Pinhoe View

Updated 10 February 2023

Pinhoe View provides two female acute mental health wards within the hospital. It takes patients over the age of 18 with mental health issues. Patients are either informal or detained under the Mental Health act 1983 and experiencing difficulties that prevent a risk to the wellbeing of themselves.

The hospital has 32 beds and is split into two 16 bed wards. There are plans for 8 flats to assist patients with gaining independence living skills prior to discharge.

The service is registered to provide the following regulated activities:

• Treatment of disease, disorder, or injury

• Assessment or medical treatment for persons detained under the Mental Health Act 1983

• Diagnostic and screening procedures.

This was the first inspection of Pinhoe View since the hospital opened.

What people who use the service say

Patients felt safe at the hospital.

Patients knew the reasons for their admission and the conditions of their stay. They knew their rights and how they applied to them. For example, leave.

Patients gave positive feedback about the meals. They said their dietary requirements such as vegetarian meals were catered for at the hospital.

Patients feedback about activities was variable. Some patients said there were Occupational Therapist vacancies which impacted on the individual and group activities provided.

Patients overall gave positive feedback about the staff although they raised concerns about the numbers of agency staff working at the service.

Patients felt confident to approach the staff with complaints and gave us examples of complaints

Patients knew about their care and treatment but were not provided with copies of their care plan.

Updated 10 February 2023

We rated it as requires improvement because:

• Staff interaction was not always respectful towards patients. At times staff ignored patients when they sought their attention and support.
• Staff were not always provided with access to the electronic care notes which meant verbal and written handovers were the main form of sharing key information with staff. Handovers lacked detail on how to meet patient's needs.
• Staff referred to patients by room numbers or initials during their discussion.
• The male staff was high in comparison to the female patient ratio
• Not all staff were up to date with mandatory training.
• Care plans lacked patients' preferences on how they wanted their needs to be met.
• Care plans and risk assessments were not always developed for all areas of need. Staff used standard statements for care plans and risk assessments. Although some risks were assessed, risk assessments were not always linked to a care plan.
• Window closures needed attention and frosting on windows obscured patients outlook to the outside.
• Governance processes did not always identify and address risks.

However:

• People were safeguarded from abuse. Staff understood their role in safeguarding adults from abuse and followed the correct procedures when they had concerns.
• The environment was decorated to a good standard, brightly lit and clean. A lift was available to access the upper floors and there were wide corridors ensure patients. Bedrooms were ensuite and patients were able to personalise their space.
• Clinic rooms were fully equipped, with accessible resuscitation equipment and emergency drugs that staff checked regularly.
• Patients had access to a range of treatments suitable to the needs which included emotional and social support.
• Staffing levels that were maintained with permanent and with regular agency staff.
• The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare.
• Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005. Staff assessed people’s mental capacity appropriately. There was a record of whether the patient had capacity to consent to treatment on admission and regularly thereafter, including at each three-month period.
• People felt confident to approach staff with complaints and the easy read procedure was on display.
• Staff planned and managed discharge and liaised with services that would provide aftercare.
• Staff recognised and reported incidents appropriately.

Updated 10 February 2023