Rosebank House

Updated 3 November 2023

Rosebank House is an independent hospital that provides inpatient open rehabilitation for 13 adults with severe and enduring mental health problems. It provides 24-hour care and support.

The service provides 13 beds, 4 for females and 9 for males.

Due to a change in contracts from the NHS, the service has seen a decrease in the number of people using the service.

At the time of our inspection there were 3 patients using the service.

Their aim is to provide rehabilitation to patients with a view to moving on to community care.

The service is registered to provide the following Regulated Activities:

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

This service was last inspected in June 2017. We rated it good. There were no requirement notices from the previous inspection.

The current registered manager has been in post for 12 months. Elysium Healthcare Ltd became the registered provider of Rosebank House in December 2016.

What people who use the service say

We spoke with 3 patients on the unit. All 3 told us they were happy with the service they received and felt safe.

They told us staff were kind and treated them well but 2 out of the 3 patients we spoke with told us they were not as involved with their care planning as they would like to be.

We spoke with 1 relative who said the service was “a life saver”. They said they “wouldn’t know where they would be” without this provision for their relative. The relative told us staff were kind and caring and encouraged them to visit when they wanted to.

We saw evidence of surveys for people who were leaving the service, one from 27 October 2022 and the other 5 January 2023. Both surveys highlighted people were happy with their stay at Rosebank House. People stated they were involved in their discharge planning and had plenty of access to the community whilst at Rosebank House. People said they had plenty of opportunities to see and involve their families in their care, were treated with respect and stated this was a good experience for them.

Updated 3 November 2023

Our rating of this location went down. We rated it as requires improvement because:

• Care plans and risk assessments were generic and not person centred. This meant not all individual needs were being met.
• Some patients told us they were not involved in their care planning and decisions about their care and treatment.
• Staff did not ensure that medical equipment was suitably maintained, and a record kept of this.
• Blind spot audits were not being carried out as per the ligature risk management policy.
• There was not a full Multi-Disciplinary Team (MDT). There was no occupational therapist and no psychologist.
• Staff did not provide meaningful activities suitable for a long-stay rehabilitation service.
• Staff did not ensure that patients received one to one time with their named nurse.

However:

• Patients felt well cared for and safe.
• Staff felt well supported by their current management team.
• Families felt involved in decision making.
• The current team had implemented a new meetings protocol, and their recordings were of a good standard and frequency. We saw evidence important issues were being discussed and lessons learned. Staff felt communication was good.

Updated 3 November 2023

Our rating of this location went down. We rated it as requires improvement because:

• Care plans and risk assessments were generic and not person centred. This meant not all individual needs were being met.
• Some patients told us they were not involved in their care planning and decisions about their care and treatment.
• Staff did not ensure that medical equipment was suitably maintained, and a record kept of this.
• Blind spot audits were not being carried out as per the ligature risk management policy.
• There was not a full Multi-Disciplinary Team (MDT). There was no occupational therapist and no psychologist.
• Staff did not provide meaningful activities suitable for a long-stay rehabilitation service.
• Staff did not ensure that patients received one to one time with their named nurse.

However:

• Patients felt well cared for and safe.
• Staff felt well supported by their current management team.
• Families felt involved in decision making.
• The current team had implemented a new meetings protocol, and their recordings were of a good standard and frequency. We saw evidence important issues were being discussed and lessons learned. Staff felt communication was good.