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Inspection report

Date of Inspection: 3 October 2012
Date of Publication: 1 November 2012
Inspection Report published 1 November 2012 PDF | 63.49 KB

Overview

Inspection carried out on 3 October 2012

During a routine inspection

During our visit we spoke to twenty seven people who use the service. These were people who were inpatients on a number of forensic wards and adult acute mental health wards at St Bernard’s hospital, as well as people living in the community who use some of the community services of the Trust. This included people who use Ealing assessment team and the East and West recovery teams.

Part of our role is to monitor the rights of people who are detained under the Mental Health Act 1983 (and subsequent amendments to this). Our Mental Health Act (MHA) Commissioners have visited St Bernard’s and Ealing Community Services a number of times in during 2011/2012. We looked at information from the MHA Commissioners recent visits. We also looked at information from advocates, Ealing Local Involvement Network (LINks) and written feedback from people who use Ealing community services.

We have also looked at the results of the Department of Health: Survey of NHS Staff 2011/2012 and the CQC Community Mental Health Survey 2012 (CMHS). Whilst the feedback for both of these was gained from across the trust and not at location level we have considered the findings as part of this inspection.

The majority of feedback we received from people who use the service was positive about their experience of being a patient and of being involved in their care. People who were detained under the Mental Health Act said they were informed of their rights and could generally take leave form the ward when they wanted to. Most people commented that their was enough activities to keep them occupied, though we found that these were lacking on the PICU (patient intensive care unit). We also found that privacy and dignity was not always respected in some areas we visited as part of this inspection.

We also found that, across the sites we visited of St Bernard's and Ealing Community Services, the majority of feedback from staff was that they did not feel approriately supported and listened to, which they felt had an impact on the care people received, and could put people who use the service at risk.