You are here

Reports


Inspection carried out on 26 May 2016

During a routine inspection

We rated Ashwood Court as good because

:

  • Effective systems were in place to monitor and manage environmental risks

  • There were enough staff to meet patients’ needs and minimal bank and agency staff were used which provided consistency in the care delivered. Mandatory training was completed in line with the organisation’s requirements. Staff were knowledgeable about safeguarding procedures, and knew how to raise any concerns appropriately.

  • Restrictions were individualised and based on a clear risk assessment for individual patients.
  • Initial assessments, care plans and risk assessments were individualised, recovery focused and took in to account patient views. There was a clear physical health care pathway and staff prioritised patient physical health care.
  • Staff received supervision and a yearly work performance appraisal in line with their organisational requirements. Team performance was managed through supervision.
  • There was a wide range of multi disciplinary professionals, and effective multi disciplinary team meetings including care programme approach meetings took place. Recognised rating scales were used to measure outcomes for patients.

  • Patients told us that they were treated in a kind and supportive way, and they felt safe within the hospital. Staff were knowledgeable about their patients’ care and treatment.

  • Patients felt involved in their care planning and could have a copy of their care plan if they wished.
  • There was a clear governance structure in place and the registered manager had oversight of the performance of the service through key performance indicators.

However,

  • Care plans were not written from the patient perspective.

Inspection carried out on 17 July 2013

During a routine inspection

We met with six patients who told us that they were treated with respect by staff and other professionals who visited the hospital. They told us that they were provided with clear information about the service prior to admission. They said they were asked what they wanted from the service and what goals they wished to be set. Everybody we spoke with said they felt that their dignity was not compromised in any way by the staff. Comments included "I have been in many hospitals over the years but they don't compare to Ashwood Court. This place is wonderful, they do their best to get us better and ready for life in the community. God bless them."

Care files held relevant information, however they were being reviewed to ensure they were indexed and easy to access.

Staff were trained and supported to provide needs led care and treatment to the patients. Comments from staff included "I love my job and enjoy working with the team", "I feel supported in my role and get good training in anything I feel I need."

The organisation had effective quality assurance systems in place to enable patients and other people who accessed the hospital to have their say about the staff and services provided.

Inspection carried out on 27 September 2012

During a routine inspection

We visited Ashwood Court Independent hospital and asked patients to tell us what it was like living there.

We spoke with five patients who said that they understood the care and choices available to them and that they were involved in making decisions about the treatment and support they received. They told us that they were provided with clear information about the service prior to admission. They said they were asked what they wanted from the service and what goals they wished to be set.

Everybody we spoke with said they felt that their dignity was not compromised in any way by the staff. They said staff always knocked at the door before entering their room and maintained their dignity when providing treatment or support.

Patients told us that when they were assessed for a placement at the unit they were invited to visit as many times as they wanted to make sure it was the right place for them. They said that they were asked what they wanted to achieve and how they would like their care to be delivered. One person told us that they felt that staff understood them and made them feel better. Other comments included “staff treat me well”, ”staff make time for us all although they are very busy people”, “Staff are very kind and caring”, “ We can have visitors anytime we want”, “We have just been on holiday look at the photographs, it was great.”

Patients said that they would raise any concerns they had with the care staff or the manager as appropriate. Comments included “We feel safe here”,” Staff protect us from harm.”

Patients said they felt fully supported by the staff.

Comments included “I trust the staff. I don’t really want to be here but I know they will do their best to make me better”, “staff are kind and supportive and help us to achieve our goals”, “staff have good skills and can help us to understand our problems and hopefully overcome them.”

Reports under our old system of regulation (including those from before CQC was created)


Mental Health Act Commissioner reports

Each year, we visit all NHS trusts and independent providers who care for people whose rights are restricted under the Mental Health Act to monitor the care they provide and check that patients' rights are met. Immediate concerns raised by patients on those visits are discussed, if appropriate, with hospital staff.

Our Mental Health Act Commissioners may carry out a number of visits to each provider over a 12-month period, during which they talk to detained patients, staff and managers about how services are provided. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. We are looking at different ways to indicate the outcomes of our monitoring in the future.