All inspections: Park Villa Independent Hospital

We rated Park Villa as good because:

There was enough staff to provide care and treatment to patients at Park Villa.
Patients’ risk assessments were well completed and reviewed.
There were minimal significant incidents but when incidents did occur, staff learnt lessons.
Staff carried out regular physical health checks with patients.
Care plans were well completed, personalised and holistic.
There was good multidisciplinary working with thorough occupational therapy assessment and input.
Staff were adhering to the Mental Health Act and Mental Capacity Act.
Comments from patients on the standards of care and treatment were universally positive.
Patients were involved in identifying their recovery goals and developing their care plans.
There were regular weekly patient community meetings occurring for patients to discuss day to day issues.
Staff were focused on patients’ recovery and worked to discharge patients with all patients having discharge goals.
Staff had regular contact with community mental health team professionals and the hospital had links with the wider community.
There were minimal numbers of patient complaints but when complaints were made they were managed well.
Staff morale was good and there was good local leadership.
Governance arrangement and checks in place were largely good.

However:

While staff were ensuring that safety building checks were taking place, we found a small number of shortfalls which staff had not identified or addressed.
Staff had carried out fire drills but two out of three recent fire drills showed a delay in evacuating the building with no remedial action.
Staff were still not carrying out a Mental Capacity Act audit which we raised as a recommendation on the last inspection and we saw some minor shortfalls.
Patients were sometimes discussed in formal meetings without patients being present.

We rated Park Villa Independent Hospital as good because:

The hospital was well kept, and furniture and fittings were in good condition. A housekeeper ensured the main building was kept clean and the patients kept their own rooms clean by following an agreed plan.
Staff completed risk assessments before admitting patients to the hospital and again during their admission. These were comprehensive.
Physical health monitoring was clearly documented both on admission and during each patient’s stay at the hospital. Files for each patient showed extensive physical monitoring and consideration of existing physical problems.
All care records were up to date, personalised, recovery-based documents. The care records were easily accessible on the computer system and the paper documentation was extensive.
Psychological therapies such as cognitive behavioural therapy, dialectical behavioural therapy and family therapy were all available to patients at the hospital.
There were a range of occupational therapies available to patients.
Patients had access to a full range of disciplines needed to provide care, including registered mental health nurses, an occupational therapist, a psychologist, and a consultant psychiatrist.
We observed staff interacting with the patients in their care. They were respectful, polite, inclusive, supportive and responsive to the needs of the patients.
There were no delayed discharges as all discharges were planned with community organisations.
It was clear from the approach of staff towards the provision of care for their patients that the team objective followed the values of the organisation.
Staffing levels were maintained at a suitable level, with the option to bring in more staff should the need arise.
We reviewed staff files which were complete and well maintained. Copies of disclosure and barring service reports were included, along with copies of registration documents and qualifications.

However, it was noted that there was no audit of the use of the Mental Capacity Act.

On the day of our visit we spoke with the manager, staff, and patients. We also had responses from external agencies including social services .This helped us to gain a balanced overview of what people experienced living at Park Villa Independent Hospital.

During the inspection we looked at care planning, recruitment and staff induction training records. We also observed care practices during the day and talked with patients about Park Villa. Comments from patients were positive and included, 'Since I have come here I feel the support has been excellent.' Also, 'The staff have been so kind and helpful.'

Patients told us they could express their views and were involved in making decisions about their care. One said, 'We have our weekly community meetings and any changes we request are always looked into by the manager.' They told us they felt listened to when discussing their support and treatment needs. Staff confirmed to us they also involved people to ensure they received the right care and support.

Staff we spoke with told us they felt supported by the manager and told us the recruitment system made sure all the necessary checks had taken place before they began working at Park Villa.

There were a range of audits and systems in place to monitor the quality of the service being provided.

When we visited we spoke to three patients in private. One person told us they liked Park Villa and commented that 'people get on with one another'. They said staff had 'always got time if you needed help'.

We asked another patient whether they felt safe and they said 'it feels safe, I can talk about worries'. We asked about how they got on with staff and they said they were 'treated properly'.

Each year, we visit all NHS trusts and independent providers who care for people whose rights are restricted under the Mental Health Act to monitor the care they provide and check that patients' rights are met. Immediate concerns raised by patients on those visits are discussed, if appropriate, with hospital staff.

Our Mental Health Act Commissioners may carry out a number of visits to each provider over a 12-month period, during which they talk to detained patients, staff and managers about how services are provided. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. We are looking at different ways to indicate the outcomes of our monitoring in the future.

These older reports are from our old approaches to inspection, including those from before CQC was created.

Archived: Park Villa Independent Hospital

All Inspections

7 and 8 February 2018

During a routine inspection

02 November 2015

During a routine inspection

18 November 2013

During a routine inspection

24 July 2012

During a routine inspection

Mental Health Act Commissioner reports

Reports under our old system of regulation