PERFORMANCE: The Care Quality Commission found the trust was meeting standards relating to dignity and nutrition, but also noted minor concerns on both, during a spot check as part of a wider investigation into how older patients are treated.

The regulator checked two “essential standards” of care during an inspection of wards – A1, A9 and F10 – at the trust’s Wythenshawe Hospital on 4 April.

Inspectors – including a practising nurse – observed how people were being cared for, talked with patients, talked with staff, and checked records.

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

It concluded overall that the Wythenshawe Hospital had passed both of the essential standards of quality and safety the CQC reviewed but, to maintain performance, it suggested some improvements were made on both.

In its report, the regulator said: “Many patients are very positive about their experiences of care and treatment at Wythenshawe Hospital. They stated that they were kept informed and were involved in making decisions about treatment options. One of the wards we visited was found to provide a high standard of individual care.

“However environmental factors and staffing levels on one ward resulted in some patients not having their specific care needs met and on occasions their dignity being compromised.”

It added: “The hospital is ensuring that patients receive a full assessment of their nutritional requirements and that these are addressed and regularly reviewed. Staff are well trained to provide support for patients to eat and drink and were mainly found to be attentive and considerate in providing this support.

“However, documentation of patients’ food and fluid intake is not always completed and nutritional assessments are not always updated.”

The regulator visited 100 hospitals as part of its programme of inspections on older patients’ treatment and is currently publishing them in batches, of which this is the fourth.

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