The Gardens

Updated 13 March 2023

Navigo Health and Social Care CIC mental health services for the population of north Lincolnshire, including inpatient services for older people. These services are for patients admitted informally and for those detained under the Mental Health Act 1983. Navigo deliver the service from The Gardens unit situated on a site within the grounds of the county’s general hospital. The unit consists of two wards Konar and Janine Smith Suite providing assessment, treatment and rehabilitation to older people who require a hospital admission due to their mental health needs.

Konar ward had 12 beds and The Janine Smith suite had 10 beds available for both males and females with either functional or organic mental health problems such as psychotic disorders or dementia.

At the last inspection in December 2017, we rated safe and effective as good. We rated caring, responsive and well-led as outstanding.

We carried out this unannounced focused inspection due to whistleblowing concerns CQC had received. Concerns included staff sleeping on shift, the overmedication of patients and discouraging staff from reporting concerns.

We reviewed aspects of safe and caring along with well-led with a focus on culture on this inspection.

Updated 13 March 2023

We did not rate this service at this inspection. The previous rating of outstanding remains. At this inspection we found:

• All wards were safe, clean, well equipped, well furnished, well maintained and fit for purpose
• The service had enough nursing and medical staff, who knew the patients and most had received basic training to keep patients safe from avoidable harm
• Staff assessed and managed risks to patients and themselves well and followed best practice in anticipating, de-escalating and managing challenging behaviour
• Staff understood how to protect patients from abuse and the service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it
• Staff had easy access to clinical information, and it was easy for them to maintain high quality clinical records
• The service used systems and processes to safely prescribe, administer, record and store medicines
• Staff felt respected, supported and valued. They felt able to raise concerns without fear of retribution.

Updated 13 March 2023

We did not rate this service at this inspection. The previous rating of outstanding remains. At this inspection we found:

• All wards were safe, clean, well equipped, well furnished, well maintained and fit for purpose
• The service had enough nursing and medical staff, who knew the patients and most had received basic training to keep patients safe from avoidable harm
• Staff assessed and managed risks to patients and themselves well and followed best practice in anticipating, de-escalating and managing challenging behaviour
• Staff understood how to protect patients from abuse and the service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it
• Staff had easy access to clinical information, and it was easy for them to maintain high quality clinical records
• The service used systems and processes to safely prescribe, administer, record and store medicines
• Staff felt respected, supported and valued. They felt able to raise concerns without fear of retribution.