannot be directly linked to the recognised standard, but where these improvements will lead to better outcomes for patients, we will state that the NHS board should take action. The list of national standards, guidance and best practice can be found in Appendix 3. Treating older people with compassion, dignity and respect NHS Shetland: 1 must ensure effective discharge planning begins on, or shortly after admission, and is a continual process (see page 9). This is to comply with Clinical Standards for Older People in Acute Care, Standard 5c. 2 must work with the social work department to ensure that patients are not kept in hospital longer than they should be (see page 9). This is to comply with Clinical Standards for Older People in Acute Care, Standard 5a. 3 should review their bed rail care plan to ensure that the language promotes patient dignity (see page 9). 4 should ensure that the management of patient flow in the hospital does not compromise patient safety, care or dignity (see page 9). Dementia and cognitive impairment NHS Shetland: 5 must ensure that all older people who are admitted to hospital are screened and assessed for cognitive impairment (see page 11). This is to comply with Clinical Standards for Older People in Acute Care, Standard 2. 6 must ensure that patients identified as having cognitive impairment have a personalised care plan in place. This should identify the specific needs of the patient and how the staff will meet them (see page 11). This is to comply with Standards of Care for Dementia in Scotland, page must ensure that current legislation to protect the rights of patients who lack capacity is fully and appropriately implemented (see page 11). This is to comply with Adults with Incapacity (Scotland) Act 2000 Part 5 - Medical treatment and research. 15

16 Nutritional care and hydration NHS Shetland: 8 must ensure screening for the risk of under nutrition is carried out on admission and on an ongoing basis (see page 13). This is to comply with Clinical Standards for Food, Fluid and Nutritional Care in Hospitals, Criteria 2.1 and must ensure personalised nutritional care plans are developed, implemented and evaluated for each patient, as appropriate. They should include information about any assistance the patient needs to eat their meals, where appropriate. The care plans must provide sufficient detail to guide staff on how to help those patients (see page 13). This is to comply with Clinical Standards for Food, Fluid and Nutritional Care in Hospitals, Criterion 2.7. Preventing and managing pressure ulcers NHS Shetland: 10 must ensure patients are assessed for the risk of developing pressure ulcers within 6 hours of admission to hospital, and are regularly reassessed to take account of any developing risks (see page 14). This is to comply with Best Practice Statement for the Prevention and Management of Pressure Ulcers, Section must ensure all patients have a personalised care plan which identifies all of their individual needs in relation to preventing and managing pressure ulcers, and clearly demonstrates how those needs are to be met (see page 14). This is to comply with Best Practice Statement for the Prevention and Management of Pressure Ulcers, Section 1. Areas for continuing improvement are improvements that the NHS board has already identified and started to address. We acknowledge the work carried out by the NHS board at the time of inspection and encourage progress in these areas. Area for continuing improvement NHS Shetland: a should continue with its plans to introduce an emergency snack box for patients (see page 13). 16

17 Appendix 2 Details of inspection The inspection to Gilbert Bain Hospital, NHS Shetland was conducted from Thursday 27 March to Friday 28 March The inspection team consisted of the following members: Ian Smith Senior Inspector Irene Robertson Inspector Marguerite Robertson Public Partner Supported by: Ross McFarlane Project Officer 17

18 Appendix 3 List of national guidance The following national standards, guidance and best practice are relevant to the inspection of the care provided to older people in acute care. Best Practice Statement for Prevention and Management of Pressure Ulcers (NHS Quality Improvement Scotland, March 2009) Clinical Standards for Food, Fluid and Nutritional Care in Hospitals (NHS Quality Improvement Scotland, September 2003) Clinical Standards for Older People in Acute Care (Clinical Standards Board for Scotland, October 2002) Dementia: decisions for dignity (Mental Welfare Commission, March 2011) Health Department Letter (HDL) (2007)13: Delivery Framework for Adult Rehabilitation - Prevention of Falls in Older People (Scottish Executive, February 2007) National Standards for Clinical Governance and Risk Management (NHS Quality Improvement Scotland, October 2005) Scottish Intercollegiate Guideline Network (SIGN) Guideline 86 Management of Patients with Dementia (SIGN, February 2006) SIGN Guideline 111 Management of Hip Fracture in Older People (SIGN, June 2009) Standards of Care for Dementia in Scotland (Scottish Government, June 2011) 18

19 Appendix 4 Inspection process flow chart This process is the same for both announced and unannounced inspections. 19

20 Appendix 5 Glossary of abbreviations Abbreviation CSBS DNACPR HDL MUST SIGN SSKIN TIME Clinical Standards Board for Scotland Do not attempt cardiopulmonary resuscitation documentation Health Department Letter Malnutrition Universal Screening Tool Scottish Intercollegiate Guidelines Network skin, surface, keep moving, incontinence, nutrition think, investigate, management plan, engage 20

21 How to contact us You can contact us by letter, telephone or to: find out more about our inspections, and raise any concerns you have about care for older people in an acute hospital or NHS board. Edinburgh Office Gyle Square 1 South Gyle Crescent Edinburgh EH12 9EB Telephone hcis.chiefinspector@nhs.net The Healthcare Environment Inspectorate, the Scottish Health Council, the Scottish Health Technologies Group and the Scottish Intercollegiate Guidelines Network (SIGN) are part of our organisation.

