Waterloo Manor Independent Hospital

Updated 27 January 2025

Date of assessment 14th May to 4th June 2024. Waterloo Manor Independent Hospital is an independent hospital for up to 56 women who have a mental illness and/or personality disorder. Some of the women may have a learning disability in addition to a mental illness. Most patients are detained under the Mental Health Act 1983. Some patients within the rehabilitation service are there voluntarily. There were 25 forensic/low secure beds across two wards: • Cedar - 12 bed low secure ward primarily for women with a diagnosis of personality disorder • Maple - 13 bed low secure ward primarily for women with a mental illness. There were 22 rehabilitation beds across two wards: • Larch – 8 bed high-dependency rehabilitation ward primarily for women with a diagnosis of personality disorder • Hazel – 14 bed locked rehabilitation ward for patients with a diagnosis of personality disorder and/or mental illness. There are a further 9 beds that offer less restrictions and semi-independent living: • Lilac – 5 beds • Holly – 4 beds (annexed to Hazel ward) Waterloo Manor Independent Hospital has been registered with the Care Quality Commission since 2011. It is provided by Waterloo Manor Limited, which are part of the Inmind Healthcare Group. The service had a registered manager at the time of our assessment. The service was last inspected by the Care Quality Commission in March 2022. It was rated as requires improvement overall, and for each service. There were five breaches of regulation in the forensic service and three breaches of regulation in the rehabilitation service. These breaches had all been met. However, at this assessment we found the rehabilitation service was in breach of regulations in relation to person centred care.

Updated 14 May 2024

Date of assessment 14th May to 4th June 2024. Waterloo Manor Independent Hospital provides forensic services for up to 25 women. There are two low secure wards: • Cedar - 12 beds • Maple - 13 beds At the time of our assessment there were 13 patients admitted to Maple and 2 patients admitted to Cedar. The service had made improvements and was no longer in breach of regulations. Premises were now clean, the wards had been decorated, furniture had been replaced, and the seclusion room was now clean and fit for purpose. Defibrillators were now regularly serviced and safe to use. Care plans now reflected the physical health needs of patients. Governance processes were now effective. People were protected and kept safe. Staff understood and managed risks. Managers made sure staff received training to maintain high-quality care. Staff managed medicines well and involved people in planning any changes. However, patients and staff told us that some staff from overseas had limited use of English which caused communication challenges. People were involved in assessments of their needs. Care took account of people’s communication, personal and health needs. Staff worked with all agencies involved in people’s care for the best outcomes. They monitored people’s health to support healthy living. However, not all staff had a good understanding of the Mental Capacity Act 2005. People were treated with kindness and compassion. Staff treated them as individuals and supported their preferences. People had choice in their care and were encouraged to maintain relationships with family and friends. People were involved in decisions about their care. People received fair and equal care and treatment. Leaders were visible, knowledgeable and supportive. Staff felt they were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities.

Updated 22 March 2024

Date of assessment 14th May to 4th June 2024. Waterloo Manor Independent Hospital provides rehabilitation services for up to 31 women across 4 wards. An assessment has been undertaken of a service that is used by autistic people or people with a learning disability but is not registered as a specialist service. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. The assessment did not raise any concerns. The service had made improvements and was no longer in breach of regulations found at the last inspection. Premises were now clean, the wards had been decorated, furniture had been replaced, and the seclusion room was now clean and fit for purpose. Governance processes were now effective. People were protected and kept safe. Staff understood and managed risks. Staff managed medicines well and involved people in planning any changes. Care was based on latest evidence and good practice. People were treated with kindness and compassion. People received fair and equal care and treatment. However, patients and staff told us that some staff from overseas had limited use of English which caused communication challenges. Visits from relatives happened in the main hospital building rather than on individual wards. This was a blanket restriction. We found one breach of the legal regulations in relation to person-centred care. We have asked the provider for an action plan in response to the concerns found at this assessment.