16 July 2013
During an inspection looking at part of the service
We also saw there were two new members of nursing staff and further healthcare support staff had been employed since our last visit.
We also saw there were two new members of nursing staff and further healthcare support staff had been employed since our last visit.
Members of staff told us that due to staff shortages the hospital was using agency staff and overtime but the service was still able to introduce more community access for patients and they had introduced less restrictive practices such as flexible mealtimes and access to drinks. Staff also told us patients were integrating with each other more and we were told and saw from records that levels of incidents and physical intervention had decreased significantly since October 2012. We also saw that nine new members of staff were due to start work at the beginning of June.
We found new care plans in place were very detailed and difficult to follow. There were a number of documents in the care records to aid patient involvement and participation in care planning but none of these we looked at were fully completed and there was no evidence that the information in them was used in the care plans. Risk assessment and management plans were not fully completed.
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The service had a programme in place to ensure staff members received appropriate supervision and training.
On the day of out visit there were 17 people who used services staying at Newbus Grange. In order to effectively meet their needs those people were divided into four smaller groups, depending upon their level of ability. We saw that each group had a highly structured day with a range of activities. We saw people who used services enjoy the music and movement room, take part activities to help them improve their independent living skills, such as making a cup of tea with staff support. We saw one person use their own sensory chair independently, an activity they clearly enjoyed.
There were a high number of staff on duty. Some of the people who used services, because of their complex needs, required 2:1 staff support. We saw that this was provided.
There was a good rapport between the staff on duty and the people who used services. We saw that they knew how best to respond to the communication and sensory needs of the people in their care.
On the day of out visit there were 17 people who used services staying at Newbus Grange. In order to effectively meet their needs those people were divided into four smaller groups. We saw that each group had a highly structured day with a range of activities. We saw people who used services enjoy relaxing in the sensory room, take part in baking sessions and activities to help them improve their independent living skills, such as making a cup of tea with staff support. We saw people enjoy going for walks in the extensive well maintained gardens, use the swing, and one person use their own sensory chair independently, an activity they clearly enjoyed.
There were a high number of staff on duty. Some of the people who used services, because of their complex needs, required 2:1 staff support. We saw that this was provided.
There was a good rapport between the staff on duty and the people who used services. We saw that they knew how best to respond to the communication and sensory needs of the people in their care.
Each year, we visit all NHS trusts and independent providers who care for people whose rights are restricted under the Mental Health Act to monitor the care they provide and check that patients' rights are met. Immediate concerns raised by patients on those visits are discussed, if appropriate, with hospital staff.
Our Mental Health Act Commissioners may carry out a number of visits to each provider over a 12-month period, during which they talk to detained patients, staff and managers about how services are provided. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. We are looking at different ways to indicate the outcomes of our monitoring in the future.