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Shrewsbury Court Independent Hospital Good

The partners registered to provide this service have changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 11 January 2021

Shrewsbury Court is a small 50-bed independent hospital which provides long stay/rehabilitation mental health wards for working-age adults.

Our rating of Shrewsbury Court stayed the same. 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. The service had put policies, procedures and additional cleaning in place to keep patients safe from Covid-19.
  • The full range of mental health disciplines provided input into each ward and patient care. Patients were assessed on arrival by occupational therapy and provided with regular 1:1s to support patients develop skills for their discharge. We saw evidence of patients’ physical health being monitored and the service employed a nurse who focussed on patients’ physical health.
  • Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. All staff interactions that we observed with patients were caring and respectful, and patients spoke positively about staff.
  • Patients did not have excessive lengths of stay and discharge was rarely delayed for other than a clinical reason. The service treated concerns and complaints seriously.
  • The service was well-led and their governance processes ensured that not only ward procedures ran smoothly, but also that the senior management team had good oversight, including monitoring and supporting ward managers, who had recently been devolved more power.

However,

  • The quality of care plans was variable across the wards. Some care plans were not updated or centrally stored on the electronic recording system, and didn’t always carry across risks identified at assessment, however, others we saw were holistic and patient focussed.
  • The rehabilitation activities provided were limited, not seven days a week and timetables consisted of mainly leisure activities.
  • There was variance in the recording of patient observations and on some wards we saw gaps in records.
  • Training, appraisal and supervision rates were variable for the last few months. Some wards had consistently high rates of supervision, whilst others didn’t. Appraisals across the hospital were low, the senior management team were aware of these issues and were taking action to improve these.
  • Patients who use the service told us that they felt involved in their care planning and understood their rights under the Mental Health Act. Patients told us that staff checked in with them after any patient incidents or aggression on the ward and that staff were supportive. However, some patients told us that they did not feel that they have meaningful activities to do, especially on evenings or weekends.
Inspection areas

Safe

Good

Updated 11 January 2021

Effective

Requires improvement

Updated 11 January 2021

Caring

Good

Updated 11 January 2021

Responsive

Good

Updated 11 January 2021

Well-led

Good

Updated 11 January 2021

Checks on specific services

Long stay or rehabilitation mental health wards for working age adults

Good

Updated 11 January 2021