Updated 12 August 2015
The Lanes is an 18 bed hospital for male patients. Patients may have a mental health problem, learning disability, Asperger’s syndrome or autism. Some patients may have more than one diagnosis. Patients may be detained in the hospital under the Mental Health Act 1983. Patients are admitted to the hospital for longer term rehabilitation and recovery. On the day of the inspection there were nine patients in the hospital.
Updated 12 August 2015
The Lanes provided personalised care to patients at the hospital. Patients were involved in their care planning and took part in a range of individual activities. Monitoring of patients physical health was good.
Staff understood patients needs very well. The arrangements for staffing ensured all staff knew patients well and that care was consistent. Risk assessments were reviewed and updated. A number of audits took place regularly and the multidisciplinary staff team worked well together.
However, information was displayed for patients but this was not in an 'easy read' or pictorial format. Two patients did not have consent or authorisation certificates for medicines. Ratings scales or outcome measures were not used to assess patients progress. The frequency of staff supervision was inconsistent.
Core service provided: Long stay/rehabilitation mental health wards for working age adults
Male/female/mixed: male
Capacity: 18 beds
Mental Health Act responsibilities
Seven patients were detained under the Mental Health Act 1983 (MHA). Most MHA documentation was available and completed appropriately. However, two patients had previously had authorisation (T3) certificates. Both patients were subsequently assessed as having the capacity to consent. Consent (T2) certificates were then completed. Later, both patients were assessed again as not to have capacity regarding medicines. We were unable to locate current T3 certificates for both patients authorising treatment. There was no evidence that a Second Opinion Appointed Doctor (SOAD) had been requested or had examined either patient.
Most patients were informed of their rights under the Mental Health Act (MHA) on a regular basis. However, for one patient we were unable to find evidence that they had their rights explained to them for over one year.
Mental Capacity Act and Deprivation of Liberty Safeguards
We did not specifically look at this area during this inspection. However, we noted that a patient was currently subject to a Deprivation of Liberty Safeguards authorisation. We also noted that there had been a best interests decision for one patient. This had concerned the patients’ physical health.
Updated 12 August 2015
The Lanes provided personalised care to patients at the hospital. Patients were involved in their care planning and took part in a range of individual activities. Monitoring of patients physical health was good.
Staff understood patients needs very well. The arrangements for staffing ensured all staff knew patients well and that care was consistent. Risk assessments were reviewed and updated. A number of audits took place regularly and the multidisciplinary staff team worked well together.
However, information was displayed for patients but this was not in an 'easy read' or pictorial format. Two patients did not have consent or authorisation certificates for medicines. Ratings scales or outcome measures were not used to assess patients progress. The frequency of staff supervision was inconsistent.