Melton Place

Improvements had been made to the safe management of medicines, staffing and premises and equipment, the provider was no longer in breach of regulations. Staff and managers demonstrated a proactive and positive culture of safety. Safety events were investigated and reported thoroughly, and lessons learned. Safeguarding was high on all staff’s agenda with effective identification and reporting systems. Risks were assessed and managed, so patients were supported in the least restrictive way. Infection prevention and control practices reduced the risks of spreading infections.

Improvements had been made to the procedures for gaining lawful consent for care and treatment. Health care, wellbeing and communication needs were assessed and reviewed. Care and treatment was delivered to meet patients individual preferences and in line with legislation and current evidence-based good practice and standards. Staff worked effectively across teams and were motivated to achieve good outcomes which were monitored to ensure they met both clinical expectations and the expectations of patients’ themselves.

Staff told us that as patient numbers had reduced and reliance on agency staff had significantly reduced, this had improved consistency, and they had more time to spend with patients. Patients were aware of their rights, whether they were informal or detained under the Mental Health Act (1983). Patients were encouraged to keep in touch with others who were important to them. Staff wellbeing and morale had increased since our last inspection.

Care and treatment was person centred and took into account patients equality and diversity needs, psychological, physical and social needs. Patient’s and where appropriate their relatives were involved, and their feedback and views were encouraged and responded to. Information was provided in accessible formats. Patients were supported to plan for important life changes.

Managers and staff had a shared direction, vision and values. Leaders were inclusive, accessible and visible at the service. There was a clear management structure and staff understood their individual roles and responsibilities and how these interacted with the wider teams. Systems and processes for governance and quality monitoring were effective. Staff collaborated with partner agencies to ensure patients’ had access to the services they required and to achieve good outcomes. There was a strong focus on learning and improvement.