Kemple View

Updated 22 October 2025

• We carried out the assessment for Kemple View on 25, 26 and 31 March 2025.
• We carried out the assessment due to the length of time since it was last inspected.
• Kemple View is an independent hospital run by Partnerships in Care Limited. The hospital provides services for 90 men with mental health needs. The service has 4 low secure wards and 2 rehabilitation wards.
• We visited the following wards as part of our assessment:
• Elmhurst ward - low secure ward for adult males with 19 beds.
• Kenton ward – low secure ward for adult males with 11 beds.
• Wainwright ward – low secure ward for adult males with 16 beds.
• Arkwright ward – low secure ward for males over the age of 50 with 10 beds.
• Hawthorn ward – high dependency rehabilitation and recovery ward for adult males with 15 beds.
• Oakwood ward – rehabilitation and recover ward for adult males with 19 beds.
• We visited all 6 wards during our inspection. We also interviewed the hospital director and other senior managers.
• Kemple View is registered to provide the following regulated activities: Assessment or medical treatment for persons detained under the Mental Health Act 1983; Diagnostic and screening procedures; Treatment of disease, disorder or injury. At the time of our inspection the service had a registered manager and a controlled drugs accountable officer.
• At our last inspection Kemple View was rated outstanding in all domains for both forensic and rehabilitation services.
• We did not find any breaches of regulation at our last inspection. At this inspection we identified the following breaches of regulation: Regulation 15 (Premises and Equipment).
• We assessed 2 Assessment Service Groups. These were forensics inpatient or secure wards and long stay or rehabilitation mental health wards for working age adults.

Good rating

We rated the service as good. We found 1 breach of regulation within the Forensics service in relation to the cleanliness, safety and maintenance of the environment. We found 1 breach of regulation within Long Stay or Rehabilitation wards in relation to the maintenance of the environment, including the safety of fire doors.

However, we also found the service had sufficient staff who met the individual needs of patients and supported patients to make decisions about their care and treatment.

There were outstanding elements to the service including an experienced therapy team who offered a range of psychological therapies for patients which focused on each patient’s individual needs and strengths, a strong focus on patient inclusion which was embedded at all levels of the service and a range of on-site facilities with staff offering a range of indoor and outdoor activities and educational opportunities for patients.

We have asked the provider for an action plan in response to the concerns found at this assessment.

Updated 21 January 2025

At this assessment we identified the following breach of regulation:

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Forensics service

• Regulation 15 \u2013 Premises and Equipment \u2013 some areas of the service were not clean, and areas of the environment were not safe or comfortable for patients.

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  However:

• The service had sufficient staff who met the individual needs of patients, managed risk and supported patients to make decision about their care and treatment.
• The service offered a range of psychological therapies which were tailored to the needs of each individual patient.
• There was a range of activities and educational and volunteering opportunities that patients could access.
• There was a strong focus on patient inclusion and staff encouraged patients to become involved in co-production activities that influenced the running of the service.

Mental Health Act and Mental Capacity Act Compliance

Mental Health Act

• Staff were trained in and had a good understanding of the Mental Health Act, the Code of Practice and the guiding principles. 99% of staff had received up to date training in the Mental Health Act.
• Staff had easy access to administrative support and legal advice on implementation of the Mental Health Act and its Code of Practice. Staff knew who their Mental Health Act administrators were.
• The provider had a range of relevant policies and procedures relating to different aspects of the Mental Health Act, however, some of the policies were out of date.
• Patients had easy access to information about independent mental health advocacy.
• Staff explained to patients their rights under the Mental Health Act in a way that they could understand, repeated it as required and recorded that they had done it.
• Staff ensured that patients were able to take Section 17 leave (permission for patients to leave hospital) when this has been granted.
• Staff requested an opinion from a second opinion appointed doctor when necessary.
• Staff stored copies of patients' detention papers and associated records (for example, Section 17 leave forms) correctly and so that they were available to all staff that needed access to them.
• Staff did regular audits to ensure that the Mental Health Act was being applied correctly and there was evidence of learning from those audits.

Mental Capacity Act

• Staff had a good understanding of the Mental Capacity Act, in particular the five statutory principles. 98% of staff had received training in the Mental Capacity Act.
• The provider had a policy on the Mental Capacity Act, including deprivation of liberty safeguards. Staff were aware of the policy and had access to it.
• Staff knew where to get advice from within the provider regarding the Mental Capacity Act, including deprivation of liberty safeguards.
• Staff took all practical steps to enable patients to make their own decisions.
• For patients who might have impaired mental capacity, staff assessed and recorded capacity to consent appropriately. They did this on a decision-specific basis with regard to significant decisions. Staff regularly reviewed and updated capacity assessments.
• When patients lacked capacity, staff made decisions in their best interests, recognising the importance of the person\u2019s wishes, feelings, culture and history.
• The service had arrangements to monitor adherence to the Mental Capacity Act.
• Staff audited the application of the Mental Capacity Act and took action on any learning that resulted from it.

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Updated 21 January 2025

We found 1 breach of regulation within the long stay Rehabilitation service.

Regulation 15 Premises and Equipment. The last fire risk assessment in October 2024 highlighted various bedrooms and communal corridor’s thorough out Kemple View had a 4mm gap between the door and door frames. Rooms varied in temperature; the sports hall was very hot and a family room and multi faith room were cold. The service is aware of this issue and has been on their risk register since 2023.

Mental Health Act and Mental Capacity Act Compliance

Mental Health Act

• Staff had a good understanding of the Mental Health Act, the Code of Practice, and the guiding principles.
• 85.7% of staff in Oakwood ward had completed training in the Mental Health Act training.
• 95.2% of staff within Hawthorn had completed training in the Mental Health Act
• Staff had easy access to administrative support and legal advice on implementation of the Mental Health Act and its Code of Practice.
• Staff knew who their Mental Health Act administrators were.
• The provider had a range of relevant policies and procedures relating to different aspects of the Mental Health Act, however, some of the policies were out of date.
• Patients had easy access to information about independent mental health advocacy.
• Staff explained to patients their rights under the Mental Health Act in a way that they could understand, repeated it as required and recorded that they had done it.
• Staff ensured that patients were able to take Section 17 leave (permission for patients to leave hospital) when this has been granted.
• Staff requested an opinion from a second opinion appointed doctor when necessary.
• Staff stored copies of patients' detention papers and associated records (for example, Section 17 leave forms) correctly and so that they were available to all staff that needed access to them.

Mental Capacity Act

• 85.7% of staff in Oakwood ward had completed the Mental Capacity Act Training.
• 95.2% of staff within Hawthorn had completed training in the Mental Capacity Act.
• Staff had an understanding of the Mental Capacity Act and it’s five statutory principles.
• The provider had a policy on the Mental Capacity Act, including deprivation of liberty safeguards. Staff were aware of the policy and had access to it.
• Staff knew where to get advice from within the provider regarding the Mental Capacity Act, including deprivation of liberty safeguards.
• Staff took all practical steps to enable patients to make their own decisions.
• For patients who might have impaired mental capacity, staff assessed and recorded capacity to consent appropriately. They did this on a decision-specific basis regarding significant decisions. Staff regularly reviewed and updated capacity assessments.
• When patients lacked capacity, staff made decisions in their best interests, recognising the importance of the person’s wishes, feelings, culture, and history.
• The service had arrangements to monitor adherence to the Mental Capacity Act.
• Staff audited the application of the Mental Capacity Act and acted on any learning that resulted from it.