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Betsi Cadwaldr University Health Board - Dignity & Essential Care Inspection & Cleanliness Spot Check 14th/15th December 2011



Healthcare Inspectorate Wales (HIW) today published two reports following unannounced inspection visits to Ysbyty Glan Clwyd, Denbighshire (Dignity and Essential Care Inspection and Cleanliness Spot Check).

 The Dignity and Essential Care Inspection was undertaken on 14 and 15 December 2011. The wards visited were Ward 1 (Care of the Elderly) and Ward 11 (Gastroenterology and Care of the Elderly).
 
In general, staff were observed to be providing care in a sensitive manner and also patients reported that staff spoke to them in a polite and respectful way. Also, Ward 1 had introduced the ‘Caring Champion of the Month’ initiative, which we regarded as noteworthy practice that should be rolled out more widely across the Health Board.
 
However, there were some issues of concern including limited evidence of care planning which has a detrimental impact on patients, especially those with more complex care needs, and concerns raised by some members of staff regarding their knowledge and experience of managing and caring for patients presenting with challenging behaviour.
 
The Cleanliness Spot Check was undertaken on 14 December 2011. The wards visited were Ward 5 (Colorectal Ward), Ward 6 (General Surgery). Ward 8 (Vascular Ward) and Ward 9 (Renal and Diabetic Ward).
 
The overall standard of cleanliness was found to be good with no high or low level dust. Each ward had a housekeeper whose role it was to coordinate cleaning and ensure that the ward is kept orderly, this role work well.
 
However, the visit did highlight issues that were consistent across the four wards visited, these included: linen being stored in corridors, cluttered domestic rooms and inconsistent staff knowledge in relation to appropriate hand hygiene procedures. As these could be hospital wide issues the Health Board is required to undertake its own audit of all the wards at Ysbyty Glan Clwyd and report back to HIW.
 
HIW Chief Executive, Dr Peter Higson said:“The combined unannounced inspections carried out at Ysbyty Glan Clwyd identified areas of good practice and also areas where the Health Board needs to make improvements and these are set out in the individual reports. Action plans will be submitted to Healthcare Inspectorate Wales detailing how the issues identified will be addressed.”
 

Source: Healthcare Inspectorate Wales (HIW)