- NHS mental health service
Langley Green Hospital
All Inspections
20, 21 October 2014
During an inspection in response to concerns
All people using the service were assessed on admission to the hospital. This included an assessment of their mental and physical health, and any risks. Care plans were developed from this, but the quality was variable and the information was not always easy to find.
The service had an observation policy, but staff were not clear about who could change the levels of observation, and where this was recorded. We found significant gaps in the observation record of two people.
The service had a seclusion room and used this appropriately.
The service had a policy for managing restricted items but it was not clear how this was implemented effectively on a day to day basis.
4, 5 February 2014
During an inspection in response to concerns
There was a lack of consistency in practice and the quality of care provided. Patients' dignity was not always upheld and some practices undermined patients' independence.
Patients' physical healthcare needs had not always been adequately met.
The monitoring of the use of seclusion and restraint were poor. Not all staff had received current relevant training in relation to restraint or safeguarding.
There were insufficient staff to ensure that patients consistently received one to one time and leave. Bank and agency staff were used regularly.
We found that the hospital had not experienced a stable and consistent management team since 2012 and as a result the quality of care patients received had been negatively impacted upon. A new team was now in place and plans had been made to effect change in the culture and practices of the hospital.
There was inconsistency in the standard of record keeping.
We found that the Trust had already identified the problems, and put measures in place to address them.
16 August 2012
During a routine inspection
We spoke with a sample of three or four people on each of the four wards. In addition the Mental Health Act Commissioners spoke with people who were detained under the Mental Health Act 1993.
People told us that the staff were kind and compassionate. One person told us 'I am looked after very well'. Another person told us 'staff here really do care about you'.
Those people spoken with told us that they were happy with the activities on offer. One person told us 'there are loads of activities, tons of things to do.' Another person told us I especially like going to the sports hall ' that and making pancakes is fun.'