Arbury Court

Ratings - Acute wards for adults of working age and psychiatric intensive care units

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Requires improvement

• Caring

  Good

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

Our rating of this service stayed the same. We rated it as require improvement:

The service had not maintained the environment with mould and badly maintained fixtures and fittings.

Staff supervision and appraisal compliance rates were low in the months prior to the assessment. Staff mandatory training compliance was also below 75% for some of their training courses, including therapeutic observations and engagement, which was a concern as patients that we spoke to described that staff undertaking enhanced observations did not often engage or interact with them.

Some observation sheets had not been completed so we could not assure ourselves observation checks had been completed.

Senior managers within the hospital did not always use governance process to effectively monitor, manage and take action to address identified issues in a timely manner.

However;
Ligature risk assessments were up to date and security checks were carried out regularly. The ward had enough nurses and doctors. Staff assessed and managed risk well, patients all had up to date, relevant risk assessments.
Staff followed good practice with respect to safeguarding. Staff had received appropriate safeguarding training and there were systems in place to support staff make safeguarding referrals when required.
Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients.

People's experience of this service

Patients were largely positive in their feedback about the service. Patients told us they felt safe, and that staff treated them well and were supportive and caring. Patients could attend multi-disciplinary meetings where they were encouraged to ask questions and offered advice and support around their treatment. Patients were largely positive about the food and activities available on the wards.