Announced Inspection Report care for older people in acute hospitals

Announced Inspection Report care for older people in acute hospitals Announced Inspection Report care for older people in acute hospitals Hairmyres Hospital NHS Lanarkshire Healthcare Improvement Scotland is committed to equality. We have assessed the inspection function

More information

Announced Inspection Report care for older people in acute hospitals

Announced Inspection Report care for older people in acute hospitals Announced Inspection Report care for older people in acute hospitals Glasgow Royal Infirmary NHS Greater Glasgow and Clyde Healthcare Improvement Scotland is committed to equality. We have assessed the

More information

Unannounced Inspection Report. Aberdeen Maternity Hospital NHS Grampian. 9 October 2013

Unannounced Inspection Report. Aberdeen Maternity Hospital NHS Grampian. 9 October 2013 Unannounced Inspection Report Aberdeen Maternity Hospital NHS Grampian 9 October 2013 The Healthcare Environment Inspectorate is a part of Healthcare Improvement Scotland Healthcare Improvement Scotland

More information

Care for Older People in Acute Hospitals

Care for Older People in Acute Hospitals Progress Report (May 2013 July 2014) Care for Older People in Acute Hospitals November 2014 Healthcare Improvement Scotland is committed to equality. We have assessed the inspection function for likely

More information

Unannounced Follow-up Inspection Report: Independent Healthcare

Unannounced Follow-up Inspection Report: Independent Healthcare Unannounced Follow-up Inspection Report: Independent Healthcare St Vincent s Hospice St Vincent s Hospice Limited 28 www.healthcareimprovementscotland.org Healthcare Improvement Scotland is committed to

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Protected Mealtime Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Protected Mealtime Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Protected Mealtime Policy Version No 3 Effective From 12 February 2018 Expiry date 12 February 2021 Date Ratified 01 November 2017 Ratified By Nutritional

More information

Announced Inspection Report: Independent Healthcare. St. Margaret of Scotland Hospice St. Margaret of Scotland Hospice, Company Limited Clydebank

Announced Inspection Report: Independent Healthcare. St. Margaret of Scotland Hospice St. Margaret of Scotland Hospice, Company Limited Clydebank Announced Inspection Report: Independent Healthcare St. Margaret of Scotland Hospice St. Margaret of Scotland Hospice, Company Limited Clydebank 14 November 2012 Healthcare Improvement Scotland is committed

More information

Unannounced Inspection Report

Unannounced Inspection Report Unannounced Inspection Report Stobhill Hospital Glasgow Royal Infirmary NHS Greater Glasgow and Clyde www.healthcareimprovementscotland.org The Healthcare Environment Inspectorate was established in April

More information

Unannounced Follow-up Inspection Report

Unannounced Follow-up Inspection Report Unannounced Follow-up Inspection Report Queen Elizabeth University Hospital NHS Greater Glasgow and Clyde www.healthcareimprovementscotland.org The Healthcare Environment Inspectorate was established in

More information

Newbyres Village Care Home Service Adults 20 Gore Avenue Gorebridge EH23 4TZ Telephone:

Newbyres Village Care Home Service Adults 20 Gore Avenue Gorebridge EH23 4TZ Telephone: Newbyres Village Care Home Service Adults 20 Gore Avenue Gorebridge EH23 4TZ Telephone: 0131 270 5657 Type of inspection: Unannounced Inspection completed on: 20 January 2015 Contents Page No Summary 3

More information

Report on an unannounced visit to: Western Isles Hospital, Clisham Ward, MacAulay Road, Stornoway, Isle of Lewis HS1 2AF

Report on an unannounced visit to: Western Isles Hospital, Clisham Ward, MacAulay Road, Stornoway, Isle of Lewis HS1 2AF Mental Welfare Commission for Scotland Report on an unannounced visit to: Western Isles Hospital, Clisham Ward, MacAulay Road, Stornoway, Isle of Lewis HS1 2AF Date of visit. 6 March 2017 Where we visited

More information

Unannounced Theatre Inspection Report

Unannounced Theatre Inspection Report Unannounced Theatre Inspection Report Perth Royal Infirmary NHS Tayside 12 13 July 2017 www.healthcareimprovementscotland.org The Healthcare Environment Inspectorate was established in April 2009 and is

More information

Nightingales Nursing Home

Nightingales Nursing Home Nightingales Care Limited Nightingales Nursing Home Inspection report 355a Norbreck Road Thornton Cleveleys Lancashire FY5 1PB Tel: 01253822558 Date of inspection visit: 17 January 2017 Date of publication:

