Kemple View

Ratings - Long stay or rehabilitation mental health wards for working age adults

• Overall

  Good

• Safe

  Requires improvement

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Good

Our view of the service

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policies and procedures relating to different aspects of the Mental Health Act, however, some of the policies were out of date.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.

People's experience of this service

We spoke with 11 patients and 3 carers and received feedback from 6 commissioners. We attended a patient feedback meeting and reviewed patient feedback gathered by the provider through surveys and meeting minutes.

Patients on Hawthorn and Oakwood wards told us that staff were respectful and polite. They said there was typically a member of ward staff available within the communal areas of the wards, or they would be able to easily locate a member of staff should they need to speak to them. 

Patients had access to education, volunteering, and work opportunities, could access advocacy, and knew how to complain should they wish to do so. They also told us they were able to discuss their medication with staff, and that medication was explained to them in a way they could understand. However, some patients told us they were not always involved in medication reviews. 

We observed a patient safety meeting where patients raised concerns they had about the ward. During this observation it was evident that patients were actively involved in the meeting were listened to. We observed patients challenge the service and they were able to make suggestions. The patients would then take any decision or update made within that meeting back to their specific ward.

Carers told us that staff within the rehabilitation wards at Kemple View had a good understanding of the patients’ needs and  actively supported patients’ involvement, they used the right protocols and had a good attitude towards patients. Carers also told us that staff were caring and polite and that their loved ones felt safe on the wards.

 Commissioners told us that managers and other staff members worked with them in an open and transparent way and were responsive to any concerns they had. They shared that patients told them they felt safe at the hospital and that there were good mechanisms for including patients and ensuring their voice was heard.