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Inspection Summary


Overall summary & rating

Updated 11 August 2016

We found the trust could improve in the following areas:

  • Not all ligature risks had not been identified by the trust’s ligature risk assessment. This could increase the likelihood of patient’s ligaturing in the service and impact on the safety of the patients.

  • The patient kitchen was not clean.

  • The training compliance at Parkside Lodge for the level 2 Mental Health Act inpatient training was 57%. The training compliance for the Mental Capacity Act, including Deprivation of Liberty Safeguards, level 2 was 69%. This training had been introduced into the trust's mandatory training schedule in July 2015. Staff had not received training on the updated Mental Health Act code of practice.

However we found the following areas of good practice:

  • Staff had reviewed all patient prescription records had all been reviewed. Staff had followed the medication as required guidance. There was detailed recording of incidents on the trusts datix system.

  • The seclusion room was in the process of being altered to comply with Mental Health Act guidance and to ensure patients’ privacy and dignity was not compromised.

  • Multi-disciplinary team meetings took place twice a week; decisions and information gained during multi-disciplinary team meetings fed into the patients care plan.

  • Patients had physical health checks on admission to Parkside Lodge and on a regular basis during their stay in hospital.

  • Staff had regular supervisions and annual appraisals. Specialist training was available to staff.

Inspection areas

Safe

Updated 11 August 2016

We found the trust could improve in the following areas:

  • There were several ligature risks some of which had not been identified in the environmental risk assessment.

  • The patient kitchen was not clean.

However we found the following areas of good practice:

  • Staff had reviewed all patient prescription records. Staff had followed the medication as required guidance.

  • There was detailed recording of incidents on the trust’s datix system.

Effective

Updated 11 August 2016

We found the trust could improve in the following area:

  • The compliance for training at Parkside Lodge was 57% for Mental Health Act inpatient training– level 2, and 69% for level 2 training on the Mental Capacity Act, including Deprivation of Liberty Safeguards, at the time of the inspection. This training was introduced into the mandatory training schedule in July 2015. Staff had not received training on the updated Mental Health Act code of practice.

However we found the following areas of good practice:

  • Multi-disciplinary team meetings took place twice a week; decisions and information gained during multi-disciplinary team meetings were fed into the patients care plan.

  • Patients had physical health checks on admission to Parkside Lodge and on a regular basis during their stay in hospital.

  • Staff had regular supervisions and annual appraisals.

  • Specialist training was available to staff.

Caring

Updated 11 August 2016

Responsive

Updated 11 August 2016

Well-led

Updated 11 August 2016

Other CQC inspections of services

Community & mental health inspection reports for Parkside Lodge can be found at Leeds and York Partnership NHS Foundation Trust.