More information

Report on unannounced visit to: Davan, Muick and Skene wards, Royal Cornhill Hospital, Cornhill Road, Aberdeen AB25 2ZH

Report on unannounced visit to: Davan, Muick and Skene wards, Royal Cornhill Hospital, Cornhill Road, Aberdeen AB25 2ZH Mental Welfare Commission for Scotland Report on unannounced visit to: Davan, Muick and Skene wards, Royal Cornhill Hospital, Cornhill Road, Aberdeen AB25 2ZH Date of visit: 15 May 2018 Where we visited

More information

Broomfield Court Care Home Service

Broomfield Court Care Home Service Broomfield Court Care Home Service 751 Broomfield Road Barmulloch Glasgow G21 3HQ Telephone: 0141 558 2020 Type of inspection: Unannounced Inspection completed on: 28 June 2017 Service provided by: Larchwood

More information

Skye View Care Centre Care Home Service

Skye View Care Centre Care Home Service Skye View Care Centre Care Home Service 1 Arran Drive Airdrie ML6 6NJ Telephone: 01236 762 242 Type of inspection: Unannounced Inspection completed on: 11 May 2017 Service provided by: Skye Care Limited

More information

Unannounced Inspection Report: Independent Healthcare

Unannounced Inspection Report: Independent Healthcare Unannounced Inspection Report: Independent Healthcare Marie Curie Hospice - Edinburgh Marie Curie Cancer Care Edinburgh 22 May 2013 Healthcare Improvement Scotland is committed to equality. We have assessed

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Queen Elizabeth Medical Centre Edgbaston, Birmingham, B15 2TH

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Brambles Care Home Birchfield Road, Redditch, B97 4LX Tel: 01527555800

More information

Report on announced visit to: Lammerlaw Ward, Herdmanflat Hospital, Haddington EH41 3BU

Report on announced visit to: Lammerlaw Ward, Herdmanflat Hospital, Haddington EH41 3BU Mental Welfare Commission for Scotland Report on announced visit to: Lammerlaw Ward, Herdmanflat Hospital, Haddington EH41 3BU Date of visit: 8 May 2018 Where we visited Lammerlaw Ward is a 16-bedded mixed

More information

Singleton Park Care Home Care Home Service

Singleton Park Care Home Care Home Service Singleton Park Care Home Care Home Service Singleton Park Care Home Courance Lockerbie DG11 1TS Telephone: 01387 860748 Type of inspection: Unannounced Inspection completed on: 19 September 2016 Service

More information

Ashley Court. Healthcare Homes (LSC) Limited. Overall rating for this service. Inspection report. Ratings. Good

Ashley Court. Healthcare Homes (LSC) Limited. Overall rating for this service. Inspection report. Ratings. Good Healthcare Homes (LSC) Limited Ashley Court Inspection report 6-10 St Peters Road Poole Dorset BH14 0PA Date of inspection visit: 04 September 2017 07 September 2017 Date of publication: 20 October 2017

More information

Dalawoodie House Nursing Home Care Home Service

Dalawoodie House Nursing Home Care Home Service Dalawoodie House Nursing Home Care Home Service Newbridge Dumfries DG2 0QY Telephone: 01387 720 905 Type of inspection: Unannounced Inspection completed on: 25 May 2017 Service provided by: Downing Care

More information

Hospital Follow Up Inspection (Unannounced) Abertawe Bro Morgannwg University Health Board Princess of Wales Hospital, Ward 10 and Emergency

Hospital Follow Up Inspection (Unannounced) Abertawe Bro Morgannwg University Health Board Princess of Wales Hospital, Ward 10 and Emergency Hospital Follow Up Inspection (Unannounced) Abertawe Bro Morgannwg University Health Board Princess of Wales Hospital, Ward 10 and Emergency Department Inspection Date: 17 & 18 January Publication Date:

More information

Ranfurly Care Home Care Home Service

Ranfurly Care Home Care Home Service Ranfurly Care Home Care Home Service 69 Quarrelton Road Johnstone PA5 8NH Telephone: 01505 328811 Type of inspection: Unannounced Inspection completed on: 20 December 2017 Service provided by: Silverline

More information

Dignity and Essential Care Follow-Up Inspection (Announced) Cardiff and Vale University Health Board: Ward B6 Trauma and Orthopaedic, University

Dignity and Essential Care Follow-Up Inspection (Announced) Cardiff and Vale University Health Board: Ward B6 Trauma and Orthopaedic, University Dignity and Essential Care Follow-Up Inspection (Announced) Cardiff and Vale University Health Board: Ward B6 Trauma and Orthopaedic, University Hospital of Wales, Cardiff 20 and 21 January 2015 This publication

