• Mental Health
  • Independent mental health service

Ivetsey Bank Hospital

Overall: Requires improvement read more about inspection ratings

Ivetsey Bank, Wheaton Aston, Stafford, Staffordshire, ST19 9QT (01785) 840000

Provided and run by:
Active Young People Limited

Important: The provider of this service changed. See old profile

Latest inspection summary

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Background to this inspection

Updated 20 March 2024

Ivetsey Bank Hospital Stafford is a child and adolescent mental health service, provided by Active Young People Ltd since 28 February 2021.

The service provides care for 37 children and young people aged 12 to 18 years. The hospital admits informal and detained children and young people.

Ivetsey Bank Hospital consists of 3 wards: Hartley, Thorneycroft and Wedgewood. Hartley ward is a psychiatric intensive care unit (PICU) providing 12 beds.

The PICU offers care to children and young people suffering from mental health problems who require specialist and intensive treatment. There is an additional bed in the extra care area which is attached to the ward. The extra care area is used for young people who require long term segregation to manage their care needs. This area was in use at the time of our inspection.

Thorneycroft ward is a general child and adolescent mental health (GAU) unit with 12 beds for young people aged 12 to 18 years. The children and young people treated there have a range of diagnoses from psychosis and bipolar disorder to depression.

Wedgewood ward is a specialist eating disorder unit (EDU), which provides services for 12 children and young people. The children and young people treated here have a diagnosis of Anorexia Nervosa, Bulimia Nervosa, or other disordered eating conditions. The ward was closed to admissions at the time of our inspection and there were only 3 young people admitted.

Ivetsey Bank Hospital Stafford has a registered manager and is registered to provide the following regulated activities:

• Assessment or medical treatment for persons detained under the Mental Health Act 1983

• Diagnostic and screening procedures

• Treatment of disease, disorder or injury

We previously inspected the service in June 2023. At that inspection, we undertook an unannounced comprehensive inspection to follow up on concerns raised around patient safety at the inspection in November 2022.

We rated the service as inadequate in well led and requires improvement for the other domains.

At this inspection we carried out an unannounced focussed inspection and reviewed progress made against the Warning Notices served to the provider at the previous inspection. We visited the site between 17 January and 24 January 2024 and inspected the Safe and Well led domains.

What people who use the service say

Young people we spoke with told us staff helped them to progress, and they were involved in decision making about their care. They worked with staff to develop care plans and positive behaviour support plans with members of the multidisciplinary team. They were offered copies of their care plans.

All the young people said there were lots of activities with lots of choice. Most young people told us they liked the staff and staff were kind.

Some patients on Thorneycroft said they did not always feel safe when the ward was disturbed and staff could not attend to their needs as quickly as they wanted due to a higher than usual level of incidents.

Young people said that staff listened to them when they had concerns and acted quickly to make improvements when needed. They had been asked their views on how the service could be improved, such as new furniture and decoration.

Overall inspection

Requires improvement

Updated 20 March 2024

Ivetsey Bank Hospital, formerly known as Huntercombe Hospital Stafford, is a child and adolescent mental health service for 37 children and young people aged 12 to 18 years. When we inspected this service in October 2022, we identified areas of concern and took enforcement action resulting in conditions on the location’s registration and the service was placed in special measures. We last inspected this service in June 2023. Improvements had been made however we identified other areas of concern and took further enforcement action. At this inspection we noted improvements across our previous areas of concern.

Our rating of this service stayed the same. We rated it as requires improvement because:

  • Staff were concerned about the risk of physical assault and injury from children and young people. Not all staff felt fully supported by managers when they needed time off work.

  • Not all staff were bare below the elbow, in line with infection prevention and control guidelines.

However:

  • The service provided safe care. The ward environments were safe and clean. The wards had enough nurses and doctors. Staff assessed and managed risk well. They minimised the use of restrictive practices and followed good practice with respect to safeguarding.

  • Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. Staff engaged in clinical audit to evaluate the quality of care they provided.

  • The ward teams included or had access to the full range of specialists required to meet the needs of patients on the wards. Managers ensured that these staff received training, supervision and appraisal. The ward staff worked well together as a multidisciplinary team.

  • Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. They actively involved patients and families and carers in care decisions.

  • The service was well led and the governance processes ensured that ward procedures ran smoothly.