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The Lighthouse Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 June 2021

We have not previously rated this service. We rated it as requires improvement because:

  • Young people did not receive care and treatment in a manner that safeguarded them from potential abuse. Positive behaviour support plans were not based on functional assessments. Positive behaviour support plans contained strategies which included the use of punishments which were not in keeping with the therapeutic ethos.
  • Disclosure and barring service checks were not always conducted robustly. Staff had started employment without having the appropriate checks in place which ensured they could work with children as well as adults.
  • Restraint was not safe. Staff involved in restraint had not always undertaken the providers restraint training. This meant staff could potentially use different methods of restraint which could result in the young people being physically harmed.
  • Children and young people requiring assistance did not have a way to alert staff if they needed assistance quickly. Whilst hand held equipment was available in the unit to enable communication in an emergency, this was rarely being made available to the young people.
  • There was no target for staff supervision. This meant that there was not a measurable target for the service to work towards.
  • Staff did not use child friendly approaches with children and young people to engage them in decisions about their individual care and treatment. This meant children and young people felt uninvolved.
  • There were gaps in the governance processes that did not identify there were issues with disclosure and barring service checks and restraint training for staff.

However:

  • Infection prevention control measures had improved following prompting by the Care Quality Commission. Staff were now wearing masks and following national guidance.
  • Staffing at night had improved since the last inspection. Registered nurses were employed to work at night. This meant that children and young people had access to registered nurses at all times.
  • The service sought to ensure that children and young people had access to the appropriate therapies and treatment. Alternative therapies were sourced and funded by the service where necessary.
  • Community meetings were held regularly. Children and young people were asked of their opinions and changes were made based on their feedback.
  • The service had sought input from external bodies such as the Restraint Reduction Network, Safewards and was working towards Quality Network for Inpatient Child and Adolescent Mental Health Services accreditation.
Inspection areas

Safe

Inadequate

Updated 11 June 2021

Effective

Requires improvement

Updated 11 June 2021

Caring

Requires improvement

Updated 11 June 2021

Responsive

Good

Updated 11 June 2021

Well-led

Requires improvement

Updated 11 June 2021

Checks on specific services

Child and adolescent mental health wards

Requires improvement

Updated 11 June 2021

We have not previously rated this service. We rated it as requires improvement. See overall summary.