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John Munroe Hospital - Rudyard

The provider of this service changed - see old profile

Action is being taken against the provider of this service. Find out more

  • We have suspended the ratings on this page while we investigate concerns about this service.
We are carrying out a review of quality at John Munroe Hospital - Rudyard. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Updated 10 November 2020

We completed this focused inspection based on concerning information received about the alleged abuse of patients and the impact on staff safety. We specifically focused on our safe and well led domains.

We did not rate this inspection.

We identified the following areas of concern:

  • Staff did not make a safeguarding alert when they recognised possible abuse. Staff said they were not always supported to report all incidents appropriately and felt that leaders did not investigate all incidents. The provider did not follow their own policy in raising concerns and investigating them. Lessons learned were not always shared effectively with the whole team. Not all risk assessments were up to date.
  • Staff did not always have easy access to clinical information, and it was not easy for them to maintain high quality clinical records, whether paper-based or electronic.
  • Not all staff felt respected, supported, and valued. They did not always feel able to raise concerns without fear of retribution. Leaders were not always visible or approachable. Our findings from the other key questions demonstrated that governance processes did not always operate effectively at ward level.

However:

  • The provider used systems and processes to safely prescribe, administer, record and store medicines. Staff regularly reviewed the effects of medications on each patient’s physical health. Staff managed risks to patients and themselves well and had training on how to recognise and report abuse.
  • Leaders had the skills, knowledge, and experience to perform their roles, had a good understanding of the services they managed.
Inspection areas

Safe

Updated 10 November 2020

We did not rate this key question. We identified the following areas of concern:

  • Staff did not make a safeguarding alert when they recognised possible abuse. However, staff had received training on how to recognise and report abuse and they said they knew how to apply it.
  • Not all risk assessments were up to date.
  • Staff did not always have easy access to clinical information, and it was not easy for them to maintain high quality clinical records – whether paper-based or electronic.
  • Staff said they were not always supported to report all incidents appropriately and felt that managers did not investigate all incidents. Lessons learned were not always shared effectively with the whole team.

However:

  • The provider used systems and processes to safely prescribe, administer, record and store medicines. Staff regularly reviewed the effects of medications on each patient’s physical health.
  • Staff managed risks to patients and themselves well. They achieved the right balance between maintaining safety and providing the least restrictive environment possible in order to facilitate patients’ recovery. Staff followed best practice in anticipating, de-escalating and managing challenging behaviour.

Effective

Updated 10 November 2020

Caring

Updated 10 November 2020

Responsive

Updated 10 November 2020

Well-led

Updated 10 November 2020

We did not rate this key question. We identified the following areas of concern:

  • Staff did not always find leaders to be visible and approachable.
  • Not all staff felt respected, supported, and valued. They did not always feel able to raise concerns without fear of retribution.
  • Our findings from the other key questions demonstrated that governance processes did not always operate effectively at ward level.

However;

  • Leaders had the knowledge, and experience to perform their roles, had a good understanding of the services they managed.
Checks on specific services

Long stay or rehabilitation mental health wards for working age adults

Updated 10 November 2020

Wards for older people with mental health problems

Updated 10 November 2020