Archived: Keats House

We do not rate sole practitioners.

We found the following areas of concern:

• The service did not have an embedded process to assess and record risks when patients were assessed at the service.
• Incidents were not being categorised and robust incident investigations were not taking place.
• There was no evidence that learning had taken place in response to serious incidents.
• The service did not always consult the patient’s GP before prescribing medication.
• The service did not distinguish between serious and less serious incidents in the reporting of incidents onto its risk register.
• Safeguarding concerns and alerts were not being referred to the local authority.
• The service did not keep minutes of the consultant psychiatrist’s supervision.
• The service did not integrate assessments into patient’s care plans where appropriate.
• The service did not monitor the patients who self-discharged from the service without a discharge plan in place.

However:

• The service was delivered in a clean and comfortable environment which was accessible and welcoming.
• The service was well staffed and responded to patient needs in a prompt and flexible manner.
• The staff understood the duty of candour and gave examples of applying this duty.
• The service had a clear care pathway. The service was able to offer patients emergency appointments within a few days. There was no waiting list.
• Patients who used the service provided very positive feedback.