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Archived: Monet Lodge

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All reports

Inspection report

Date of Inspection: 20 December 2012
Date of Publication: 26 January 2013
Inspection Report published 26 January 2013 PDF | 94.92 KB

People should get safe and coordinated care when they move between different services (outcome 6)

Meeting this standard

We checked that people who use this service

  • Receive safe and coordinated care, treatment and support where more than one provider is involved, or they are moved between services.

How this check was done

We reviewed information sent to us by other organisations, carried out a visit on 20 December 2012, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with stakeholders.

We were accompanied by a Mental Health Act commissioner who met with patients who are detained or receiving supervised community treatment under the Mental Health Act 1983.

Our judgement

People’s health, safety and welfare was protected when more than one provider was involved in their care and treatment, or when they moved between different services. This was because the provider worked in co-operation with others.

Reasons for our judgement

We spoke with four people who were being cared for in this hospital and four sets of relatives of people who were being cared for in this hospital about the care they received. People we spoke with were very positive about the co-ordination of care. One relative of a person who used the service told us: "We’re having a multidisciplinary meeting to look at whether we can continue here".

We saw that the hospital staff carried out assessments of people who were usually already in hospital in the older people's mental health wards provided by the local mental health NHS provider to consider the appropriateness of admission to this hospital. We saw that the hospital worked with their fellow NHS staff to coordinate the transfer of people into this hospital, including transferring patients who were already detained under the Mental Health Act.

We saw records of meetings occurring about patients' care and treatment that included attendance of members of the person's family, the person's G.P. and a community psychiatric nurse. This meant that when decisions had to be made the right people were involved in the decision and the hospital was cooperating with other providers where care and treatment was shared.

We spoke with the visiting GP who told us that the hospital was very good at working with NHS services and providing information in a timely manner. We saw records of regular contact and communication with mental health professionals from the local mental health NHS Trust, such as invites and attendance at ward rounds and other multi-disciplinary meetings.

Where people were ready for discharge, we saw records relating to contact with continuing healthcare to consider appropriate alternative placements including funding costs for any future healthcare.

We saw that the hospital was cooperating with the relevant authorities regarding a small number of safeguarding incidents.

The hospital was accountable to the primary care trust (PCT) as a provider of NHS care. We saw minutes of recent contract meetings with the PCT which showed that they were happy with the services provided. The contract included additional targets for ensuring continuous quality improvement which the hospital had met.