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Pulross Intermediate Care Centre

This service was previously managed by a different provider - see old profile

All reports

Inspection report

Date of Inspection: 6 July 2011
Date of Publication: 24 August 2011
Inspection Report published 24 August 2011 PDF

People should be protected from abuse and staff should respect their human rights (outcome 7)

Meeting this standard

We checked that people who use this service

  • Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld.

How this check was done

Our judgement

The trust has policy and procedures in place to safeguard vulnerable adults and the local authority told us they are satisfied with the actions taken to protect people when safeguarding issues arise.

Overall, we found that the Pulross centre was meeting this essential standard.

User experience

We did not speak to people about safeguarding.

Other evidence

We carried out this inspection because we were notified of a safeguarding investigation. The investigation was underway at the time of this inspection and the local authority told us that they were satisfied with the action taken by the provider to investigate the allegations made and to protect people during the investigation.

The provider told us that they have assured themselves to be fully compliant with this essential outcome area and they provided us with information about the systems in place to safeguard vulnerable people.

Training in safeguarding, consent and mental capacity were provided for staff. All of the Pulross clinical staff have attended safeguarding training between April and May 2011. There were policies and procedures in place to support staff and people using the service. There was also training and groups overseeing the safeguarding process with named leads. The safeguarding nurse is a source of expertise and provides training, advice and input for safeguarding issues. The overall adult safeguarding lead for community services is a senior nurse who is responsible for overseeing safeguarding and ensuring it has a high profile.

Pulross only treats adult patients aged 18 or over. However, in line with policy, the staff at the unit have all received basic child protection training. There is also extensive guidance available to staff on child protection as well advice and support available from a dedicated child protection team.

Where there are concerns around a patient’s capacity staff at Pulross follow the Mental Capacity Act (MCA) Code of Practice, which is available to all ward staff. Senior nurses or a visiting doctor who has MCA training will carry out the assessment. This is documented in the patients’ notes. If required a Best Interest meeting will follow with representatives included all relevant health care professionals, family members/carers, social services. Training around DoLS (Deprivation of Liberty Safeguards) is incorporated in MCA (Mental Capacity Act) training. In addition the manager has been trained as a DoLS Best Interest Assessor. The MCA and DoLS Code of Practice, Mental Capacity Act 2005 and Deprivation of Liberty Safeguards Policy were available to staff and there were guidelines and procedures for assessing and referring for a DoLS if required.

The provider told us that the use of restraint would be rare but there is a policy in place and guidance for staff. The policy complies with best practice and was recently reviewed . There is also guidance on the use of bed rails.

There is a code of practice and policies around fraud and accepting gifts from people using the service. There are facilities for people to store their valuables and possessions and records of these are kept.

There are procedures and policies in place for whistle blowing and a being open policy. There are also staff disciplinary policies for dealing with concerns about staff that cover suspension and investigation as well as managing poor performance. All staff are held to a code of conduct including Nursing and Midwifery Council standards.

Policies and procedures in place include a disciplinary and suspension policy for staff suspected of abuse. Care is organised so that a staff member accused of abuse is separated from the accuser. Referral is made to social services and to the police. There is a serious incident policy in place. Policies highlight what steps to take in organising, delivering and reviewing care for patients who need safeguarding. There is information for staff on how to spot abuse contained in the Adult Safeguarding policy which is reinforced in training.