- NHS hospital
Manor Hospital
Report from 22 November 2024 assessment
Contents
Ratings - Medical care (Including older people's care)
Our view of the service
We carried out this assessment to follow up on requirements and a warning notice made during a previous inspection in Autumn 2022 as well as to respond to concerns. These concerns had been raised by staff, members of the public and the local authority about the care and safe discharge of patients, particularly the elderly across medical wards. Themes included discharge, pressure area damage and falls. Following the 2022 inspection the trust had provided action plans to address our concerns. Progress had been monitored through our engagement activity, and this assessment would review how these improvements had been embedded.
During our assessment we visited wards 1, 2, 4, 5, 6, 7, 14, 15, 29, the Frailty Elderly Service, Acute Medical Unit and the Discharge Lounge concentrating on those areas caring for more elderly patients. We spoke to 33 staff which included nurses, doctors, managers, students, ancillary staff and those from the professions allied to medicine. We reviewed 18 sets of records, 12 drug charts and 12 records associated with mental capacity and best interest decision making.
We assessed 10 quality statements, concentrating on the safe key question and following up on our concerns within the caring and well-led key questions. Following this inspection the rating for safe improved to requires improvement and we found the warning notice had been met. We did not assess enough questions to change the ratings for the other key questions.
People's experience of this service
During our onsite inspection we spoke with 6 patients and 1 relative. The patients and people who were with them were positive about how staff treated them and some described staff as being “kind”, “patient” and “caring”.
Most people said that staff responded to their requests for assistance and some noted that in areas where there was always a member of staff present, they were attentive with one person saying they had never needed to use their buzzer.
Our own observations found that people were well cared for, and despite the pressure that the staff were under they were patient with people.
However, the provider’s own work to analyse complaints and feedback had identified shortfalls in some staff’s attitudes and behaviours, and work was taking place to address this through training.