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This service was previously registered at a different address - see old profile

Reports


Inspection carried out on 18 July 2017

During a routine inspection

We rated Monet Lodge as good because:

  • The ward was clean, tidy and well maintained. The clinic room was fully equipped and emergency equipment was checked regularly. Staff were aware of how to report incidents and all staff had access to the online reporting system. There were single sex ensuite bedrooms and a separate female lounge in accordance with same sex guidance. There were good systems in place for ordering, dispensing and storage of medications. Staff were aware of their responsibilities under duty of candour.
  • There was good evidence that National Institute for Health and Care Excellence guidance was being followed in relation to prescribing and monitoring of medication and non-pharmacological treatments for dementia. Staff completed a physical health check on admission and these were regularly reviewed throughout the patients stay at Monet Lodge. Mandatory training was at 86% and staff took part in clinical audits including medications, care records and mental health act documentation. Staff had a good understanding of the Mental Health Act, the Mental Capacity Act and the Deprivation of Liberty Safeguards. The service adhered to the Mental Health Act and the revised Mental Health Act Code of Practice. Mental Health Act documentation was complete and correct.
  • Staff engaged positively with patients and their carers. All interactions we observed were respectful, kind and maintained the dignity of the patient. Carers and relatives told us that the staff were friendly and approachable and always took the time to speak to them and involve them in their loved ones care.
  • There was a full range of rooms to support the care and treatment of patients with complex needs. There was a good variety of activities available to patients seven days a week. Information was available in easy read format and in other languages if required. There was access to spiritual support and the chef was able to provide food for any specialist needs such as vegetarian, vegan, halal and kosher. Patients had access to an independent mental health advocate who visited the hospital and attended care programme approach meetings if patients wanted them to.
  • Staff were aware of the organisations vision and values and these underpinned all the work they did. These were incorporated into staff meetings, supervision and the key performance indicators for staff. The staff felt supported by the manager and the clinical lead and felt that their suggestions about the service were listened to.

However,

  • On the day of our inspection, the clinic room floor and worktops were dirty and the plastic suction tip on the suction machine was uncovered. On our return to the hospital this had been rectified and the room was added to the cleaners schedule for a daily clean.
  • The ligature knife was locked in a drawer that not all staff had a key to.
  • The clinic room temperatures were found to be over 25 degrees Celsius on a regular basis.

  • Due to the amount of care plans some patients had (up to twenty) we found that some care plans were generic and not person centred. We found one example where the patient was referred to as “he” when the patient was a “she” and one with another patients name in.

Inspection carried out on 8 and 9 September 2015

During a routine inspection

We rated Monet Lodge as good because:

  • The ward was clean, tidy and well maintained. The clinic room was fully equipped and emergency equipment was checked regularly. Staff were aware of how to report incidents and all staff had access to the online reporting system. There were single sex ensuite bedrooms and a separate female lounge in accordance with same sex guidance. There were good systems in place for ordering, dispensing and storage of medications. Staff were aware of their responsibilities under duty of candour.
  • There was good evidence that National Institute for Health and Care Excellence guidance was being followed in relation to prescribing and monitoring of medication and non-pharmacological treatments for dementia. Staff completed a physical health check on admission and these were regularly reviewed throughout the patients stay at Monet Lodge. Mandatory training was at 86% and staff took part in clinical audits including medications, care records and mental health act documentation. Staff had a good understanding of the Mental Health Act, the Mental Capacity Act and the Deprivation of Liberty Safeguards. The service adhered to the Mental Health Act and the revised Mental Health Act Code of Practice. Mental Health Act documentation was complete and correct.
  • Staff engaged positively with patients and their carers. All interactions we observed were respectful, kind and maintained the dignity of the patient. Carers and relatives told us that the staff were friendly and approachable and always took the time to speak to them and involve them in their loved ones care.
  • There was a full range of rooms to support the care and treatment of patients with complex needs. There was a good variety of activities available to patients seven days a week. Information was available in easy read format and in other languages if required. There was access to spiritual support and the chef was able to provide food for any specialist needs such as vegetarian, vegan, halal and kosher. Patients had access to an independent mental health advocate who visited the hospital and attended care programme approach meetings if patients wanted them to.
  • Staff were aware of the organisations vision and values and these underpinned all the work they did. These were incorporated into staff meetings, supervision and the key performance indicators for staff. The staff felt supported by the manager and the clinical lead and felt that their suggestions about the service were listened to.

However,

  • On the day of our inspection, the clinic room floor and worktops were dirty and the plastic suction tip on the suction machine was uncovered. On our return to the hospital this had been rectified and the room was added to the cleaners schedule for a daily clean.
  • The ligature knife was locked in a drawer that not all staff had a key to.
  • The clinic room temperatures were found to be over 25 degrees Celsius on a regular basis.

  • Due to the amount of care plans some patients had (up to twenty) we found that some care plans were generic and not person centred. We found one example where the patient was referred to as “he” when the patient was a “she” and one with another patients name in.