More information

Spiers Care Home Care Home Service

Spiers Care Home Care Home Service Spiers Care Home Care Home Service 6 Janesfield Place Beith KA15 2BS Telephone: 01505 503324 Type of inspection: Unannounced Inspection completed on: 3 October 2017 Service provided by: Silverline Care

More information

Tendercare Home Ltd. Tendercare Home Limited. Overall rating for this service. Inspection report. Ratings. Good

Tendercare Home Ltd. Tendercare Home Limited. Overall rating for this service. Inspection report. Ratings. Good Tendercare Home Limited Tendercare Home Ltd Inspection report 237-239 Oldbury Road Rowley Regis West Midlands B65 0PP Tel: 01215614984 Date of inspection visit: 20 January 2016 21 January 2016 Date of

More information

Davislea Home For The Elderly Care Home Service Adults 100 Mallaig Road Drumoyne Glasgow G51 4PE Telephone:

Davislea Home For The Elderly Care Home Service Adults 100 Mallaig Road Drumoyne Glasgow G51 4PE Telephone: Davislea Home For The Elderly Care Home Service Adults 100 Mallaig Road Drumoyne Glasgow G51 4PE Telephone: 0141 276 0753 Type of inspection: Unannounced Inspection completed on: 27 February 2015 Contents

More information

Report on unannounced visit to: Banff Ward, Leverndale Hospital, Crookston Road, Glasgow G53 7TU

Report on unannounced visit to: Banff Ward, Leverndale Hospital, Crookston Road, Glasgow G53 7TU Mental Welfare Commission for Scotland Report on unannounced visit to: Banff Ward, Leverndale Hospital, Crookston Road, Glasgow G53 7TU Date of visit: 2 December 2015 Date sent to service: 18 January 2016

More information

Announced Inspection Report

Announced Inspection Report Announced Inspection Report Udston Hospital NHS Lanarkshire 20 21 September 2017 www.healthcareimprovementscotland.org The Healthcare Environment Inspectorate was established in April 2009 and is part

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Kingston Hospital Galsworthy Road, Kingston Upon Thames, KT2

More information

Liberty House Care Homes

Liberty House Care Homes Liberty House Care Home Limited Liberty House Care Homes Limited Inspection report 55 Copeley Hill, Erdington, Birmingham, B23 7PH Tel: 0121 3270671 Website: Date of inspection visit: To Be Confirmed Date

More information

Ladydale Care Home. Aegis Residential Care Homes Limited. Overall rating for this service. Inspection report. Ratings. Requires Improvement

Ladydale Care Home. Aegis Residential Care Homes Limited. Overall rating for this service. Inspection report. Ratings. Requires Improvement Aegis Residential Care Homes Limited Ladydale Care Home Inspection report 9 Fynney Street Leek Staffordshire ST13 5LF Tel: 01538386442 Website: www.pearlcare.co.uk Date of inspection visit: 10 May 2017

More information

Gloucestershire Old Peoples Housing Society

Gloucestershire Old Peoples Housing Society Gloucestershire Old People's Housing Society Limited Gloucestershire Old Peoples Housing Society Inspection report Watermoor House Watermoor Road Cirencester Gloucestershire GL7 1JR Tel: 01285654864 Website:

More information

Golden Years Care Home

Golden Years Care Home Mrs M C Prenger Golden Years Care Home Inspection report 47-49 Shaftesbury Avenue Blackpool Lancashire FY2 9TW Tel: 01253594183 Date of inspection visit: 10 January 2018 Date of publication: 05 February

More information

St Georges Park. Rotherwood Healthcare (St Georges Park) Limited. Overall rating for this service. Inspection report. Ratings. Requires Improvement

St Georges Park. Rotherwood Healthcare (St Georges Park) Limited. Overall rating for this service. Inspection report. Ratings. Requires Improvement Rotherwood Healthcare (St Georges Park) Limited St Georges Park Inspection report School Street Telford Shropshire TF2 9LL Tel: 01952619850 Website: www.rotherwood-healthcare.co.uk Date of inspection visit:

More information

Tudor House. Tudor House Limited. Overall rating for this service. Inspection report. Ratings. Good

Tudor House. Tudor House Limited. Overall rating for this service. Inspection report. Ratings. Good Tudor House Limited Tudor House Inspection report 159-161 Monyhull Hall Road Kings Norton Birmingham West Midlands B30 3QN Tel: 01214512529 Date of inspection visit: 23 February 2017 24 February 2017 Date

More information

The Village Nursing Home Care Home Service

The Village Nursing Home Care Home Service The Village Nursing Home Care Home Service 1a The Auld Road Cumbernauld Glasgow G67 2RF Telephone: 01236 458587 Type of inspection: Unannounced Inspection completed on: 4 November 2016 Service provided

More information

DIAL Network Housing Support Service 9 Queens Terrace Ayr KA7 1DU Telephone:

