Tarporley War Memorial Hospital Statement of Purpose   Details of the hospital   The Tarporley War Memorial Hospital Trust is a Registered Charity (Charity Registration Number: 700336) and a Company Limited by Guarantee (Company Registration Number: 222213003) It is located at: 14 Park Road, Tarporley, Cheshire CW60AP, Telephone 01829 732436. Principal Officers of the Trust, together with their relevant qualifications and experience, are listed below.   The Chairman of Trustees   The Chairman of Trustees is Mrs Cath Tinston, who was appointed in 2005. She has a wealth of experience in Health matters having worked for the NHS for many years. She now works as a consultant on health matters and has worked for all the local NHS Trusts.   The Hospital Manager (Responsible Person & Registered Manager)   The Hospital Manager is Mr T Gorman who was appointed in December 2006.  He is a registered general and mental health nurse and has worked in a variety of senior management positions in hospitals across the North West for over thirty years.   The Matron   The Matron is Mrs Suzanne Lofthouse, who was appointed in July 2003 Mrs Lofthouse trained at Maelor Hospital, Wrexham, qualifying in 1982, and worked as staff nurse in Paediatrics.  She has worked for Tarporley Hospital, initially as clinic nurse then as senior staff nurse and since 1st July, 2003, as the new modern matron. Amongst many skills, she has a special lead in palliative and symptom control.   The Medical Officer   The Medical Officer is Dr P A Campbell, who is a GP working at Tarporley Health Centre.  Dr Campbell has been associated with the hospital for many years and succeeded his father as Medical Officer.   Hospital staffing   The hospital is staffed by a range of personnel, some of whom (Nurses, cooks, and the hospital administration) are directly employed by the Trust and some of whom (Physiotherapists, occupational therapists, and visiting clinicians) are assigned by the local NHS to provide services at the hospital. Contract cleaners are employed by the Trust in close contact with the matron. The hospital nursing staff is led by the Matron, supported by one Senior Staff Nurses.  The remainder of the staff are a mixture of RGNs and Health Care Assistants. Trained staff are recruited and trained in order to maintain a wide range of core skills available to the hospital, including: §         Personal care; §         Assessment; §         Care planning; §         Evaluation; §         Record keeping; §         Administration of medicines; §         Wound care; §         Tissue viability; §         Pressure area care; §         Venepuncture; §         ECGs; §         Catheterisation (male and female); §         Supra pubic catheterisation; §         Continence promotion; §         Minor injuries treatment; §         Triage; §         Palliative care; §         Cardio pulmonary resuscitation; §         Manual handling; §         Infection control; §         Bowel management; §         Multi-disciplinary discharges; §         Rehabilitation skills; §         PEG feeding; §         Sub-cutaneous infusions; §         Cannulation; and §         Confirmation of death. Health Care Assistants have all undergone rehabilitation training in order to support the care programmes initiated by both trained nurses and physiotherapists.  All are encouraged to attain NVQ Level 2 as a minimum and Level 3 where appropriate.  Core skills will include: §         Personal care; §         Record keeping; §         Pressure area care; §         Continence promotion; §         Palliative care; §         Cardio pulmonary resuscitation; §         Manual handling; §         Infection control; §         Urine testing; §         Blood pressure measurement; §         Temperature measurement; §         Mouth care; §         Basic wound care and dressing; and §         ECG measurement. All staff, including some non-clinical staff, have received formal CPR training. Staff are encouraged to attend the monthly education days organised by Cheshire West PCT fore their own staff.  These days cover a wide range of relevant topics.   Aims and objectives   The hospital aims to provide a comprehensive range of safe, high quality health care services to the people of Tarporley and the surrounding area. The hospital will work closely with the NHS and other appropriate agencies to ensure that its services are: §         Of the highest attainable quality; §         Geared to the needs of the population; §         Complimentary to those provided by the NHS; and §         Based on the principles of “best practice” and “continuous improvement.”     Function & use of the hospital   The Hospital is a Company Limited by Guarantee and registered as a Charity.  It operates under the Registration Certificate issued by the National Care Standards Commission and is authorised to provide both health and social care.   The Hospital provides the following facilities: §         17 beds for inpatient care §         up to 10 day-patient places §         minor injuries treatment §         General Practitioner Clinics §         Consultant Clinics §         Nurse and Therapy Clinics   The Physiotherapy Department housed in the hospital is provided and funded by the Cheshire West Primary Care Trust as part of their service provision for the area.   