Baldock Manor

Ratings

• Overall

  Good

• Safe

  Good

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Good

Our view of the service

Baldock Manor is an independent hospital provided by Nouvita Limited to deliver acute mental health care for people over the age of 55 and psychiatric intensive care units. Baldock Manor is registered to provide the following regulated activities: Assessment or treatment for persons detained under the Mental Health Act 1983. Treatment of disease, disorder or injury Baldock Manor has 4 wards: Radley ward is an 8 bed psychiatric intensive care unit for women of working age detained under the Mental Health Act. Oakley ward is an 8 bed psychiatric intensive care unit for women of working age detained under the Mental Health Act. Mulberry ward is a 10 bed acute ward for men over the age of 55.Burberry ward is a 14 bed acute ward for women over the age of 55. The service was last inspected in May 2023 and was issued requirement notices under regulation 10 (safe care and treatment) and regulation 12 (dignity and respect) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We found that: Staff did not always treat patients with dignity and respect on Radley ward or behave professionally. The service did not ensure that staff followed National Institute for Health and Care Excellence guidelines when undertaking enhanced patient observations. Staff were not all aware of correct restraint techniques, including the use of pods and cushions. At this assessment we found that the provider had met some of the requirements issued following the previous inspection. Issues remained with: The service did not ensure staff were carrying-out enhanced observations in-line with their policy. We carried out our on-site inspection on 3 and 4 July 2024 and we assessed 13 quality statements across safe and caring key questions. Staff did not always complete observations as prescribed. Ligature risk assessments were not accurate, there was evidence of security breaches and medication was not always dispensed in line with policy, which resulted in a breach of regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. However, staff were using the correct restraint techniques and staff were able to take regular breaks while on observation.