DIAL Network Housing Support Service 9 Queens Terrace Ayr KA7 1DU Telephone: DIAL Network Housing Support Service 9 Queens Terrace Ayr KA7 1DU Telephone: 01292 618313 Inspected by: Amanda Cross Type of inspection: Unannounced Inspection completed on: 16 July 2013 Contents Page

More information

Radis Community Care (Nottingham)

Radis Community Care (Nottingham) G P Homecare Limited Radis Community Care (Nottingham) Inspection report 12A Chilwell Road Beeston Nottingham Nottinghamshire NG9 1EJ Date of inspection visit: 08 August 2017 Date of publication: 14 September

More information

The Willows Residential and Nursing Home

The Willows Residential and Nursing Home Hestia Healthcare Limited The Willows Residential and Nursing Home Inspection report 73 Shakespeare Road Bedford Bedfordshire MK40 2DW Tel: 01234268270 Website: www.kingsleyhealthcare.co.uk/carehomes/bedfordshire/bedford/thewillows/

More information

Saresta and Serenade. Maison Care Ltd. Overall rating for this service. Inspection report. Ratings. Good

Saresta and Serenade. Maison Care Ltd. Overall rating for this service. Inspection report. Ratings. Good Maison Care Ltd Saresta and Serenade Inspection report Bromley Road Elmstead Market Colchester Essex CO7 7BX Date of inspection visit: 27 July 2016 Date of publication: 16 August 2016 Tel: 01206827034

More information

NHS Grampian. Intensive Psychiatric Care Units

NHS Grampian. Intensive Psychiatric Care Units NHS Grampian Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have assessed the performance

More information

Report on announced visit to: Adult Psychiatric Unit and Clisham Ward, Western Isles Hospital, MacAulay Road, Isle of Lewis, Stornoway HS1 2AF

Report on announced visit to: Adult Psychiatric Unit and Clisham Ward, Western Isles Hospital, MacAulay Road, Isle of Lewis, Stornoway HS1 2AF Mental Welfare Commission for Scotland Report on announced visit to: Adult Psychiatric Unit and Clisham Ward, Western Isles Hospital, MacAulay Road, Isle of Lewis, Stornoway HS1 2AF Date of visit: 22 November

More information

Orchard Home Care Services Limited

Orchard Home Care Services Limited Orchard Home Care Services Limited Orchard Home Care Inspection report 2 Ashfield Terrace Chester-le-street County Durham DH3 3PD Tel: 0191 389 0072 Website: www.cqc.org.uk Date of inspection visit: 12

More information

St Quentin Senior Living, Residential & Nursing Homes

St Quentin Senior Living, Residential & Nursing Homes St. Quentin Residential Home Limited St Quentin Senior Living, Residential & Nursing Homes Inspection report Sandy Lane Newcastle Under Lyme Staffordshire ST5 0LZ Tel: 01782617056 Website: www.stquentin.org.uk

More information

Quality of Care Approach Quality assurance to drive improvement

Quality of Care Approach Quality assurance to drive improvement Quality of Care Approach Quality assurance to drive improvement December 2017 We are committed to equality and diversity. We have assessed this framework for likely impact on the nine equality protected

More information

Well Hall Residential Home Care Home Service Adults 60 Wellhall Road Hamilton ML3 9DL Telephone:

Well Hall Residential Home Care Home Service Adults 60 Wellhall Road Hamilton ML3 9DL Telephone: Well Hall Residential Home Care Home Service Adults 60 Wellhall Road Hamilton ML3 9DL Telephone: 01698 286151 Inspected by: Fiona Stevenson Gerry Tonner David Marshall Type of inspection: Unannounced Inspection

More information

Eastgate Care Ltd. Overall rating for this service Good. Inspection report. Ratings. Overall summary. Is the service safe? Good

Eastgate Care Ltd. Overall rating for this service Good. Inspection report. Ratings. Overall summary. Is the service safe? Good Eastgate Care Ltd Melbourne House Inspection report Grannis Drive Aspley Nottingham Nottinghamshire NG8 5RU Tel: 0115 929 4787 Website: www.example.com Date of inspection visit: 1 and 2 December 2015 Date

More information

Lennel House Care Home Service

Lennel House Care Home Service Lennel House Care Home Service Lennel Road Coldstream TD12 4EX Telephone: 01890 882812 Type of inspection: Unannounced Inspection completed on: 7 September 2017 Service provided by: St Philips Care Limited

More information

Glenlivet Gardens Care Home Care Home Service Adults Glenlivet Place Darnley Glasgow G53 7LA

Glenlivet Gardens Care Home Care Home Service Adults Glenlivet Place Darnley Glasgow G53 7LA Glenlivet Gardens Care Home Care Home Service Adults Glenlivet Place Darnley Glasgow G53 7LA Type of inspection: Unannounced Inspection completed on: 29 September 2014 Contents Page No Summary 3 1 About

