latest health care news

06.02.19

Hospital where patients voted on each other’s seclusion placed in special measures

A major provider of mental health services has had one of its hospitals placed into special measures after inspectors were “troubled” to find “a number of serious issues,” including failure to protect patients from risks of harm and a lack of respect for people’s dignity.

The CQC rated St Andrew’s Healthcare Nottinghamshire as ‘inadequate’ in a damning report on the independent hospital for men detained under the Mental Health Act.

The report found that staff at the hospital did not adhere to the Mental Health Act Code of Practice when using seclusion, and staff allowed patients on one ward to vote on whether to end or continue other patients’ seclusions.

Inspectors identified several potential ligature anchor points, placing patients at risk with out of date risk assessments – contributing to the CQC’s assessment that “staff did not protect patients from avoidable harm or abuse.”

Patients told the inspectors that, on some wards, staff ignored them and did not respond to basic requests, such as for going to the toilet and for food and medicine.

In one case, staff searched a patient in the communal area in front of peers, and the CQC were critical of the leadership at the hospital for failing to ensure its staff worked within legal frameworks.

Dropping from a ‘good’ rating in 2015 to special measures, St Andrew’s Nottinghamshire will now receive another inspection within six months when the CQC will take action to prevent to provider from operating the service if insufficient improvements had been made.

The chief inspectors of hospitals and the CQC’s lead for mental health, Paul Lelliott, stated there had been a “real deterioration” in services and said “significant and urgent improvements were needed.”

“Inspectors highlighted a number of serious issues. These included that people were not protected from the risks of harm. Staff did not always respect people’s dignity and privacy or respond promptly to their needs.

“These findings are troubling.  We have told St Andrew’s Healthcare that they must take immediate action to address the problems that our inspectors identified.”

A spokesperson for St Andrew’s Healthcare said it “deeply regrets” a number of instances where care provided to patients fell below the expected standards, and said it has acted decisively by closing the hospital to new admissions.

 “We are now undertaking a clinical review and strengthening operational oversight under new management,” adding that “we must make significant improvements in a few key areas.”

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

featured articles

View all News

last word

Hard to be optimistic

Hard to be optimistic

Rachel Power, chief executive of the Patients Association, warns that we must be realistic about the very real effects of continued underfunding across the health service. It’s now beyond more > more last word articles >

health service focus

View all News

comment

Turning blue lights green

11/04/2019Turning blue lights green

Polly Billington, director of UK100, a cities network that campaigns on env... more >
Going back to school at Gloucestershire Hospitals NHS Foundation Trust

10/04/2019Going back to school at Gloucestershire Hospitals NHS Foundation Trust

Steve Hams, director of quality and chief nurse at Gloucestershire Hospital... more >

interviews

How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

24/10/2018How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

A dedicated national social care service could be a potential solution to s... more >

the scalpel's daily blog

Our Health Heroes

16/04/2019Our Health Heroes

Dean Royles, strategic workforce advisor at Skills for Health and co-author of ‘An Introduction to Human Resource Management,’ discusses the upcoming Our Health He... more >
read more blog posts from 'the scalpel' >

editor's comment

25/09/2017A hotbed of innovation

This edition of NHE comes hot on the heels of this year’s NHS Expo which, once again, proved to be a huge success at Manchester Central. A number of announcements were made during the event, with the health secretary naming the second wave of NHS digital pioneers, or ‘fast followers’, which follow the initial global digital exemplars who were revealed at the same show 12 months earlier.  Jeremy Hunt also stated that by the end of 2018 – the 70th birthday... read more >