Last update 27th. August 2004
Helen Boyle Ward Royal Free Hospital was visited on 17th August 2004 by Nick Green, Gillian Jordan (RFHTPPI) and Luke David (Ham & High). Imogen von Halle (UCHTPPI) assisted Nick Green with interviews of ex-patients.
12 female patients with three nurses per shift. A manager and sundry support including psychologist and two consultants.
The ward has one to four beds in a room. Offices for managers, nurses, patient interviews and a common room for patients. The general impression was dingy and drab which suggested redecoration was overdue and cleaning was inadequately thorough.
Safety training was reviewed. No figures were available for violent incident frequency (for a patient requiring restraint). Doctors often attended the 9.30 shift change handover. Hours of patient/doctor exposure were not available. The Staff did not wear uniforms.
The visit was prompted by an article in a local newspaper (Ham&High p8 13th August) that stealing, drinking and assaults were routinely unchallenged in this and other wards in MH Trust controlled wards.
We would like CANDIMHT to describe their routine procedures for dealing with theft, assault and the use of intoxicants, alcohol and marijuana including at what point police are involved. There is also the question of misinterpreting patient anger with the incompetence (and untruths) of care staff leading to inappropriate sedation and continued sectioning of patients. How is this question routinely decided? We would like to know how many hours patients spend with doctors and nurses. There is an unfortunate impression that organisation is for the convenience of staff rather than supporting the therapeutic needs of patients.
To what extent are care plans being agreed with patients? Will the single sex policy be implemented? Many patients asked us to say they preferred staff in Uniforms. On arrival (a confusing and disorienting time for fragile and bewildered patients) knowing who was staff and who not adds to the sense of security so urgently needed to start the healing process.
The staff and patients we met were friendly and helpful. As we left questions of validity of Luke David's written permission were raised. We hope the Forum will resolve this question as a matter of urgency. This report was based on one visit of about and hour and a half and several interviews with past patients of Helen Boyle ward. Thanks also to Gillian Jordan, Luke David, Imogen von Halle and several past patients for their help to the Forum.
To consider appropriate action when the Trust has responded to the questions arising from the inspections and interviews with patients.