More information

Orchard Care Centre Care Home Service Adults Lychgate Road Tullibody Alloa FK10 2RQ

Orchard Care Centre Care Home Service Adults Lychgate Road Tullibody Alloa FK10 2RQ Orchard Care Centre Care Home Service Adults Lychgate Road Tullibody Alloa FK10 2RQ Inspected by: Lesley Greig Kuldip Dhesi inspector manager Type of inspection: Unannounced Inspection completed on: 18

More information

Urray House Care Home Service

Urray House Care Home Service Urray House Care Home Service Tarradale Gardens Muir of Ord IV6 7SJ Telephone: 01463 870516 Type of inspection: Unannounced Inspection completed on: 13 October 2016 Service provided by: Parklands Highland

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Dovehaven Nursing Home 9-11 Alexandra Road, Southport, PR9 0NB

More information

Intensive Psychiatric Care Units

Intensive Psychiatric Care Units NHS Highland Argyll & Bute Hospital, Lochgilphead Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity.

More information

Grants Bank Care Home Service Adults Pilmuir Street Dunfermline KY12 0NH Telephone:

Grants Bank Care Home Service Adults Pilmuir Street Dunfermline KY12 0NH Telephone: Grants Bank Care Home Service Adults Pilmuir Street Dunfermline KY12 0NH Telephone: 01383 620905 Inspected by: Marion Ash Type of inspection: Unannounced Inspection completed on: 5 November 2013 Contents

More information

Trinity Lodge Nursing Home Care Home Service

Trinity Lodge Nursing Home Care Home Service Trinity Lodge Nursing Home Care Home Service Spring Gardens Edinburgh EH8 8HT Telephone: 0131 661 1113 Type of inspection: Unannounced Inspection completed on: 27 September 2016 Service provided by: Trinity

More information

Independent Home Care Team

Independent Home Care Team Independent Homecare Team Limited Independent Home Care Team Inspection report 405A Footscray Road New Eltham London SE9 3UL Tel: 02037748870 Date of inspection visit: 22 March 2016 Date of publication:

More information

Time to listen In NHS hospitals. Dignity and nutrition inspection programme 2012

Time to listen In NHS hospitals. Dignity and nutrition inspection programme 2012 Time to listen In NHS hospitals Dignity and nutrition inspection programme 2012 March 2013 The Care Quality Commission is the independent regulator of health care and adult social care services in England.

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. St Andrews Care Home Great North Road, Welwyn Garden City, AL8

More information

Care and Social Services Inspectorate Wales. Care Standards Act Inspection Report. Glan-yr-Afon Nursing Home

Care and Social Services Inspectorate Wales. Care Standards Act Inspection Report. Glan-yr-Afon Nursing Home Care and Social Services Inspectorate Wales Care Standards Act 2000 Inspection Report Glan-yr-Afon Nursing Home Glan yr Afon Lane Fleur-de-Lys Blackwood NP12 3WA Type of Inspection Focused Date of inspection

More information

Inspection Report. Royal Infirmary of Edinburgh. NHS Lothian 18 and 19 January February 2010

Inspection Report. Royal Infirmary of Edinburgh. NHS Lothian 18 and 19 January February 2010 Inspection Report Royal Infirmary of Edinburgh NHS Lothian 18 and 19 January 2010 2 February 2010 qüé=eé~äíüå~êé=båîáêçåãéåí=fåëééåíçê~íé=áë=~=é~êí=çñ=kep=nì~äáíó=fãéêçîéãéåí=påçíä~åç= The Healthcare Environment

More information

Benvarden Residential Care Homes Limited

Benvarden Residential Care Homes Limited Benvarden Residential Care Homes Limited Benvarden Residential Care Homes Limited Inspection report 110 Ash Green Lane Exhall Coventry West Midlands CV7 9AJ Date of inspection visit: 14 January 2016 Date

More information

Stairways. Harpenden Mencap. Overall rating for this service. Inspection report. Ratings. Good

Stairways. Harpenden Mencap. Overall rating for this service. Inspection report. Ratings. Good Harpenden Mencap Stairways Inspection report 19 Douglas Road Harpenden Hertfordshire AL5 2EN Tel: 01582460055 Website: www.harpendenmencap.org.uk Date of inspection visit: 12 January 2016 Date of publication:

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Newhaven Care 20 Penkett Road, Wallasey, CH45 7QN Tel: 01516305584

More information

Melrose. Mr H G & Mrs A De Rooij. Overall rating for this service. Inspection report. Ratings. Requires Improvement

Melrose. Mr H G & Mrs A De Rooij. Overall rating for this service. Inspection report. Ratings. Requires Improvement Mr H G & Mrs A De Rooij Melrose Inspection report 8 Melrose Avenue Hoylake Wirral Merseyside CH47 3BU Tel: 01516324669 Website: www.polderhealthcare.co.uk Date of inspection visit: 24 April 2017 27 April

