We rated Cambian Heathers as good because;
• The unit ensured that newly admitted patients and those with high dependency needs were based on the ground floor close to the nursing station. The unit was very clean with appropriate furnishings and patients could personalise their bedrooms.
• The unit had a large pool of bank staff to cover shifts if required. The multidisciplinary team routinely assessed, monitored and supported patients with their physical and mental health care needs and enabled a comprehensive range of primary healthcare services.
• Of the seven care records we reviewed, all contained up to date risk assessments with holistic, patient centred care plans that were adapted to the communication needs of the patient. The care plans had clear goals and were recovery focused. Patients had access to a variety of therapeutic interventions and had access to psychological therapies recommended by the National Institute for Health and Care Excellence.
• Staff had access to training and reported receiving regular supervision, 92% of staff had received regular supervision and all non-medical staff had received an appraisal. Staff were aware of what incidents to report and we saw evidence that they had acted in accordance with their duty of candour.
• We observed staff treating patients with kindness, consideration and respect and all of the patients we spoke with had a positive comment about the service. Staff were praised by patients and carers for being caring, supportive and patient.
• Patients had access to advocacy and there was information available for patients on how to access advocacy or how to make a complaint. Patients had regular meetings where they could share their concerns and comment on the running of the service.
• Patients had access to a wide variety of meals that met their dietary requirements and staff regularly facilitated access to spiritual support.
• Staff at the unit told us they aware of the organisations vision and values. We found that there were appropriate governance systems in place to ensure that best practice and lessons learned could be shared and that the majority of shifts were covered. We found that staff had the chance to feed back to the service and suggest improvements and that staff morale was high and staff we spoke with spoke highly of the organisation and their colleagues and the way in which everyone worked effectively together and supportively as a team.
However;
• We found that none of the equipment had been calibrated in the clinic in line with manufacturers recommendations and one item of stock was out of date.
• We found that the monitoring of patients vital signs post rapid tranquilisation was not always documented and we saw that these incidents were not always reported using the incident reporting system.