- NHS mental health service
Lynfield Mount Hospital
All Inspections
8 July 2013
During an inspection looking at part of the service
16, 17, 18, 22, 23 July 2013
During a routine inspection
Most patients on the wards told us they were informed about their care and treatment, had attended meetings about their care and were satisfied. They were complementary about the care they had received and explained how the staff had helped them 'recover". Most patients said they understood why they were in hospital and they told us staff explained about their treatment 'quite often' and staff 'tell us what is happening".
We found the Trust had systems in place to monitor the quality of the services it delivered at Lynfield Mount. There was an overarching service governance committee, chaired by a non-executive director, which was underpinned by service-led locality governance groups. The committee discussed amongst other things serious incidents, complaints and patient experience. We saw these were also discussed at a ward team level and we were told by the staff that each ward team met twice a month to discuss these areas.
We found the Trust had identified areas where improvements were needed and had taken action. For example they had plans in place to improve staff training.
12, 13 December 2012 and 2 January 2013
During a routine inspection
We spoke with four patients on Oakburn, two patients on Maplebeck, four patients on Ilkley and one patient on Thornton and six patients on Ashbrook wards. They all told us they had regular meetings with their allocated nurses who were aware of all of their treatment or care needs. The meetings could be daily or three to four times a week and the nurse had informed them about their care records.
All said they took part or were aware of the Multi-disciplinary team (MDT) and Care Programme Approach (CPA) meetings, where their care and treatment was reviewed by health professionals. One patient said 'I discuss everything with the doctor and staff, and we have agreed on what is the best way forward'.
We spoke with three patients about their medicines and observed how some medicines were administered on Ashbrook ward. Patients told us they were well informed about their medicines and treatment. One patient said 'I do queue for my medicines sometimes but I am not that bothered' and ' staff are very good, kind and professional'.
Although most patients provided us with positive comments about their care and treatment we found patients were not protected against the risks associated with medicines because the provider did not have appropriate arrangements in place to safely manage them.
3 November 2011
During an inspection looking at part of the service
2, 3 November 2011
During a themed inspection looking at Learning Disability Services
The patient we spoke with told us that they had a social worker who was looking for another home for them. They said that they didn't want to be in the unit as they would prefer to be at home. However, they said they felt safe in the unit.
The expert by experience, who was part of our inspection team, said that their first impressions were that the unit was warm and comfortable and there seemed to be a lot of activities for patients.
There were two patients in the unit who we were not able to talk with to gain their views because we were not familiar with their way of communicating. We used the SOFI tool to observe how these two patients were spending their time and this was very helpful, and showed that there was very positive interaction between the staff and the patients.
28 February and 11 March 2011
During a routine inspection
People using the services commonly said they were happy with the care they receive and happy about being where they were.
People using the services often acknowledged that they were involved in decisions about their care, especially in relation to activity planning and meals.
One person commented that they felt safe and enjoyed the cooking activities.
Another person described how their care is the best they have had in twenty-one years of being in the mental health care system.
Staff were generally positive about their job and one manager commented that they felt supported in their role.
Some staff commented that there is duplication of nursing and medical records due to the fact that there is a transition underway from paper to electronic records.
In general, staff were positive about the electronic record system but said that not all the information is entered into the correct sections. This, on occasion, makes finding key information difficult.
Nursing staff commonly described how medical staff often need prompting to record assessments of people using the services on the electronic record system and often need reminding to carry out mental capacity assessments in accordance with the Mental Capacity Act (2005) and review consent to treatment, particularly after the initial 3 months of treatment of detained patients under the Mental Health Act (MHA) 1983 (as amended by the MHA 2007).