12, 13, 18, 24 and 26 April 2023
During an inspection looking at part of the service
We did not rate this service.
We carried out this inspection in response to concerning information received through our monitoring processes.
We found the following areas of good practice:
- Staff involved children, young people and their families in risk assessment, risk management and care planning. Staff made sure the children and young people could access advocacy services when they needed to.
- Staff supported, informed and involved families or carers.
- Staff continually assessed the physical and mental health needs of all children and young people during their admission. They developed individual care plans, which the multidisciplinary team reviewed regularly and updated as needs changed. Young people reported staff used medication to sedate them less than in previous hospitals.
- The ward had enough nursing and medical staff, who knew the children and young people. Staff completed and kept up to date with their mandatory training.
- The provider’s governance processes were effective in identifying when staff had not reported and completed incident reports accurately.
However:
- Young people did not always understand their restraint reduction risk management plans. This resulted in some feeling that staff did not care about them because they did not respond with immediate restraint techniques when the young people were attempting to harm themselves.
- Not all young people felt staff treated them with kindness and compassion. Young people felt their privacy and dignity was compromised because there were often more male support workers than females working on the ward.