More information

Homecare Support Support Service Care at Home 152a Lower Granton Road Edinburgh EH5 1EY

Homecare Support Support Service Care at Home 152a Lower Granton Road Edinburgh EH5 1EY Homecare Support Support Service Care at Home 152a Lower Granton Road Edinburgh EH5 1EY Type of inspection: Unannounced Inspection completed on: 19 December 2014 Contents Page No Summary 3 1 About the

More information

Report of the unannounced inspection of nutrition and hydration at Mayo University Hospital, Castlebar, Co. Mayo

Report of the unannounced inspection of nutrition and hydration at Mayo University Hospital, Castlebar, Co. Mayo Report of the unannounced inspection of nutrition and hydration at Mayo University Hospital, Castlebar, Co. Mayo Monitoring programme for unannounced inspections undertaken against the National Standards

More information

NHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services

NHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services NHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services It is essential to follow the EQIA Guidance in completing this form Name of Current Service/Service Development/Service

More information

Report on announced visit to: McNair Ward, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow G12 0XN

Report on announced visit to: McNair Ward, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow G12 0XN Mental Welfare Commission for Scotland Report on announced visit to: McNair Ward, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow G12 0XN Date of visit: 6 September 2017 Where we visited McNair

More information

Cumbrae House Care Home Service Adults 4-18 Burnbank Terrace Glasgow G20 6UQ Telephone:

Cumbrae House Care Home Service Adults 4-18 Burnbank Terrace Glasgow G20 6UQ Telephone: Cumbrae House Care Home Service Adults 4-18 Burnbank Terrace Glasgow G20 6UQ Telephone: 0141 332 5909 Inspected by: Alison McEleny Type of inspection: Unannounced Inspection completed on: 20 September

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Thorpe House Nursing Home Limited 20-22 Finthorpe Lane, Almondbury,

More information

Report on announced local visit to: Glenlee Ward, Midlothian Community Hospital, 70 Eskbank Road, Bonnyrigg, EH22 3ND

Report on announced local visit to: Glenlee Ward, Midlothian Community Hospital, 70 Eskbank Road, Bonnyrigg, EH22 3ND Mental Welfare Commission for Scotland Report on announced local visit to: Glenlee Ward, Midlothian Community Hospital, 70 Eskbank Road, Bonnyrigg, EH22 3ND Date of visit: 8 December 2015 Date sent to

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Precious Homes Hertfordshire and Bedfordshire Oster House, Flat1,

More information

Tracey Williams (Head of Service Improvement), Kate Danskin (RTC Coordinator)

Tracey Williams (Head of Service Improvement), Kate Danskin (RTC Coordinator) NHS Board Contact Email NHS Tayside Tracey Williams (Head of Service Improvement), Kate Danskin (RTC Coordinator) tracey.williams1@nhs.net, katedanskin@nhs.net Title Category Background/ context The Ward

More information

Intensive Psychiatric Care Units

Intensive Psychiatric Care Units NHS Lothian St John s Hospital, Livingston Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. The Hayes Culverhayes, Long Street, Sherborne, DT9 3ED Tel:

More information

Enter & View Report. Care Home: Hilbre Manor EMI Residential Home

Enter & View Report. Care Home: Hilbre Manor EMI Residential Home Enter & View Report Care Home: Hilbre Manor EMI Residential Home Service address: 68 Bidston Road, Birkenhead. CH43 6UW Service Provider: Hilbre Care Group Date and time: 04/07/2016, 11.00am Authorised

More information

Inpatient Experience Survey 2016 Results for Dr Gray's Hospital, Elgin

Inpatient Experience Survey 2016 Results for Dr Gray's Hospital, Elgin Results for, Elgin August, Official Statistics Contents Page Introduction 3 Notes of interpretation 4 Chapter 1: Rated results 6 Chapter 2: Comparison with previous surveys 28 Chapter 3: Variation in hospital

More information

Improving Older People's Acute Care

Improving Older People's Acute Care Healthcare Improvement Scotland s Improvement Hub Improving Older People's Acute Care Learning from a Blended Local Collaborative Approach 2015-2016 Acknowledgements The improving older people s acute

More information

Driving and Supporting Improvement in Primary Care

Driving and Supporting Improvement in Primary Care Driving and Supporting Improvement in Primary Care 2016 2020 www.healthcareimprovementscotland.org Healthcare Improvement Scotland 2016 First published December 2016 The publication is copyright to Healthcare

More information

NHS Borders. Intensive Psychiatric Care Units

NHS Borders. Intensive Psychiatric Care Units NHS Borders Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have assessed the performance

More information

Essential Nursing and Care Services

Essential Nursing and Care Services Essential Nursing & Care Services Ltd Essential Nursing and Care Services Inspection report Unit 7 Concept Park, Innovation Close Poole Dorset BH12 4QT Date of inspection visit: 09 February 2016 10 February

