Healthcare Inspectorate Wales (HIW) today publishes a report following an unannounced Dignity and Essential Care inspection to the Llewellyn Ward, Bronllys Hospital, part of Powys Teaching Health Board. The Inspection was undertaken on 26 February 2014.
This inspection identified several areas of noteworthy practice and some areas that require improvement, with regard to both DECI and Cleanliness. Overall, however, patients can be confident that Llewellyn Ward at Bronllys Hospital is well run, with a number of established monitoring arrangements regarding patients’ experience of care, clinical practice, safe systems of working and the wider aspects of organisational governance.
The noteworthy practice observed included nursing and medical staff being discreet when engaged in conversation with patients during the ward round and in the discussions between Doctors and ward staff. Great efforts were also made by staff to provide occupational health services and activities aimed at maintaining and promoting patient independence. Also, the ward environment appeared clean and pleasant; conversations with patients indicated that they were satisfied with the level of cleanliness.
HIW found a number of areas where improvement is required. Certain quality and safety issues were identified, such as inconsistent completion of patients’ risk and pain assessments, and limited use and completion of oral care bundles. As well as inconsistencies within a small number of medication administration records.
The Cleanliness Spot Check identified issues such as: limited staff knowledge of the All Wales Infection Prevention and Control procedures; inappropriate storage of cleaning fluids; no evidence of temperature recordings regarding the washer/disinfectors in both sluices; items of equipment which needed to be condemned; multiple cleaning schedules that were not clearly understood and incomplete cleaning records.
HIW Chief Executive, Dr Kate Chamberlain said:
“The Health Board was very open to our visit and made a constructive contribution throughout the inspection visit. Our inspection outlines a number of positive aspects in relation to how care is provided at Bronllys Hospital, also areas for improvement. We look forward to receiving an Improvement Plan from the Health Board which we will follow up. The Plan will be made publically available on our website”
