6-9 September 2022
During a routine inspection
Our rating of this location stayed the same. We rated it as requires improvement because:
- The service did not always provide safe care. The ward environments were not always safe, clean or well-maintained. Medicines were not always managed safely. Emergency equipment was not always accessible.
- A high proportion of patients on all three wards had experienced violence or aggression from a peer and the provider was not taking sufficient action to work towards reducing this.
- Ward teams did not always have access to the full range of specialists required to meet the needs of patients on the wards. Staff were not always receiving regular training updates or appraisals.
- Staff on the specialist rehabilitation ward had not always had training to support them in meeting the specific needs of the patient group on this ward and as a result were not always able to meet patients’ needs.
- Staff did not always actively involve patients and their families and carers in care decisions.
- Patients were not always well supported in relation to their cultural and spiritual needs.
- We identified blanket restrictions which were not justified on the basis of risk and these had not always been recognised by the provider.
- Governance processes were in place but these did not always ensure that wards ran smoothly.
However:
- The wards had enough nurses, doctors and support staff. Staff assessed and mostly managed clinical risks well. They minimised the use of restraint and seclusion and followed good practice with respect to safeguarding.
- Ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare.
- Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005.
- Staff usually treated patients with compassion and kindness, and respected their privacy and dignity.