Kemple View

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

This means we looked for evidence that people’s care, treatment, and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question Outstanding. At this assessment, the rating has changed toGood.

Good: This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

We have not awarded this service a score for Effective.

Find out about when we will not publish a key question score and what we look at when we assess Effective.

We maximise the effectiveness of people’s care and treatment by assessing and reviewing their health, care, wellbeing and communication needs with them.

• During our assessment we reviewed 6 patient care records. Staff completed a comprehensive mental health assessment of the patient in a timely manner at, or soon after, admission.
• In the majority of cases, staff assessed patients’ physical health needs in a timely manner after admission, and this was incorporated into their care plans. However, we identified one patient for whom staff had identified ongoing weight issues. The patient had been admitted to the service in January 2025 but there was no management plan in place for the concerns identified.
• Staff developed care plans that met the needs identified during assessment. Most care plans were personalised, holistic and recovery-oriented and focused on 4 key areas: keeping well; keeping connected; keeping healthy and keeping safe.
• Staff updated care plans when necessary.

We plan and deliver people’s care and treatment with them, including what is important and matters to them and in line with legislation and current evidence-based good practice and standards.

• Staff provided a range of care and treatment interventions suitable for the patient group. The interventions were those recommended by, and were delivered in line with, guidance from the National Institute for Health and Care Excellence. These included psychological therapies, activities, training, and work opportunities intended to help patients develop specific skills. Kemple View had an allotment, gym, sports hall, art room and music room. Patients told us activities helped aid in their recovery and prepared them to get back into the community. The service provided patients with real work opportunities which they were paid for, such as working in the on-site shop and the mindfulness café, or cleaning on the wards. The service had education facilitators on site, to help patients gain recognised qualifications.
• Staff ensured that patients had good access to physical healthcare, including access to specialists when needed. Patients had access to a nurse and GP on site. The service helped patients source their own dentist, and an optician would visit the wards once a week.
• The team included or had access to the full range of specialists required to meet the needs of patients in the service. This included occupational therapists, psychologists, social workers, pharmacists, speech and language therapists, dieticians, and peer support workers, and translators.
• Staff participated in clinical audit, benchmarking, and quality improvement initiatives.
• Staff were experienced and qualified and had the right skills and knowledge to meet the needs of the patient group.
• Managers provided new staff with a 2 week induction, which was conducted onsite.
• Managers provided staff with monthly supervision meetings to discuss case management, to reflect on and learn from practice, for personal support, professional development, and appraisal of their work performance.
• Managers ensured that staff had access to regular team meetings.
• Across the hospital the percentage of staff that had had an appraisal in the last 12 months was 100%.
• The percentage of staff that received regular supervision was 93% for February 2025 across all groups across the hospital.
• Managers identified the learning needs of staff and provided them with opportunities to develop their skills and knowledge.
• Managers ensured that staff received the necessary specialist training for their roles.
• Managers dealt with poor staff performance promptly and effectively

We work effectively across teams and services to support people, making sure they only need to tell their story once by sharing their assessment of needs when they move between different services.

• Staff held regular and effective multidisciplinary meetings, which took place monthly.
  • Staff shared information about patients at daily handover meetings between shifts.
  • The teams had effective working relationships, including good handovers, with other relevant teams within the organisation for example, care co-ordinators and community mental health teams.
  • The teams had effective working relationships with teams outside the organisation including the local authority, social services, and GPs.

We support people to manage their health and wellbeing so they can maximise their independence, choice and control, live healthier lives and where possible, reduce their future needs for care and support.

• Staff supported patients to live healthier lives, for example, through participation in healthy eating advice. The service had a dietician on site and offered assistance for patients dealing with issues relating to substance misuse. Managers told us the dedicated Responsible Clinician (RC) on the wards had a specialist interest in rehabilitation services.
• Although the wards were smoke free, patients were permitted to vape in their bedrooms within Oakwood and Hawthorn ward, which was part of Kemple View’s company policy.
• Staff told us fruit was readily available for patients to snack on. However, the service would provide other snacks, such as popcorn, only on movie night. Patients told us they could buy their own snacks outside of these times.
• Ward activities helped promote a healthy lifestyle for patients, with walking groups, sports activities such as football, using the gym and cooking healthy meals. Staff told us some patients, who used vapes, were reluctant to leave their bedrooms and participate in activities. The service was aware of this and told us they were planning to look at creating some guidance in relation to this from a health point of view.

We routinely monitor people’s care and treatment to continuously improve it and to ensure that outcomes are positive and consistent, and that they meet both clinical expectations and the expectations of people themselves.

• Staff used recognised rating scales to assess and record severity and outcomes for example, Health of the Nation Outcome Scales(HONOS).
• Staff used technology to support patients effectively for example, for prompt access to blood test results and online access to self-help tools

We tell people about their rights around consent and respect these when we deliver person-centred care and treatment.

• Staff took all practical steps to enable patients to make their own decisions.
• For patients who may have impaired mental capacity, staff assessed and recorded capacity to consent appropriately. They did this on a decision-specific basis.
• When patients lacked capacity, staff made decisions in their best interests, recognising the importance of the person’s wishes, feelings, culture, and history.