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The National Hospital for Neurology and Neurosurgery Good

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Inspection report

Date of Inspection: 12 November 2012
Date of Publication: 20 December 2012
Inspection Report published 20 December 2012 PDF | 93.1 KB

Overview

Inspection carried out on 12 November 2012

During a routine inspection

As part of the inspection an unannounced visit was undertaken by three compliance inspectors from the Care Quality Commission and an external specialist advisor on 12 November 2012. We visited the Neuromedical Intensive Care Unit (MICU), the Neurosurgical Intensive Care Unit (SICU), the High Dependency Unit (HDU), Lady Anne Allerton ward (LAAW), David Ferrier ward (DFW) and the Outpatients department.

We spoke with patients, their relatives and staff from a range of medical, nursing, and therapy backgrounds. In general, the patients we spoke with were positive about their experiences at the hospital. We received the following comments from patients:

“I can’t say a bad word about the place.”

“They stop to explain everything.”

“The staff have been very helpful.”

“It is gold star. Ten out of ten.”

“It is spotless.”

“The referral process is difficult. It took me a long time to get [the referral] here.”

We found that people received care that met their needs and respected their privacy, dignity and independence. Adequate staffing was available to meet patients’ needs, although there were a high number of staff vacancies on DFW. We found that when patients did not have the capacity to consent, the provider acted in accordance with the Mental Capacity Act, although some staff were not fully aware of their responsibilities. The procedures for restraint were still being developed and the reasons for using restrictions were not always being recorded.