Hospi­tal’s record keep­ing crit­i­cised

Fail­ings found in el­derly care wards

Stirling Observer - - FRONT PAGE - Kaiya Mar­jorib­anks

In­spec­tors have iden­ti­fied a num­ber of ar­eas for im­prove­ment in wards car­ing for the el­derly at Forth Val­ley Royal Hospi­tal.

Health­care Im­prove­ment Scot­land this week pub­lished a re­port re­lat­ing to a three-day in­spec­tion at the Lar­bert hospi­tal in Novem­ber as part of its pro­gramme on the stan­dard of care for older peo­ple in acute care in Scot­land.

Among ar­eas found to be lack­ing was doc­u­men­ta­tion, said to be an “es­sen­tial part of a pa­tient’s care”.

The in­spec­tors said: “It is a le­gal re­quire­ment and en­sures that pa­tient care is safe.

“Through­out the in­spec­tion we iden­ti­fied ar­eas of poor doc­u­men­ta­tion. It is im­por­tant to stress that poor doc­u­men­ta­tion does not mean that the care is also poor.

“Ini­tial as­sess­ments need to be com­pleted ac­cu­rately and within the stan­dard rec­om­mended timescales.

“On com­plet­ing the mal­nu­tri­tion universal screen­ing tool (MUST) there is a lack of record­ing if weights are es­ti­mated or mea­sured, re­sult­ing in in­ac­cu­rate scor­ing of MUST.

“Cor­rectly com­pleted as­sess­ments are needed to en­sure that cor­rect pa­tient care is given.

“The com­ple­tion of per­son-cen­tred care plans is vari­able. Th­ese should de­tail the in­ter­ven­tions re­quired to meet pa­tients’ iden­ti­fied care needs but didn’t al­ways.

“There are con­cerns around the com­ple­tion of the as­sess­ment of ca­pac­ity to con­sent and staff un­der­stand­ing of adults with in­ca­pac­ity (AWI).”

The in­spec­tors vis­ited the acute as­sess­ment unit, wards A11 (age­ing and health), A22 (stroke), A32 (acute med­i­cal age­ing and health), B11 (sur­gi­cal), B12 (med­i­cal), B21/B22 (age­ing and health in­te­grated care), and B32 (med­i­cal/gas­troin­testi­nal) as well as the dis­charge lounge.

Claire Sweeney, in­terim di­rec­tor of qual­ity as­sur­ance for HIS, said: “We found ar­eas of good prac­tice and ar­eas to im­prove.

“In­ter­ac­tions be­tween staff and pa­tients were pos­i­tive and the ma­jor­ity of pa­tients praised the care they re­ceived.

“The in­te­grated care ward of­fers a good ther­a­peu­tic en­vi­ron­ment for pa­tients with cog­ni­tive im­pair­ment. It should be com­mended for the work that con­tin­ues to be im­ple­mented within what is a very busy ward.

“How­ever, there are a num­ber of ar­eas where im­prove­ments must be made.

“NHS FV must im­prove doc­u­men­ta­tion and en­sure all older peo­ple be­ing treated in ac­ci­dent and emer­gency or ad­mit­ted to hospi­tal are as­sessed within the na­tional stan­dard rec­om­mended timescales.

“We will con­tinue to mon­i­tor the sit­u­a­tion and fol­low up at fu­ture in­spec­tions.”

Through­out the in­spec­tion we iden­ti­fied ar­eas of poor doc­u­men­ta­tion

Must do bet­ter Forth Val­ley Royal Hospi­tal

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