Pinhoe View

We rated it as requires improvement because:

• Staff interaction was not always respectful towards patients. At times staff ignored patients when they sought their attention and support.
• Staff were not always provided with access to the electronic care notes which meant verbal and written handovers were the main form of sharing key information with staff. Handovers lacked detail on how to meet patient's needs.
• Staff referred to patients by room numbers or initials during their discussion.
• The male staff was high in comparison to the female patient ratio
• Not all staff were up to date with mandatory training.
• Care plans lacked patients' preferences on how they wanted their needs to be met.
• Care plans and risk assessments were not always developed for all areas of need. Staff used standard statements for care plans and risk assessments. Although some risks were assessed, risk assessments were not always linked to a care plan.
• Window closures needed attention and frosting on windows obscured patients outlook to the outside.
• Governance processes did not always identify and address risks.

However:

• People were safeguarded from abuse. Staff understood their role in safeguarding adults from abuse and followed the correct procedures when they had concerns.
• The environment was decorated to a good standard, brightly lit and clean. A lift was available to access the upper floors and there were wide corridors ensure patients. Bedrooms were ensuite and patients were able to personalise their space.
• Clinic rooms were fully equipped, with accessible resuscitation equipment and emergency drugs that staff checked regularly.
• Patients had access to a range of treatments suitable to the needs which included emotional and social support.
• Staffing levels that were maintained with permanent and with regular agency staff.
• The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare.
• Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005. Staff assessed people’s mental capacity appropriately. There was a record of whether the patient had capacity to consent to treatment on admission and regularly thereafter, including at each three-month period.
• People felt confident to approach staff with complaints and the easy read procedure was on display.
• Staff planned and managed discharge and liaised with services that would provide aftercare.
• Staff recognised and reported incidents appropriately.