Langley Green Hospital

All people using the service were assessed on admission to the hospital. This included an assessment of their mental and physical health, and any risks. Care plans were developed from this, but the quality was variable and the information was not always easy to find.

The service had an observation policy, but staff were not clear about who could change the levels of observation, and where this was recorded. We found significant gaps in the observation record of two people.

The service had a seclusion room and used this appropriately.

The service had a policy for managing restricted items but it was not clear how this was implemented effectively on a day to day basis.

There was a lack of consistency in practice and the quality of care provided. Patients' dignity was not always upheld and some practices undermined patients' independence.

Patients' physical healthcare needs had not always been adequately met.

The monitoring of the use of seclusion and restraint were poor. Not all staff had received current relevant training in relation to restraint or safeguarding.

There were insufficient staff to ensure that patients consistently received one to one time and leave. Bank and agency staff were used regularly.

We found that the hospital had not experienced a stable and consistent management team since 2012 and as a result the quality of care patients received had been negatively impacted upon. A new team was now in place and plans had been made to effect change in the culture and practices of the hospital.

There was inconsistency in the standard of record keeping.

We found that the Trust had already identified the problems, and put measures in place to address them.