Woodleigh Community Independent Hospital

Updated 7 September 2022

Woodleigh Community Independent Hospital is part of the InMind Hospital Healthcare Group.

The service can provide care for up to 23 patients across three floors. Bedroom areas were gender segregated. At the time of our inspection, the capacity of the service was limited to 19 patients because the service was refurbishing residents’ bedrooms.

The hospital provided care and treatment to people experiencing severe and enduring mental illness. Approximately half the patients were experiencing mental illness in the form of psychosis, schizophrenia or bi-polar disorder. The other patients experienced obsessive-compulsive disorders. Most patients had comorbidities and complex physical and mental health needs.

Three patients were detained under the Mental Health Act 1983. Two patients were detained in hospital for treatment. One patient was subject to a hospital order with restrictions on their discharge.

Woodleigh Community Independent Hospital is registered to provide:

• assessment or medical treatment for persons detained under the Mental Health Act 1983
• diagnostic and screening procedures; and
• treatment of disease, disorder or injury.

The service has a registered manager.

There have been four previous inspections at the service. The last inspection was in July 2017. At that inspection the service was rated as good.

What people who use the service say

Overall, residents spoke positively about the service. They said the staff were good, kind and caring. Residents who had previously been in more restrictive services enjoyed the freedom to do what they wanted and be able to come and go with very few restrictions. They liked being in a community setting and enjoyed going shopping and going out for coffee. Residents had a good understanding of their treatment. They knew the reasons why the doctor had prescribed their medication. Residents discussed any concerns about the service with staff at regular community meetings. However, some residents said there had occasionally been incidents involving other patients that had caused them to feel upset. Some residents also said they did not see their doctor very often.

We spoke with the parents of two residents. They were very positive about the service. They felt reassured that residents were safe and well looked after. They said that communication with the service was very good and they valued the continuity of staff. However, on family raised concerns that their resident had gained a consider amount of weight.

Updated 7 September 2022

Our rating of this location stayed the same. We rated it as good because:

• The service provided safe care. The environment was safe and clean. Staff assessed and managed residents’ risks. They minimised the use of restrictive practices, managed most medicines safely 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. This included prescribing oral antipsychotic medication in conjunction with psychosocial interventions and providing specialist therapies to meet the needs of patients with obsessive compulsive disorders.
• The staff team included a full range of specialists required to meet the needs of patients, including nurses, doctors, a clinical psychologist and occupational therapists. Managers ensured that these staff received supervision and appraisal. Staff worked well together as a multidisciplinary team and worked closely with other people involved in residents care such as the GP, care co-ordinators and commissioners.
• Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005.
• Staff treated residents with compassion and kindness, respected their privacy and dignity, and understood the individual needs of each resident. They actively involved residents and families and carers in care decisions.
• Residents said that the care and treatment they received was good and that staff behaved kindly towards them.
• The service managed residents’ progress to more independent accommodation well. They worked closely with residents’ families, commissioners and care co-ordinators to facilitate this. The service also provided a safe, stable and homely environment for residents who stayed there for many years.
• The service was well-led and the governance processes ensured that the service ran smoothly. Leaders had clear oversight of the safety and quality of care provided.
• Staff felt respected, supported and valued. They said the service provided opportunities for development and career progression. They could raise any concerns without fear.

However:

• Staff did not dispose of all out-of-date dressings in accordance with manufacturer's instructions. Staff did not label medicine bottles with the date the bottle was opened.
• Staff did not always update risk assessments after all incidents. Managers did not always discuss incidents with staff to ensure they had a good understanding of why incidents occurred and how they could be avoided.
• Not all staff had received specific training in residents’ clinical conditions
• The service did not hold regular team meetings with all staff
• Records of clinical governance meetings did not include details of discussions, conclusions and actions agreed.

Updated 7 September 2022

We rated this service as good. An overall summary is provided on page one.