Archived: Bolsover Hospital

Updated 20 May 2014

Bolsover Hospital registered with the CQC in May 2011. The inpatient service provides rehabilitation services for adults in North East Derbyshire. Bolsover Hospital is registered to provide the regulated activities: Diagnostic and screening procedures; and Treatment of disease, disorder or injury.

The hospital is managed by Derbyshire Community Health services NHS Trust, which delivers a variety of services across Derbyshire and in parts of Leicestershire.

Bolsover Hospital has not previously been inspected by the CQC.

Updated 20 May 2014

Bolsover Hospital provides rehabilitation services for patients admitted from home or following discharge from acute hospitals.

There are three wards at Bolsover Hospital. Linden and Rowan wards each offer 16 beds for rehabilitation services. Sherwood ward provides 19 beds but is only open for part of the year in response to NHS winter pressures. The in-patient units are staffed with multi-disciplinary teams including medical cover.

Care was planned for and delivered in a safe manner overall. Evidence showed that staff reported incidents on the trust’s electronic reporting system and shared information and learning within the teams. Staff did not consistently follow the correct procedures in respect of people’s advance decisions not to be resuscitated in an emergency.

Care was planned and delivered by a multi-disciplinary team who worked together to provide the best outcome for patients. Staff used evidence based guidance and good practice using nationally recognised assessment tools. Staffing levels were not always adequate.

Patients we spoke with told us they received good care from compassionate and kind staff who respected their dignity. Patients were involved in most decisions about the care they received. Discharge planning started as soon as people were admitted to the wards to ensure the rehabilitation they received prepared them to return to their homes or supported care. The team met daily to review the discharge plans for patients to ensure they remained appropriate.

There were governance arrangements in the Trust which were implemented at ward level. Staff were aware of the Trust’s vision called the DHCS Way, and generally felt empowered to raise concerns if required.

Updated 20 May 2014

Staff were committed to providing high quality services to the patients on the wards at Bolsover hospital. Comments from patients, their relatives and representatives confirmed this. Care met the rehabilitation needs of the patients.

During our inspection we saw that the care provided was safe. Processes were in place to ensure any adverse incidents were reported and acted upon. Patients’ risks were assessed on admission and reviewed regularly. Management plans were in place to reduce the identified risks.

The multi-disciplinary team worked effectively together to achieve patient discharge in a timely manner. The average length of stay per patient was 22 days in January 2014.

Patients and their relatives were happy with the care provided. We observed staff treating people with dignity and respect. Patients were involved in most decisions about their care and staff knew the people they cared for well.