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Inspection report

Date of Inspection: 25 July 2013
Date of Publication: 21 August 2013
Inspection Report published 21 August 2013 PDF | 69.55 KB

Overview

Inspection carried out on 25 July 2013

During an inspection to make sure that the improvements required had been made

Moseley Hall Hospital forms part of Birmingham Community Healthcare NHS Trust (the trust)

During our inspection of Moseley Hall Hospital in January 2013 we found non-compliance with staffing. We identified that improvements were needed concerning staffing levels that were having a minor impact on the people using the service at that time. We carried out this inspection to find out if improvements had been made. We focussed on the two wards that we had assessed previously, wards five and six. We found that some new systems had been implemented concerning staffing levels and staffing issues, and some improvements had been made. However, we found that further improvements were needed, particularly on ward six, to ensure that people’s needs could be met and to make sure that they were safe.

Information provided by the trust and senior staff from the trust told us that a recruitment drive was on-going. We were told that management had been disappointed with the outcome of the first recruitment drive, as the standard of many applicants had not been adequate. They told us that they were continuing to recruit. We spoke to a number of newly appointed staff and they confirmed that the recruitment process was on-going. This showed that action had been taken by the trust to improve staffing levels.

We found that systems had been put into place to make the admission processes more positive for people. Unlike our previous inspection, no one we asked told us that they had a poor experience at the time of their admission.

During our inspection we spoke with seven relatives, ten staff members, and twenty people who were using the service. As not everyone were able to tell us about their experiences, we used a number of different methods to help us understand the experiences of those people, which including observation.

During this inspection the majority of people we spoke with made positive comments about the attitude and behaviour of permanent staff. People who used the service and their relatives used words such as, “Caring, “Fabulous”, and “Kind” to describe the staff. One person said, “The staff are all very pleasant”. Another person said, “The staff are very kind. They look after me”. However, the majority of people using the service told us that there were not enough staff and that they had to wait at times to have their personal care needs met. Our observations on ward six confirmed that people did have to wait for the staff to deliver their personal care. One staff member told us, “No way do we have enough time to meet people’s full needs”.

We observed some care practices that were not positive. We saw staff standing over people when assisting them to eat. We also saw a staff member shaving a person without closing the curtain to promote their privacy and dignity. This meant that some staff practices did not give people assurance that their needs would be met in the way that they wanted them to be.