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Archived: Liverpool Mental Health Services Inadequate

Reports


Inspection carried out on 16 February 2016

During a routine inspection

We carried out an unannounced inspection of Liverpool Mental Health Services on 16 February 2016, we returned for a second day on 18 February for which we gave notice.

Liverpool Mental Health Services provided support to people primarily with mental health support needs. They supported 37 people living in their own homes. 31 people were supported at five locations across Liverpool, these were small blocks of flats ranging from 13 to 4 flats in each block. Six people were supported by community based floating support. Liverpool Mental Health Services provided people with care and support. They did not provide people with accommodation.

A person was in the process of applying to be the registered manager. At the time we visited there was no registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found a number of breaches relating to safe administration of medication, assessment of risks, staffing, consent in relation to the Mental Capacity Act (2005) and lack of good governance.

You can see what action we told the provider to take at the back of the full version of the report.

We found that people’s medication was not stored, documented or administered safely. There was an excess of old medication stored. There were examples of incomplete records and inaccurate guidelines for support staff. There had been times when people had not been administered their medication or had been administered a discontinued medication. One person had incomplete records and the provider was unable to tell us what medication they had taken.

We observed that risk assessments were inconsistent. We observed examples of effective and ineffective risk assessments. Assessments had not been effective in keeping people support and staff safe. Staff had not been training in deescalating situations despite the provider being aware of incidents.

There was an inexperienced staff team and a recent overreliance on temporary staff. The newer staff members had not received appropriate training or effective documented induction. At times inexperienced staff were inducting new staff members.

The provider was recruiting more staff. They had organised the role of tenant representative for a person supported. They were involved in interviewing and choosing new support staff.

We found that the provider did not meet the requirements of the Mental Capacity Act 2005 (MCA). They had not assessed a person’s fluctuating capacity in relation to the refusal of their medication or taken into account what effect this decision would have on a person’s capacity.

Many people told us they were happy with their care and were supported in their health needs. The staff interaction we observed was caring and we observed a recent change in practice that ensured that staff had the time to sit, chat and get to know people better. People had been supported to socialise and efforts had been made by support staff to reduce social isolation. Recent communal events had been a success.

People’s files contained a lot of information about people. They were written in a person centred way and had been updated recently. We saw examples of how these had been effective in guiding the support of some people and times when they had not been effective in responding to people’s needs.

The management of the service was described by some staff and people supported as confusing. The manager had not taken the lead in the induction of new staff members or influencing the practice and developing culture of newer staff.

Information from incidents was gathered and stored in an organised way. There was no evidence that this information had been used to improve the support provided to pe