7 and 8 February 2018
During a routine inspection
We rated Park Villa as good because:
- There was enough staff to provide care and treatment to patients at Park Villa.
- Patients’ risk assessments were well completed and reviewed.
- There were minimal significant incidents but when incidents did occur, staff learnt lessons.
- Staff carried out regular physical health checks with patients.
- Care plans were well completed, personalised and holistic.
- There was good multidisciplinary working with thorough occupational therapy assessment and input.
- Staff were adhering to the Mental Health Act and Mental Capacity Act.
- Comments from patients on the standards of care and treatment were universally positive.
- Patients were involved in identifying their recovery goals and developing their care plans.
- There were regular weekly patient community meetings occurring for patients to discuss day to day issues.
- Staff were focused on patients’ recovery and worked to discharge patients with all patients having discharge goals.
- Staff had regular contact with community mental health team professionals and the hospital had links with the wider community.
- There were minimal numbers of patient complaints but when complaints were made they were managed well.
- Staff morale was good and there was good local leadership.
- Governance arrangement and checks in place were largely good.
However:
- While staff were ensuring that safety building checks were taking place, we found a small number of shortfalls which staff had not identified or addressed.
- Staff had carried out fire drills but two out of three recent fire drills showed a delay in evacuating the building with no remedial action.
- Staff were still not carrying out a Mental Capacity Act audit which we raised as a recommendation on the last inspection and we saw some minor shortfalls.
- Patients were sometimes discussed in formal meetings without patients being present.