Archived: John Munroe Hospital - Rudyard

Updated 4 August 2015

John Munroe Hospital is an independent mental health hospital providing care for up to 57 people who have enduring mental health needs. John Munroe Hospital, Rudyard provides treatment, nursing and care to people over the age of 18 whose complex mental health and challenging behaviours prevents them from receiving effective interventions in less restrictive settings. People who use the service may be detained for treatment under the Mental Health Act 1983.

Rudyard Ward offers an admission and assessment service for both men and women with challenging behaviour who may have a diagnosis of dementia and may have a forensic history. The ward has 14 beds in total. Adults and older people, aged 45 plus with a severe and enduring mental illness. Adults/Older people with organic brain damage either due to alcohol or other substance misuse or with early or late onset dementia.

Horton Ward offers an admission and assessment service for people with extremes of challenging behaviour with a diagnosis of functional mental illness or personality disorders. The service has 10 male beds and 6 female beds

The Larches is a male only, six bedded intermediate rehabilitation bungalow situated within the extensive hospital grounds, independent from the main hospital.

Kipling Ward offers an admission and assessment service for females with challenging behaviour who may have a diagnosis of functional mental illness or organically mediated conditions. The ward has 14 beds in total.

High Ash is a female only, seven bedded intermediate rehabilitation bungalow and is situated within the extensive hospital grounds, independent from the main hospital.

Updated 4 August 2015

• There were potential ligatures around the hospital but there were no up to date ligature audit that identified those risks and produced an action to plan to remove or how to reduce those risks to people living in the hospital.
•  Emergency equipment and medical devices were not regularly checked across the hospital to ensure that they were in working order for use in emergencies.
•  Wards experienced short staffing sometimes which impacted on patients been able to access escorted leave. The hospital had recognised this and was actively trying to recruit new staff.
•  There were individualised risk assessments with care plans that were updated regularly to reflect people’s changing needs.
•  People’s physical health was monitored and well managed across the hospital.
•  Staff was up to date with their statutory and mandatory training
•  Staff did not regularly receive supervision to support them in their daily practice
•  There were no formal mental capacity assessments to explain how patient’s capacity had been assessed.
•  Patients were treated with dignity and respect by staff.
•  The hospital regularly checked the views of people using the service.
•  Admissions and discharges were well planned with the involvement of families, carers, and care coordinators.
•  Patients were cared for in comfortable and well-furnished surroundings.
•  Collaborative multi-disciplinary teams were involved in the care and treatment of patients in the wards and hospital.
•  Information on how to complain was displayed around the hospital but informal complaints were not logged by the wards.
•  Whilst staff could not articulate the hospitals visions and values they could describe the objectives of their wards and how they contributed to achieving them.
•  Staff said they felt supported by the hospital managers and each other.
•  The hospital had development plans to improve risk assessments and care planning