6-8 September 2022
During a routine inspection
Our rating of this location improved. We rated it 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 and in line with national guidance about best practice. 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 that these staff received training, supervision and appraisal. The 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 treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. They actively involved patients in care decisions.
- Staff managed patient admission to the service effectively.
- The service was well led, and the governance processes ensured that ward procedures ran smoothly.
However:
- We observed a seclusion review taking place and were concerned that there were 10 members of staff outside of the room which caused some anxiety for the patient, particularly when the staff members were talking about them. We were also concerned that a staff member who the patient had threatened to harm was present.
- The acoustics of the seclusion room caused speech to echo and distort over its communications system and this posed potential issues if voices became raised due to heightened behaviours or for people with communication difficulties.
- Two of the five carers we spoke with said they felt communication from staff was poor although one did not know if this was because their loved one did not want them to be involved.
- There were no systems in place to enable patients to have the ability to speak with managers above hospital director level.