 Mae Arolygiaeth Gofal Iechyd Cymru (AGIC) wedi cyhoeddi adroddiad (12 Hydref 2023) yn dilyn arolygiad dirybudd o ysbyty iechyd meddwl arbenigol yn Abertyleri. Cynhaliwyd yr arolygiad o Ysbyty Aber-bîg dros dri diwrnod dilynol ym mis Gorffennaf 2023, ac roedd yn canolbwyntio ar Wardiau Bevan a Thaliesin.
Mae'r ysbyty, sy'n caei ei reoli gan ddarparwr annibynnol, Elysium Healthcare, yn cynnig gwasanaethau iechyd meddwl diogelwch isel a chanolig i ddynion a allai gael eu cadw o dan y Ddeddf Iechyd Meddwl (1983).
Yn ystod ein harolygiad, gwelsom fod protocolau addas ar waith ar y cyfan mewn perthynas â rheoli risg, iechyd a diogelwch a rheoli heintiau. Roedd y lefelau staffio yn briodol i gynnal diogelwch y cleifion, ac roedd y ddogfennaeth statudol a welsom yn cadarnhau bod y cleifion yn cael eu cadw mewn modd priodol gyfreithlon. Fodd bynnag, yn ôl rhai o ganlyniadau'r arolygon, roedd rhaniad ymhlith y staff. Roedd rhai yn teimlo bod digon o adnoddau, ond nid oedd eraill yn teimlo bod lefelau staffio yn ddiogel. Roedd y staff yn ymrwymedig i ddarparu gofal diogel ac effeithiol ac roedd cynlluniau gofal y cleifion yn adlewyrchu anghenion unigol a risgiau. Gwnaethom nodi rhai meysydd i'w gwella, ond ni nodwyd unrhyw feysydd o ddiffyg cydymffurfio â'r rheoliadau.
Nododd y rhan fwyaf o'r cleifion a gwblhaodd holiadur fod y gofal a'r gwasanaeth a ddarperir gan yr ysbyty yn dda iawn. Roedd y staff yn rhyngweithio ac yn ymgysylltu â'r cleifion mewn modd priodol, ac yn eu trin ag urddas a pharch. Roedd y staff y gwnaethom siarad â nhw yn frwdfrydig am eu rolau a'r modd roeddent yn cefnogi eu cleifion ac yn gofalu amdanynt. Roedd amrywiaeth o gyfleusterau a gweithgareddau therapiwtig yn cael eu cynnig i'r cleifion er mwyn cefnogi a chynnal eu hiechyd a'u llesiant. Roedd eiriolwr iechyd meddwl ar gael i'r cleifion hefyd a oedd yn rhoi gwybodaeth a chymorth iddynt o ran unrhyw faterion a allai godi mewn perthynas â'u gofal.
Rhaid i'r lleoliad sicrhau bod byrddau gwybodaeth i gleifion yn cael eu cwblhau'n gyson er mwyn hysbysu'r cleifion yn barhaus a diweddaru'r canllawiau gwybodaeth i gleifion. Roedd dodrefn, gosodiadau a ffitiadau'r ysbyty yn briodol ar gyfer y grŵp cleifion ond roedd angen cynnal archwiliad o bwyntiau clymu ar gyfer Ward Taliesin, a oedd yn peri risg bosibl i ddiogelwch y cleifion. Gwnaethom ofyn i gamau gael eu cymryd ar unwaith yn ystod yr ymweliad arolygu er mwyn ymateb i hyn a rhaid i'r gwasanaeth sicrhau yn awr y caiff y prosesau ar gyfer rheoli risgiau pwyntiau clymu eu dilyn. Yn ystod yr arolygiad, roedd ystafelloedd aml-ffydd yr ysbyty yn anniben. Rhaid iddynt gael eu cynnal a'u cadw'n barhaus er mwyn i'r cleifion allu eu defnyddio.
Roedd gan yr ysbyty gydberthnasau diogelu amlasiantaethol da, ond roedd angen mesurau i wella lefel y manylion a oedd yn cael eu cofnodi fel rhan o adroddiadau diogelu. Gwelsom fod system electronig sefydledig ar waith ar gyfer cofnodi, adolygu a monitro digwyddiadau ond nid oedd rhywfaint o'r wybodaeth wedi'i chysylltu'n briodol â chofnodion y cleifion.
Roedd lefelau cydymffurfiaeth y staff â hyfforddiant gorfodol ar drais ac ymddygiad ymosodol yn uchel, ond nododd yr arolygwyr bod aelod o staff nad oedd wedi cwblhau'r hyfforddiant hwnnw wedi bod yn rhan o achos diweddar lle cafodd claf ei atal yn gorfforol. Rhaid i'r gwasanaeth sicrhau mai dim ond staff sydd wedi cwblhau lefelau addas o hyfforddiant sy'n ymgymryd ag ymyriadau ataliol i ddiogelu cleifion a staff rhag niwed.
Roedd gan yr ysbyty weithdrefnau cadarn ar waith ar gyfer rheoli meddyginiaethau yn ddiogel ac roedd lluniau o'r cleifion wedi'u cynnwys fel rhan o'u cofnodion meddyginiaeth a gafodd ei nodi fel ymarfer da.