More information

Report on unannounced visit to: Young People s Unit, Dudhope House, 17 Dudhope Terrace, Dundee, DD3 6HH

Report on unannounced visit to: Young People s Unit, Dudhope House, 17 Dudhope Terrace, Dundee, DD3 6HH Mental Welfare Commission for Scotland Report on unannounced visit to: Young People s Unit, Dudhope House, 17 Dudhope Terrace, Dundee, DD3 6HH Date of visit: 15 March 2016 OMG APP 11215 Where we visited

More information

Barlochan House Care Home Care Home Service

Barlochan House Care Home Care Home Service Barlochan House Care Home Care Home Service Palnackie Castle Douglas DG7 1PF Telephone: 01556 600287 Type of inspection: Unannounced Inspection completed on: 15 November 2017 Service provided by: Barlochan

More information

Mental Welfare Commission for Scotland. Report on announced visit to: The Ayr Clinic, Dalmellington Road, Ayr KA6 6PJ. Date of visit: 12 April 2018

Mental Welfare Commission for Scotland. Report on announced visit to: The Ayr Clinic, Dalmellington Road, Ayr KA6 6PJ. Date of visit: 12 April 2018 Mental Welfare Commission for Scotland Report on announced visit to: The Ayr Clinic, Dalmellington Road, Ayr KA6 6PJ Date of visit: 12 April 2018 Where we visited The Ayr Clinic is an independent hospital

More information

Care on a hospital ward

Care on a hospital ward Care on a hospital ward People with dementia may be admitted to general hospital wards either as part of a planned procedure such as a cataract operation or following an accident such as a fall. Carers

More information

Maidstone Home Care Limited

Maidstone Home Care Limited Maidstone Home Care Limited Maidstone Home Care Limited Inspection report Home Care House 61-63 Rochester Road Aylesford Kent ME20 7BS Date of inspection visit: 19 July 2016 Date of publication: 15 August

More information

The Boltons. Mr & Mrs V Juggurnauth. Overall rating for this service. Inspection report. Ratings. Good

The Boltons. Mr & Mrs V Juggurnauth. Overall rating for this service. Inspection report. Ratings. Good Mr & Mrs V Juggurnauth The Boltons Inspection report 4 College Road Reading Berkshire RG6 1QD Tel: 01189261712 Date of inspection visit: 17 March 2016 Date of publication: 08 April 2016 Ratings Overall

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. St Marys Nursing Home 344 Chanterlands Avenue, Hull, HU5 4DT

More information

Stobhill Nursing Home Care Home Service

Stobhill Nursing Home Care Home Service Stobhill Nursing Home Care Home Service 70 Stobhill Road Glasgow G21 3TX Telephone: 0141 558 8500 Type of inspection: Unannounced Inspection completed on: 23 March 2017 Service provided by: Tamaris (RAM)

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Clarence House Nursing Home Clarence House, Albert Street, Brigg,

More information

Abbey Gardens Nursing Home Care Home Service

Abbey Gardens Nursing Home Care Home Service Abbey Gardens Nursing Home Care Home Service Lincluden Road Dumfries DG2 0QB Telephone: 01387 255322 Type of inspection: Unannounced Inspection completed on: 23 October 2017 Service provided by: Voyage

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Crest Lodge Churt Road, Hindhead, GU26 6PS Tel: 01428605577

More information

Report on an announced visit to: Struan Ward, MacKinnon House, Stobhill Hospital, 133 Balornock Road, Glasgow G21 3UZ

Report on an announced visit to: Struan Ward, MacKinnon House, Stobhill Hospital, 133 Balornock Road, Glasgow G21 3UZ Mental Welfare Commission for Scotland Report on an announced visit to: Struan Ward, MacKinnon House, Stobhill Hospital, 133 Balornock Road, Glasgow G21 3UZ Date of visit: 15 May 2018 Where we visited

More information

Dalawoodie House Nursing Home Care Home Service

Dalawoodie House Nursing Home Care Home Service Dalawoodie House Nursing Home Care Home Service Newbridge Dumfries DG2 0QY Telephone: 01387 720 905 Type of inspection: Unannounced Inspection completed on: 7 February 2018 Service provided by: Downing

More information

Antonine House Care Home Service

Antonine House Care Home Service Antonine House Care Home Service 16 Roman Road Bearsden Glasgow G61 2SL Telephone: 01463 795050 Type of inspection: Unannounced Completed on: 9 July 2018 Service provided by: Antonine Care Limited Service

More information

The Bernard Sunley Nursing and Dementia Care Home

The Bernard Sunley Nursing and Dementia Care Home Friends of the Elderly The Bernard Sunley Nursing and Dementia Care Home Inspection report College Road Maybury Woking Surrey GU22 8BT Date of inspection visit: 12 April 2017 Date of publication: 30 June

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Beech House - Salford Radcliffe Park Crescent, Salford, M6 7WQ

More information