Background to this inspection
Updated
20 May 2014
Ash Green hospital is managed by Derbyshire Community Health services NHS Trust which delivers a variety of services across Derbyshire and in parts of Leicestershire. It was registered with CQC as a location of Derbyshire Community Health Services NHS Trust in May 2011. Ash Green Hospital is registered to provide the regulated activities: Diagnostic and screening procedures; and Assessment or medical treatment for persons detained under the Mental Health Act 1983. The hospital was last inspected by CQC in 2011.
Ash Green Hospital is a purpose built facility providing community inpatient and outpatient services for people with learning disabilities. There are two inpatient wards, Hillside and Valley View. Hillside ward has eight beds and Valley View ward has five beds.
Hillside provides assessment and treatment for people with learning disabilities who may have complex mental health issues and / or behaviour that challenges services. Patients may be detained under the Mental Health Act 1983.
Valley View provides short term care for people with learning disabilities. This is usually planned as respite for families and carers, or can be provided urgently at short notice when needed.
Updated
20 May 2014
Ash Green Hospital provides community inpatient and outpatient services for people with learning disabilities. There are two inpatient wards, Hillside with eight beds and Valley View with five beds.
Hillside ward provides assessment and treatment for people with learning disabilities who may have complex mental health issues and / or behaviour that challenges services. Patients may be detained under the Mental Health Act 1983.
Valley View ward provides short-term care for people with learning disabilities. This is usually planned as respite for families and carers, or can be provided urgently at short notice when needed.
The patients and relatives we spoke with were mostly positive about the care provided at Ash Green Hospital and we saw they were involved in making decisions about care. Patients were treated with kindness and respect and their privacy and dignity were upheld.
Patients at Ash Green Hospital were protected from abuse and avoidable harm by the systems, processes and practices in place. Staff had received training in safeguarding vulnerable adults and were confident about reporting their concerns. Risks for individual patients and in the ward environments were identified, assessed and effectively managed.
Care and treatment was evidence based and resulted in good outcomes for patients. We saw effective collaboration and communication among members of the multidisciplinary team (MDT) to support the planning and delivery of patient-centred care. Staff were supported with clinical supervision, appraisal, and relevant training. However, staff uptake of clinical supervision was not monitored effectively
Patients received care and treatment to meet their needs. Patients and their relatives told us their health and wellbeing had improved since using the services at Ash Green Hospital. The service was accessible and provision was made for the specific needs of individual patients. However, the care plans were in a format that was not easy for some people with learning disabilities to understand.
Planning for the patient leaving hospital started on the day of admission and discussions involved the patient, their families, and support staff from other providers where appropriate.
Most staff we spoke with were aware of the Trust’s vision and values. Staff told us they enjoyed working at Ash Green Hospital. They felt there was good team working and they were supported by their managers.
Community health inpatient services
Updated
20 May 2014
Ash Green Hospital provides community inpatient and outpatient services for people with learning disabilities. There are two inpatient wards, Hillside and Valley View. Hillside ward has eight beds and Valley View ward has five beds.
Hillside Ward provides assessment and treatment for people with learning disabilities who may have complex mental health issues and / or behaviour that challenges services. Patients may be detained under the Mental Health Act 1983.
Valley View ward provides short term care for people with learning disabilities. This is usually planned as respite for families and carers, or can be provided urgently at short notice when needed.
Patients at Ash Green Hospital were protected from abuse and avoidable harm by the systems, processes and practices in place. Staff had received training in safeguarding vulnerable adults and were confident about reporting their concerns. Risks for individual patients and for the ward environments were identified, assessed and effectively managed.
Care and treatment provided to patients was evidenced based and achieved good outcomes for them. We saw effective collaboration and communication amongst members of the multidisciplinary team (MDT) to support the planning and delivery of patient centred care. Staff were supported with clinical supervision, appraisal, and relevant training. However, staff, including managers, lacked clarity about the provider’s expectations for the frequency and monitoring of clinical supervision.
Patients were treated with kindness and respect and their privacy and dignity were upheld. Patients and their relatives or carers were involved in making decisions about their care. Patients and relatives we spoke with were mostly positive about the care provided at Ash Green Hospital. Staff were working enthusiastically towards a local authority dignity in care award.
Patients received care and treatment to meet their needs. Patients and their relatives told us their health and wellbeing had improved since using the services at Ash Green Hospital. The service was accessible and provision was made for the specific needs of individual patients. However, the care plans used were not available in an easy to read format used by some people with learning disabilities.
Planning for the patient leaving hospital started on the day of admission. Discussions and preparation for discharge involved the patient, their families, and support staff from other providers where appropriate.
Most staff we spoke with were aware of the provider’s approach to delivering quality services: ‘The DCHS Way’. Staff told us they felt well supported by their managers. They said they enjoyed working at Ash Green Hospital and felt there was good team working.