PERFORMANCE: The Royal Devon and Exeter Foundation Trust has been ordered to make improvements in how patients are involved in their care by the Care Quality Commission.

Inspectors visited the trust’s Bovey and Bolham wards as part of the CQC’s ongoing programme of inspections focusing on dignity and nutrition. They interviewed 11 staff including two dieticians, a house officer, a ward sister, a senior physiotherapist, a staff nurse and a healthcare assistant. They spoke in depth to nine patients who were using the service and spoke briefly to several other people receiving care on the wards.

The standards assessed were:

  • People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run
  • Food and drink should meet people’s individual dietary needs

The inspectors found the trust was compliant with the standards around nutrition but needed to make some improvements on patient dignity in order to maintain compliance.

The report found: “The individual needs of patients are taken into account to plan their treatment and care in dignified and respectful manner. However, we found that some patients and/or their advocates may not be involved enough in important decision making relating to the planning of treatment and delivery of care and that care planning did not detail how patients with communication needs and/or their advocates were involved in their care and decision making.

“Patients requiring a hoist on one ward are unable to choose a bath due to lack of facilities. Some improvements could be made to promote a more positive experience for patients receiving alternative methods of nutritional support during mealtimes.”