7 November 2018
During an inspection looking at part of the service
Our rating of this service improved. We rated it as good because:
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The service now provided safe care. The environment was safe and clean. There were enough staff on duty. Staff assessed and managed risk well, managed medicines safely, followed good practice with respect to safeguarding and minimised the use of restrictive practices. Staff had the skills required to develop and implement good positive behaviour support plans to enable them to work with patients who displayed behaviour that staff found challenging.
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Staff developed care plans informed by a comprehensive assessment. The physical health care needs of patients were identified and met.
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The nursing staff worked well with doctors and therapists to provide care and treatment and to develop goals for patients to become more independent.
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The service was well-led. Leaders had ensured that the quality of the service had improved since our previous inspection in August 2017. Health and social care regulations were met.
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Leaders of the service had begun the process of transforming the service from a hospital to two separate care homes.
However:
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Record keeping systems at the service made it difficult for staff to ensure all patient needs were met.
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Staff reviewing positive behaviour support plans did not record how they had used information on incidents to update these plans.