WHAT INSPECTORS FOUND
THE following areas were where improvements must be made:
■■All areas of the hospital must be assessed for ligature risks and staff must act to reduce risks to protect patients from harm.
■■Physical health care risks must be being monitored and effectively mitigated.
■■All staff must receive training to maintain necessary skills to meet the needs of the people they care for and support.
■■Patients must receive appropriate treatment which meets their needs and where a person lacks the mental capacity to make specific decisions, their best interests should be considered and acted on.
■■Patients’ records must be complete and fit for purpose.
■■Staff must support patients to understand the care or treatment choices available to them and discuss with a health professional the balance of risks and benefits involved in any particular course of treatment.
Inspectors also found:
■■Staff planned and managed discharge well and liaised with hospitals that would provide aftercare. Discharges were delayed only due to clinical reasons.
■■Staff followed infection control policy well. This was an improvement from CQC’s previous inspection when a warning notice was served in relation to infection prevention and control practices to keep people safe during the Covid-19 pandemic.
■■The hospital staff worked well together as a multidisciplinary team and with those outside the hospital who have a role in providing aftercare.
■■The hospital team included and had access to the full range of specialists required to meet the needs of patients.