York House which supports 38 adults with acquired brain injury has been judged to be ‘Good’ in its recent CQC report. Amongst the specific comments that the inspectors made were that “Staff took a proactive approach to safeguard patients who were vulnerable and effectively managed risks on a daily basis” and they “considered the range and complexity of patients’ needs and worked collaboratively with each other and other services to support patients’ recovery.”
The York House team were particularly pleased that the service was reported to demonstrate “a very person-centred culture supported by organisational values and behaviours that kept patients at the heart of everything they did. Staff supported patients and their carers with kindness, dignity, and respect.”
Additionally the attention to service users’ independence was evidenced “Staff used a range of communication methods to support patients to make choices about things that were important to them such as food and activities.”
Management of the hospital was also praised “Managers were aware of the issues that were important to staff and morale amongst staff was generally good. The service had acted to make improvements since our previous inspection in February 2016.”
In this previous report York house had been judged to ‘Require Improvement’.
There were some areas for improvement in the most recent report and one category ‘safety’ was considered to need further improvement. Staff were found to be “mindful that they carried out least restrictive practice with their patients. They ensured they protected the rights of all patients concerning the Mental Health Act Code of Practice and the Mental Capacity Act and Deprivation of Liberty safeguards.” However there was concern that “Staff had not made all the improvements needed to ensure they followed the hospital policies and procedures following the administration of rapid tranquillisation.” As a result the CQC have issued a warning notice.
Nicky Plowman Service Manager responded: “Our top priority is the welfare and wellbeing of the men and women undergoing brain injury rehabilitation at York House. We immediately reviewed, updated and strengthened all the relevant recordkeeping procedures and, working with our Psychiatrist and Nursing team, put in place additional safeguards including increased checks and audits by Senior Managers, our Head of Nursing and Quality Assurance Division. We are confident that we have fully addressed all the issues raised by the warning and we were very pleased that the CQC inspectors considered that “The service developed good systems to improve the quality of care and was committed to making continual improvements to the service.”