Draper House

Updated 1 October 2021

Draper House is a 14-bed rehabilitation service located in St Helens. It provides patient focused and evidence-based care which is bespoke to each individual and their needs. Their aim is to plan with the patient their recovery journey from the point of referral to recovery and enable a supportive and transitional discharge period which aims to be facilitated in a seamless manner. The service ethos embraces recovery principles and incorporates interventions which promote and enable the rehabilitation pathway within a locked environment.

The service is for female patients over the age of 18 years, with the facility for both detained and informal patients, covering complex mental health disorders including personality disorders. The service has two wards across two floors, Bluebell and Blossom, at the location. At the time of the inspection, there were 13 patients admitted.

The service is registered to provide assessment or medical treatment for persons detained under the Mental Health Act 1983, and treatment of disease, disorder and injury. At the time of inspection, the service was without a registered manager as the previous registered manager had left. An application has been made for another senior manager to take the role of registered manager. There was a controlled drugs accountable officer.

This was the second inspection of the service: the first inspection took place in March 2020. There were no improvements required following the inspection in March 2020.

We carried out this focused inspection of two key questions, safe and well-led, as a result of concerns about patient safety, culture and governance.

What people who use the service say

During the inspection we interviewed four patients at the service and reviewed a recent submission to the Care Quality Commission by one of the patients. All of the patients spoke very highly of the service. Patients told us they felt safe. Just prior to the inspection we received a complimentary letter from a patient at the service, thanking the staff at the service for their work.

Updated 1 October 2021

Our rating of this location stayed the same. We rated it as good because:

• The service managed medicines safely and followed good practice with respect to safeguarding.
• 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. Managers ensured that these staff received training, supervision and appraisal. The ward staff worked well together as a multidisciplinary team.
• The service was well led, and the governance processes ensured that ward procedures ran smoothly.

However:

the trained nurse schedule at the service alternated between one and two nurses on day shift during the week, and we noted that on a day with one nurse it was difficult for the nurse to take a break from work. This was more likely as the service operated two wards over two floors.

Updated 1 October 2021

Our rating of this location stayed the same. We rated it as good because:

• The service managed medicines safely and followed good practice with respect to safeguarding.
• 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. Managers ensured that these staff received training, supervision and appraisal. The ward staff worked well together as a multidisciplinary team.
• The service was well led, and the governance processes ensured that ward procedures ran smoothly.

However:

the trained nurse schedule at the service alternated between one and two nurses on day shift during the week, and we noted that on a day with one nurse it was difficult for the nurse to take a break from work. This was more likely as the service operated two wards over two floors.