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We are carrying out a review of quality at Milestones Hospital. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 26 April 2017

We rated Milestones Hospital as good because:

  • The service employed a sufficient number and variety of staff to provide safe care and treatment for patients. Staffing levels ensured there was a qualified nurse on the ward at all times.
  • Patients spoke highly of staff and felt safe and cared for.
  • The service had up to date, thorough environmental risk assessments including ligature risks and health and safety assessments.
  • Patients had a comprehensive risk assessment on admission that staff reviewed on a regular basis. Staff had agreed positive behaviour plans for each patient to manage individual risks.
  • Patients received a physical health check on admission and at regular intervals throughout their treatment. The service employed a physical health nurse to complete health checks and observations.
  • Staff provided clinical and therapeutic interventions in line with National Institute for Health and Care Excellence (NICE) guidelines.
  • Patients were involved in deciding treatment options and making decisions about the care they received.
  • The service offered a wide range of activities to patients including at weekends.
  • Staff felt supported and were regularly supervised and appraised.
Inspection areas

Safe

Good

Updated 26 April 2017

We rated safe as good because:

  • The service had up to date, thorough environmental risk assessments including ligature risks and health and safety assessments.

  • Staffing levels ensured there was a qualified nurse on the ward at all times and that patients had sufficient 1-1 time with nurses.

  • The service managed vacancies by using agency staff and employed these on a three-month contract to ensure continuity of care for patients. The service had a strategy in place to recruit staff to vacant posts.

  • Patients had a comprehensive risk assessment on admission that staff reviewed on a regular basis and following any incidentsStaff had agreed positive behaviour plans for each patient to manage their risks.

The service had robust medicines management procedures in place.

Effective

Good

Updated 26 April 2017

We rated effective as good because:

  • Patients had a physical health check on admission and at regular intervals throughout their treatment. The service employed a physical health nurse to complete health checks and observations.

  • The service employed a full range of disciplines including psychiatrists, mental health nurses, a part time adult nurse, psychologist, occupational therapist, part time dietician, complementary therapist and support workers.

  • The service employed a Mental Health Act administrator who completed monthly audits

  • Staff provided clinical and therapeutic interventions in line with National Institute for Health and Care Excellence (NICE) guidelines.

However:

  • Staff were not holding regular team meetings in line with the provider’s policy.

Caring

Good

Updated 26 April 2017

We rated caring as good because:

  • Staff interactions with patients were supportive, respectful and caring.

  • Patients felt safe and cared for by staff.

  • Patients were involved in deciding treatment options and were given copies of their care plans.

  • The service involved patients in decision making including meal choices and how to implement the smoke free policy.

Responsive

Good

Updated 26 April 2017

We rated responsive as good because:

  • The service offered a full range of rooms to support treatment including a clinic room, a therapy kitchen, gym and complementary therapy room.

  • The service offered a wide range of activities to patients including at weekends.

  • The service included discharge and aftercare as part of care plans for all patients subject to the Mental Health Act.

  • The service had one delayed discharge over the past 12 months and had worked closely with the community teams to support the patient.

  • The service worked closely with the clinical commissioning group to plan all new admissions.

Well-led

Good

Updated 26 April 2017

We rated well-led as good because:

  • Staff reported high levels of morale and job satisfaction and had opportunities for development.

  • Managers had an oversight of supervision, training and appraisal to ensure staff were trained and supervised. Managers had implemented a rolling training programme to address the issue of mandatory training attendance for staff.

  • Managers held weekly meetings and clinical governance meetings every six weeks to discuss complaints, incidents and feedback.

Checks on specific services

Long stay or rehabilitation mental health wards for working age adults

Good

Updated 26 April 2017