• Mental Health
  • Independent mental health service

Archived: Rosebank House

Overall: Requires improvement read more about inspection ratings

32 Lower Henley Road, Caversham, Reading, Berkshire, RG4 5LE (0118) 946 3316

Provided and run by:
Partnerships in Care 1 Limited

Important: The provider of this service changed. See new profile

All Inspections

10 and 11 November 2015

During a routine inspection

We rated Rosebank House as requires improvement because:

  • There were blind spots that undermined staff’s ability to undertake effective observations.
  • Staff were not undertaking or recording the minimum level of observation of patients.
  • There were numerous ligature points, no ligature cutters nor a ligature risk assessment.
  • The hospital did not fully comply with same sex accommodation guidance.
  • Temporary staff had not received an adequate induction.
  • There was no system in place to check the competence of staff to administer medicines safely.
  • Staff did not always follow medicines management policies.
  • Clinical nursing staff were not involved in clinical audits.
  • There were no clear recovery pathways in patients care plans.
  • The service did not use outcome measures when supporting people.
  • Care plans did not reflect patients’ specialist needs.
  • There were no audits or plans to review the hospitals effectiveness in meeting the needs of patients who may have autism or a learning disability.
  • There was an absence of internal monitoring to improve services.
  • When an audit did identify gaps, no robust action plan was put in place.
  • The provider was not adequately monitoring the risks around staff skill mix to meet considerable variances in patients’ needs and risks.
  • The provider had not taken steps to assure itself about patients’ safety.

However:

  • There were sufficient numbers of staff on duty to meet people’s needs.
  • The hospital was clean and well maintained.
  • There was emergency equipment available in the event of a health crisis and this was checked daily.
  • Medication was prescribed within National Institute for Health and Care Excellence (NICE) guidelines.
  • There was good monitoring of patients physical health needs, and treatment was sought promptly, when required.
  • Staff received regular supervision.
  • We observed consistent supportive and caring interactions between staff and patient.s
  • Patients were treated with dignity and respect.
  • A recent patient satisfaction survey was positive about the service, 100% of patients felt listened to.
  • The hospital had suitable furniture and equipment to meet people’s needs.
  • There was an interpreting service available if required.
  • There was good access for people who may be wheelchair dependent.
  • Patients had access to an art therapy room, computer room and meeting space.
  • Locally staff reported feeling well supported and enjoyed working in the service.