Our rating of this location went down. We rated it as requires improvement because:
· The wards did not always have enough nurses and support workers in order to provide safe care which had an impact on staff wellbeing and led to cancellation of leave and activities for patients.
· Managers did not ensure that all staff received training, supervision and appraisal.
· The governance processes did not always ensure that ward procedures ran smoothly. Improvements the hospital planned to make were not embedded and therefore the effectiveness of the interventions were not evident.
· Patients self-medicating were not always storing the keys to their medication safely.
· There were some incidents not reported consistently across the wards such as low staffing levels, cancelled leave and racial abuse towards staff, although the staff knew how to report and reported patient safety incidents.
· Carers were not aware of their rights to an assessment of their needs.
· The ward environments were safe and clean. Staff assessed and managed risk well. They minimised the use of restrictive practices, kept clear and comprehensive records and followed good practice with respect to safeguarding.
· The ward teams included or had access to the full range of specialists required to meet the needs of patients on the wards, including good physical health care. The ward staff worked well together as a multidisciplinary team.
· Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. They actively involved patients in care decisions.
· The service treated concerns and complaints seriously, investigated them and learned lessons from the results.