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Archived: The Raphael Hospital Requires improvement

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Inspection report

Date of Inspection: 19, 20 September 2013
Date of Publication: 6 November 2013
Inspection Report published 06 November 2013 PDF

People should be protected from abuse and staff should respect their human rights (outcome 7)

Meeting this standard

We checked that people who use this service

  • Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 19 September 2013 and 20 September 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and were accompanied by a specialist advisor.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

Our judgement

People who use the service were protected from the risk of abuse because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

Reasons for our judgement

We looked at training records and saw that staff were up to date with training in safeguarding vulnerable adults. Staff from the local social services safeguarding team had been involved in training staff at the Raphael Medical Centre (RMC). We saw that safeguarding training was part of the induction process for new staff.

Staff we spoke with were able to explain that safeguarding involved maintaining the privacy and dignity of vulnerable adults and identifying and reporting any instances of abuse. They understood abuse could be physical or mental and included neglect. Staff said that they had never seen any type of abuse whilst working at the Raphael Medical Centre (RMC). They told us that they would report any abuse to their line manager. Some staff said that if they were not able raise issues through the proper channels with the RMC they would go to the police.

Staff told us that there was guidance on reporting safeguarding issues in the nurses’ stations of the different units within the RMC. We looked at some nursing stations and found that the guidance was available.

We saw an example of where staff had recognised and dealt with a safeguarding situation. This was a case involving the financial affairs of patient about to be discharged. The staff recognised that patient’s mental state and capacity to make decisions made them vulnerable. The RMC engaged the services of an independent firm of solicitors who, together with the patient’s nearest relative, took steps to ensure the patient’s financial position was safeguarded.