All Saints Hospital

Updated 20 May 2019

All Saints Hospital is an independent mental health provider in Oldham. The service provided specialist care and treatment for 20 men with mental health needs who are also deaf or have impaired hearing and use British Sign Language to communicate.

The hospital provides two services on two separate wards;

• Braidwood ward, a specialist high-dependency rehabilitation ward for up to 14 patients. The ward includes four self-contained flats and four bedsits to help facilitate patients’ recovery journey.
• Appleton ward provides care and treatment in a low-secure environment for up to six patients.

The hospital changed provider to Elysium Healthcare Limited in September 2018, prior to this it had been operated by St Georges UK Limited.

The hospital was last inspected in January 2016 where it received a rating of ‘good’ across all five key domains. This service had not been inspected since it changed provider.

There was a registered manager in place at the time of our inspection.

Where our findings for the high-dependency rehabilitation service for example, management arrangements, also apply to the low-secure service, we do not repeat the information but cross-refer to the rehabilitation service findings.

Updated 20 May 2019

Our rating of this service stayed the same. We rated it as good because:

• Services provided safe care. Staff assessed and managed risks well and the use of restrictive practices was minimised. Medicines were managed safely and safeguarding processes were in place to protect people.
• Patients worked with staff to develop their own care plans that were holistic, recovery-oriented and informed by comprehensive assessments of their needs.
• An effective multidisciplinary team was in place and staff collaborated effectively with external services to ensure a range of treatments were available to patients that followed national best practice guidance.
• All staff received training, supervision and appraisal to ensure they had the right skills, knowledge and experience to deliver safe care.
• Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005 well.
• The service was truly person centred. Patients were treated as equal partners in the delivery of their care and regarded as key stakeholders in the running of the hospital. Where appropriate family and carers were also involved.
• Staff planned and managed discharge well and worked pro-actively with other services involved in the discharge pathway, including care coordinators.
• The hospital was well-led and governance processes were in place to ensure services ran smoothly. Staff engaged in clinical audit to evaluate the quality of care they provided.

However;

• Some patients’ length of stay was longer than expected for the relevant service setting and there were delayed discharges across both services.
• Some agency staff were not able to communicate effectively with patients using British Sign Language.
• Certain aspects of the services could have been delivered in a way that made them even more accessible to deaf patients.
• Some staff had not yet received updated mandatory training from the new provider.
• Governance and audit processes relating to medicines management had failed to identify one recording issue we found in a timely manner.

Updated 20 May 2019

Where our findings are the same as the long stay rehabilitation service, we do not repeat the information but cross-refer.

We rated this service as good because it was safe, effective, caring, responsive to people’s needs and well-led.

Updated 20 May 2019

We rated this service as good because it was safe, effective, caring, responsive to people’s needs and was well-led.