Hollanden Park Hospital

Updated 29 September 2022

Hollanden Park Hospital is in Hildenborough, Kent and is part of the Renovo Care Group. The Renovo Care Group is an independent specialist provider for the assessment, treatment and rehabilitation of adults with neurological conditions including acquired brain injury and progressive neurological disorders.

It provides care for patients across the south of England. Patients are admitted to the hospital following defined care pathways: acute neurorehabilitation, acute neurobehaviour, extended rehabilitation and complex care. The hospital could accommodate a total of 35 patients. Patients were cared for in one of four areas within the hospital site depending on their needs. These were Hardwick House, Rachel MacMillan Unit, St Michaels Court and Rafael Court. St Michaels Court and Raphael Court were flats and accommodated patients whose care needs were less than patients accommodated in Hardwick House and Rachel Macmillan Unit.

Hollanden Park Hospital is registered to provide the following regulated activities:

• Treatment of disease, disorder or injury
• Assesment or medical treatment for persons detained under the Mental Health Act 1983

At the time of the inspection, the hospital did not have a registered manager, However, the hospital manager had submitted an application to CQC to be registered as manager of Hollanden Park Hospital.

The hospital was last inspected in September 2021. At that time, the hospital was rated as inadequate and was placed into special measures.

Updated 29 September 2022

Our rating of this location improved. We rated it as requires improvement because:

• There was no evidence that staff completed any training in rehabilitation skills.
• The design of the handwashing basins did not comply with national guidance.
• Staff did not always follow the service’s medicines management policy when recording administration of medicines.
• Not all staff treated patients with compassion and kindness. Not all staff respected patient’s dignity or took account of their individual needs. Not all patients felt listened to by staff or able to make their own decisions. Feedback from patients indicated that patients who could not communicate verbally felt less listened to and less involved in decisions about their care and treatment than patients who could communicate verbally.
• There was no formal vision or strategy for the service. There were limited processes to monitor and manage performance. The were no key performance indicators for the service to measure themselves against. The service did not benchmark performance and outcomes against other similar services.

However:

• The service had enough staff to care for patients and keep them safe. Staff understood how to protect patients from abuse, and managed safety well. The service managed safety incidents well and learned lessons from them. Staff assessed risks to patients, acted on them and kept care records.
• Staff gave patients enough to eat and drink, and mostly gave them pain relief when they needed it. Staff worked well together for the benefit of patients. Key services were available seven days a week.
• The service planned care to meet the needs of local people and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
• Staff were clear about their roles and accountabilities. The service had started to engage with patients and their families to plan and manage services and all staff were committed to improving services continually. Staff felt respected, supported and valued

Updated 29 September 2022

Our rating of this location improved. We rated it as requires improvement because:

• See the overall summary for details.