18 January 2019
Storthfield House is a longer term high dependency rehabilitation mental health hospital. It is registered to provide the following regulated activities: treatment of disease, disorder or injury and assessment, or medical treatment of persons detained under the Mental Health Act 1983 for up to 22 male only patients, under the age of 65 years. The hospital is part of Cygnet Behavioural Health Limited. The registered manager is Rachel Fottles-Smith. At the time of the inspection 19 patients were at the hospital, two were informal and 17 were detained under the Mental Health Act.
The CQC inspected this hospital in October 2012, February 2014 and September 2016. There had been no breaches to the regulations on any of these inspections.
Storthfield House hospital had received two Mental Health Act monitoring visits, one in May 2015 and the second in June 2016. On the last visit the issue found was the doctor had completed the wrong medication capacity form. This issue was not present on this visit.
18 January 2019
Cygnet Storthfield House as good because:
- The service provided safe care. The ward environments were safe and clean. The wards had enough nurses and doctors. Staff assessed and managed risk well. They minimised the use of restrictive practices, managed medicines safely and followed good practice with respect to safeguarding.
- Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the patients cared for in a mental health rehabilitation ward and in line with national best practice guidance. Staff engaged in clinical audit to evaluate the quality of care they provided.
- The ward teams included or had access to the full range of specialists required to meet the needs of patients on the wards. Managers ensured staff received training, supervision and appraisal in line with the providers policy. The ward staff worked well together as a multi-disciplinary 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 treated patients with compassion and kindness, respected their privacy and dignity and understood the individual needs of patients. They actively involved patients and families and carers in care decisions.
- Staff planned and managed discharge well and liaised well with services that would provide aftercare. As a result, discharge was rarely delayed for other than a clinical reason.
- The service worked to a recognised model of mental health rehabilitation. It was well led, and the governance processes ensured ward procedures ran smoothly.
- Staff had not completed intermittent observations of patients as per the Mental Health Act Code of Practice and the Cygnet policy and procedure.