- NHS mental health service
Highbury Hospital
All Inspections
18 February 2015
During an inspection in response to concerns
'Safe staffing
'Care and welfare of people who use services
The ward Rowan 2 is staffed by registered mental health nurses and healthcare assistants.
The ward offers up to date, comfortable and well-appointed accommodation for between twelve and twenty women. There is a small secluded garden area at the rear of the ward.
There were sixteen patients, fourteen detained under the mental health act and two informal patients.
We spoke to nine members of staff and three patients. We looked at two patient records.
We found improvements were needed to ensure the service was safe.The high levels of vacancies and staff sickness meant a reliance on bank staff which led to inconsistency.
We found the provider had policies and procedures in place to protect people from abuse or harm.
Improvements were needed in staffing to ensure the service was effective.
The service was caring, staff we observed interacted well with patients and patients told us the staff they knew were kind.
Improvements were needed to ensure the service was responsive. The staffing issues on the ward meant that patient's needs could not always be met. This included patients not having access to section 17 leave.
Improvement was needed to ensure the service was well led. There were no senior nurses on duty on the day of our visit and staff spoke of low morale and feeling unsupported.
15, 16 October 2013
During a routine inspection
Although some people said they had been involved in making decisions about their care and treatment, the processes in place to ensure people were able to give informed consent were not always being followed. One patient said, "They [the staff] listen as best they can. I don't know about acting on what I want, but they listen to me, yes."
Most patients told us they were satisfied with the care and treatment they received however, we found that improvements were needed to support the prevention and early detection of physical health problems and to manage medicines safely and effectively.
At some points, staff availability contributed to delays in the delivery of care and the cancellation of patient activities.
We found that most patients were made aware of the complaints system and knew how to make their views known.
23 April 2012
During an inspection looking at part of the service
At our last inspection we found that patient's needs were assessed and care plans and risk assessments were in place to meet their identified needs. Patients and their relatives all made positive comments about the care provided and were confident their needs were being met. Information for patients was generally presented in an accessible way using pictures, symbols, and clear language.
27 October 2011
During a themed inspection looking at Learning Disability Services
Patients were generally positive in their views of the service. One patient told us the staff could tell what they needed without them having to ask and that staff treated them with respect at all times. Another patient said 'The staff are good. When I feel anxious they speak calmly to me and reassure me all the time'. Patients told us they felt safe and well looked after in the Highbury Hospital Assessment and Treatment Unit.
Two patients told us there were not enough activities for them to do and another patient said they were 'bored'.
Patients did not always want to be admitted to the unit and most were detained under the Mental Health Act so that they could receive appropriate care and treatment.