Archived: Mid Surrey Assessment and Treatment Service

We saw that neither Delius nor Fenby ward had suitable facilities to support people with disabilities. For example there were no hand rails in the shower/bath or toilets. One patient told us that they had to go to another ward to use the shower as they had a disability however this was dependant on staff being available to take them and this was not always possible.

On the day of our inspection we observed little or no positive interaction between staff and people who used services on the day of our inspection.

Care plans we looked at contained limited personal information about patients, including life histories. We saw that the care plans were not person-centred and there was no information recorded about people's communication needs, personal care, emotional support, likes, dislikes or dietary preferences.

We spoke with five members of staff about their understanding of safeguarding issues in relation to vulnerable adults. They all demonstrated a clear understanding of signs and behaviours associated with potential abuse that they should look out for.

We saw that one person had been restrained several times on Fenby Ward; we saw subsequently there had been no review or risk assessment carried out to assess the person's individual care needs to either prevent/minimise the use of restraint in the future.

We saw that all incidents were electronically recorded and reported centrally to the provider.

We saw bedrooms on both Delius and Fenby wards were stark, lacked personalisation and were in a state of poor repair. We saw that paint was peeling of the walls and there were large cracks in around the bedroom doors.

Patients we spoke with told us 'The shower doesn't have a shower seat which makes it very difficult' and 'I have enjoyed dayroom activities; they have helped heal me through hard times.

We saw evidence of an internal ward training programme which identified staff training needs. We saw records that demonstrated staff had received training in areas such as infection control, health and safety and safeguarding.

Patients we spoke with told us they often had to wait for assistance, for example being taken to another ward to use the bathroom or to go out on escorted leave, because staff were too busy.