Field House

Updated 9 August 2021

Elysium Field House is an inpatient mental health low secure rehabilitation unit. The hospital admits patients detained under the Mental Health Act 1983.

Field House is registered with the Care Quality Commission for the following regulated activities:

• Assessment or medical treatment for persons detained under the Mental Health Act 1983
• Treatment of disease, disorder or injury

Field House had a new registered manager who was registered with CQC.

There were three patients in the main hospital and five patients in the apartments at the time of our inspection.

Elysium Field House had a focussed inspection on 14 August 2020 in response to whistleblowing concerns and other matters of concern. The focussed inspection included specific key lines of enquiry from the safe and well led domains only. Following that inspection, we rated the service inadequate, issued three warning notices under Section 29 of the Health and Social Care Act 2008 against the provider, and placed the service in special measures. Within a week of completing the inspection in August 2020 we became aware of further new concerns.

We undertook a further focussed inspection in October 2020 to look at specific key lines of enquiry in the effective, caring, and responsive domains. We also looked at specific key lines of enquiry relating to safe and well led to look at the progress made in relation to the warning notices. We did rerate the service on this occasion and the hospital was removed from special measures.

What people who use the service say

We spoke with five patients, their comments were overwhelmingly positive. One patient said they were particularly pleased that the service had therapy animals which aided her management of anxiety and reduced incidents of self harm. Another patient said the food provided by the cook was excellent and included a choice of healthy options. All Five patients we spoke with said it was the best placement they had been in. Three patients told us there were lots of activities and that staff were compassionate and caring. One patient told us that the staff not only cared about them in hospital but cared about their future long term plan. Two patients told us that there had been a significant reduction in their own incidents over the last three months.

Updated 9 August 2021

We undertook this comprehensive inspection to look at all key lines of enquiries and the progress made in relation to the warning notices. The hospital was placed into special measures following an inspection in August 2020. We saw in October 2020, that managers had introduced treatment interventions and specialised staff training but this had not been fully embedded. It was evident during this inspection that the new treatment interventions were routinely used to support patients’ rehabilitation.

We saw that the provider had addressed the warning notices issued in September 2020. The service now met all the requirements issued in the warning notices under Section 29 of the Health and Social Care Act 2008.

Our rating of this service improved. We rated it as good because:

• The service provided safe care. The ward environments were safe and clean. The hospital had enough nurses and doctors. Staff assessed and managed risk well. They minimised the use of restrictive practices, managed medicines safely and followed good practice with respect to safeguarding
• Staff developed holistic, recovery oriented care plans informed by comprehensive patient assessments. They provided a range of treatments suitable to the needs of the patients cared for in a mental health rehabilitation ward and in line with national guidance about best practice
• Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. The service worked to a recognised model of mental health rehabilitation. They actively involved patients and families and carers in care decisions
• Patients’ comments were overwhelmingly positive. A patient told us they were particularly pleased that the service had therapy animals which aided their management of anxiety and reduced incidents of self harm
• The hospital had access to the full range of specialists required to meet the needs of patients. The manager ensured staff received training, supervision and appraisal. The ward staff worked well together as a multidisciplinary team
• We saw staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. The service worked to a recognised model of mental health rehabilitation
• Staff planned and managed discharge well and liaised well with services that would provide aftercare. As a result, discharge was rarely delayed for other than a clinical reason
• Good governance processes were now working effectively at ward level and performance and risk were managed well. The manager has engaged with us through regular engagement and monitoring processes

However:

• Staff told us they dispensed medication, including those as required from a medicine cabinet in the staff office, situated in the apartments. We noted there was no access to suitable hand washing facilities to enable staff to dispense safely

Updated 27 April 2016

Updated 9 August 2021

The summary is contained in the overall summary at the beginning of the report. Our rating of this service improved.