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Written by a family member
1st June 2016


SALT team need to be available and on call at all times. Far too many patients being left NBM because the salt team don't turn up, don't respond to being paged by hospital staff and are away all weekend, particularly bank holiday weekends. It's an absolute disgrace that families have to feed their relatives 3 times a day, at risk, because the doctors can neither overrule nor contact the SALT team. Staff on dementia wards clearly have no dementia training and have no knowledge of how to deal with aggressive behaviour. Quite frankly, some staff are guilty of abuse by saying to patients 'how would you like it if I hit you'. Dementia training is vital on these wards. Patients from challenging behaviour units with daily one to one 24 hour care should be given same level of care in hospital. The care plan should reflect this. Sides on beds should not be used to restrain patients who try to climb out of bed, they have further to fall, one to one care should be given where necessary. Staff should take time to encourage and feed patients not just take away uneaten food. In one week only one care assistant was seen to be doing this. There should be staff on the ward at all times, the majority of times there was no one available for hours. Staff need to make relatives welcome rather than feeling a nuisance when asking for help. Dignity for patients is not always observed. My dad was found to be almost naked at visiting time, a clear lack of care. In the whole week, we met one Doctor who was happy to discuss at length my Dad's treatment. Consultants should be available to speak with relatives of dementia patients without having to make an appointment, after all they cannot speak for themselves. It should be identified at the outset if a patient is bed bound or not before writing it up over a patients bed. Staff need to ensure they contact relatives or care home staff before assuming a patient is bed bound. When attempting to tube feed a dementia patient it should be confirmed the hospital has the relevant equipment to stop a patient pulling out a feeding tube. In our opinion, for every one good member of staff there were five bad. Where is the training and expertise from these people who are supposed to be professionals? Staff do not make you feel welcome even though relatives are doing the majority of care on dementia wards, however, if they cannot cope with a patient staff seem happy to call relatives and ask them to come to the hospital to deal with the problem. They seem to want it both ways, they don't want relatives there unless it suits them!

Recommend
Dignity/Respect
Involvement
Information
Cleanliness
Staff