Inpatient care is classified under the following headings: §         treatment of medical illness under the care of the patients’ own General Practitioners §         post-acute care and rehabilitation on transfer from the main hospitals §         terminal care §         respite care   Minor Injuries Service   The Hospital maintains a 24 hour Minor Injury Service as an addition to its main function of caring for in-patient clients. In the evenings and overnight, emergency cover is provided by in-patient staff.  Risk to the care of in-patients is low during the day-time when the additional staffing is available, but slightly higher between 4pm and 11pm when no such additional staffing is available.  This risk is judged to be acceptable and is manage by the fact that the numbers of patients visiting “after hours” is low and by hospital’s policy that, where an in-patient and out-patient emergency occur simultaneously, the out-patient emergency will be referred outwards by telephoning for an emergency ambulance.  Between 11pm and 8am the risk is once again low since very few emergency patients attend and most in-patients are sleeping and require lower levels of attention from the staff on duty.   Minor injuries treatments which can be carried out include:   §         Triage §         Pre-tibial lacerations §         Wound closures (glue + steri-strips + 1 suture) §         Superficial Minor Wounds §         Minor Burns §         Bites (simple no blood drawn) – dog, human, insect §         Mucosal and tongue wounds §         Soft tissue injuries §         Examination of ankle using Ottawa criteria §         Removal of sutures §         Re-dressings §         Treatment of Wound Infections with advice from G.P.   Criteria for inpatient admission   The suitability for admission will be determined by the Matron.  Whilst in the hospital, patients will be under the care of a GP (normally, but not exclusively, their own GP). Patients from practices other than those with admitting rights to the hospital may be admitted provided that:   §         an empty bed is readily available; and §         initially a direct approach is made to the Matron, who will make arrangements for appropriate medical cover.   The suitability for admission of patients referred for transfer from acute hospitals or elsewhere will be assessed in a similar way to those directly admitted by their GPs.  A separate, fuller admissions policy appears later in this manual.   GPs authorised to use the hospital   The following Practices normally use the Hospital: §         Dr. Kenneth Rowland and partners, Tarporley §         Dr. Roy Sowerby and partners, Tarporley §         Dr. Anthony Hoy and partners, Bunbury §         Dr. Martin Durrant and Dr James Hinds, Kelsall §         Dr. Philip Milner, Tattenhall   Patients from other Practices can be admitted by arrangement with the Matron.  Such patients will be under the care of: one of the local GP Practices. Patients are allocated to them on a rota basis as a “temporary resident” within the terms of a Local Enhanced Service within the GP Contract. Patient consultation   Care at Tarporley Hospital is patient centred and patients are encouraged to participate in the planning and management of their care.  They are encouraged to ask questions at any time and can ask for an appointment to talk to a nurse or therapist at length and in detail.   Contact between patients and their relatives or carers   In addition to the normal visiting times (3p.m. to 8 p.m. daily) relatives and carers can ask to visit the patient at other times, by arrangement with the nursing staff. Relatives and carers are also welcome to attend the regular multi-disciplinary meetings which are held to review the patient’s progress in preparation for discharge.   Complaints management   The hospital welcomes comments suggestions and complaints from its clients and their families as a way to identify areas where the service might be improved. A notice inviting patients to take advantage of this opportunity is posted in the hospital’s main corridor, where it can be seen by inpatients, outpatients and visitors. A full complaints policy and procedure appears later in this manual.   Privacy and dignity of patients   The hospital is pledged to respect the dignity and privacy of patients to the maximum extent possible in a hospital environment.  In addition to its multi-bedded wards, the hospital has 5 single rooms, where extra privacy is guaranteed.  In the main, these are used for the most unwell patients and those in the final days of their lives. Patients who require either a quiet environment, a place to make a private telephone call or somewhere to hold a confidential chat with a relative or member of the hospital staff are able to use the Quiet Room which was designed for just such needs. Although patients are encouraged to dress and eat in the hospital dining room, those who wish may be served with meals in their rooms.