During an assessment of Services for people with acquired brain injury
At our last inspection we rated the service overall as good.
Our rating of the service stayed the same. We rated them as good because:
- Staff completed and regularly updated thorough risk assessments of all ward areas and removed or reduced any risks they identified.
- The service had enough nursing and medical staff, who knew people and received basic training to keep people safe from avoidable harm.
- Staff assessed and managed risks to people and themselves well and followed best practice in anticipating, de-escalating and managing challenging behaviour.
- Staff followed policy when using restrictive interventions. We found that there was good oversight of the use of restrictive intervention by managers and leaders.
- Staff understood how to protect people from abuse and the service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
- Care plans reflected people’s assessed needs, and were personalised, holistic and recovery oriented.
- Ward teams had effective working relationships with other relevant teams within the organisation and with relevant services outside the organisation.
- There were effective bed management processes in place.
- The service treated concerns and complaints seriously, investigated them and learned lessons from the results, and shared these with the whole team and wider service.
- Leaders had a good understanding of the services they managed and could explain clearly how teams worked to provide high quality care.
However:
- There were not effective systems and processes to safely prescribe, administer, record and store medicines. Staff did not ensure that medicines were stored correctly and were in date. Staff did not always identify and correct prescribing errors.
We have asked the provider for an action plan in response to the concerns found at this inspection.