Roedd trefniadau llywodraethu sefydledig ar waith i oruchwylio materion clinigol a gweithredol, ond nododd yr arolygwyr nad oedd rhai systemau a phrosesau yn gyson rhwng y wardiau. Dywedodd y rhan fwyaf o'r staff wrthym eu bod yn teimlo eu bod yn cael eu cefnogi yn eu rolau a'u bod yn fodlon ar drefniadau rheoli'r sefydliad, ond nad oedd unrhyw broses oruchwylio ffurfiol ar waith. Rhaid i'r gwasanaeth roi proses oruchwylio benodol a strwythuredig ar waith sy'n sicrhau bod y staff yn cael eu goruchwylio'n rheolaidd. Gwelsom fod y lefelau staffio yn briodol i gynnal diogelwch y cleifion, ond roedd sawl swydd wag yn mynd drwy broses recriwtio ar adeg ein harolygiad.
Dywedodd Prif Weithredwr Arolygiaeth Gofal Iechyd Cymru, Alun Jones:
“Mae'n gadarnhaol nodi ymroddiad y staff i ddarparu gofal diogel ac urddasol yn Ysbyty Aber-bîg. Tynnodd ein harolygiad sylw at rai meysydd i'w gwella a dylai'r gwasanaeth sicrhau y caiff y gwelliannau hyn eu rhoi ar waith. Byddwn yn parhau i ymgysylltu ag Elysium Healthcare Ltd ar ei gynlluniau ar gyfer gwella.”
DIWEDD.
Gellir gweld copi o’r adroddiad dan embargo yma:
DAN EMBARGO: Adroddiad Arolygu Llawn
Gellir gweld crynodeb o'r adroddiad dan embargo yma:
DAN EMBARGO: Adroddiad Cryno ar yr Arolygiad
Dylid nodi bod yr adroddiad dan embargo tan 00:01 ar 12 Hydref 2023.
Ar gyfer pob ymholiad gan y cyfryngau, anfonwch e-bost i AGIC.cyfathrebu@llyw.cymru
I gael rhagor o wybodaeth am waith Arolygiaeth Gofal Iechyd Cymru, ewch i www.agic.org.uk
Healthcare Inspectorate Wales (HIW) has issued a report (12 October 2023) following an unannounced inspection of a specialist mental health hospital in Abertillery. The inspection of Aberbeeg Hospital took place over three consecutive days in July 2023, and focused on the Bevan and Taliesin Wards.
Managed by an independent provider, Elysium Healthcare, the hospital offers both low and medium secure mental health services for men who are liable to be detained under the Mental Health Act (1983).
During our inspection, we generally found suitable protocols were in place to manage risk, health and safety and infection control. Staffing levels were appropriate to maintain patient safety, and the statutory documentation we saw verified that patients were appropriately legally detained. However, some survey results showed a split in staff who felt there was sufficient resourcing, whilst others did not feel the staffing levels were safe. Staff were committed to providing safe and effective care and patient care plans reflected individual needs and risks. We did identify some areas for improvement, but no areas of non-compliance with the regulations were identified.
Most patients who completed a questionnaire rated the care and service provided by the hospital as ‘very good’. Staff interacted and engaged with patients appropriately, and treated patients with dignity and respect. The staff we spoke with were passionate about their roles and enthusiastic about how they supported and cared for their patients. Patients were provided with a range of therapeutic facilities and activities to support and maintain their health and wellbeing. Patients also had access to a mental health advocate who provided information and support with any issues they may have regarding their care.
The setting must ensure patient information boards are consistently completed for ongoing patient awareness and update patient information guides. The hospital’s furniture, fixtures and fittings were appropriate for the patient group, but the ligature audit for the Taliesin Ward was overdue, which posed a potential risk to patient safety. We requested immediate action be taken during the inspection visit to rectify this and the service must now ensure processes for managing ligature risk are followed. During the inspection the hospital’s multifaith rooms were left untidy, these must be continually maintained for patient use.
The hospital had good multiagency safeguarding relationships, but measures were required to improve the level of detail recorded within safeguarding reports. We found an established electronic system was in place for recording, reviewing, and monitoring incidents, but some information was not appropriately linked to patient records.
Staff compliance with mandatory violence and aggression training was high but inspectors noted that a recent incident of patient restraint had involved a member of staff who was not compliant with the training. The service must ensure only staff who are compliant with suitable levels of training undertake restrictive interventions to protect patients and staff from harm.
The hospital had robust procedures in place for the safe management of medicines and patient photos were linked to their medication records which was noted as good practice.
Established governance arrangements were in place to provide oversight of clinical and operational issues, but inspectors found that some systems and processes were not aligned across the wards. Most staff told us that they felt supported in their roles and satisfied with their organisational management, but that there was no formal supervision process in place. The service must implement a dedicated and structured supervision process which ensures that staff supervision is conducted at regular intervals. We found staffing levels were appropriate to maintain patient safety, but there were several staff vacancies being recruited to at the time of our inspection.
Chief Executive of Healthcare Inspectorate Wales, Alun Jones said:
“It is positive to see the dedication from staff in delivering safe and dignified care at Aberbeeg Hospital. Our inspection did highlight some areas for improvement, the service should ensure these improvements are implemented. We will continue to engage with the Elysium Healthcare Ltd on their plans for improvement.”
ENDS.
A copy of the embargoed report can be accessed here:
EMBARGOED: Full Inspection Report
A summary version of the embargoed report can be accessed here:
EMBARGOED: Inspection Summary Report
Please note the report is embargoed until 00:01 on the 12 October 2023.
For all media enquiries, contact HIW.Comms@gov.wales
For more information about the work of Healthcare Inspectorate Wales please visit www.hiw.org.uk
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