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Inspection report

Date of Inspection: 13 September 2012
Date of Publication: 28 September 2012
Inspection Report published 28 September 2012 PDF

People should be cared for in safe and accessible surroundings that support their health and welfare (outcome 10)

Meeting this standard

We checked that people who use this service

  • Are in safe, accessible surroundings that promote their wellbeing.

How this check was done

Our judgement

The provider was compliant with this outcome. People who used the service, staff and visitors were protected against the risks of unsafe or unsuitable premises. The provider had put in place an action plan to improve two seclusion rooms and to further reduce the risk of patients gaining access to the hospital roof.

User experience

We did speak with patients during the inspection, but this did not include discussion related to this outcome area.

Other evidence

Our inspection of 1 August 2012 found that two seclusion rooms were not provided in line with good practice guidance. There also remained issues with the roof edge, which, due to the building height, presents a risk. We issued a compliance action which required the provider to produce an action plan regarding how they would ensure they became compliant with this outcome. At our inspection of 13 August 2012 the management team provided us with a copy of the action plan and explained the planned improvements, in both the long and short term.