Background to this inspection
Updated
24 May 2016
All Saints Hospital is run by St George Care UK Limited. St George Care UK Ltd provides care and rehabilitation for people with an acquired brain injury, autistic spectrum conditions, deaf patients who also have a mental health needs, in addition to treating patients with a wide range of neurological conditions. St George Healthcare Group currently has three specialist hospitals spread throughout the North West of England, at Warrington, Chester, and Oldham.
All Saints Hospital is a purpose built independent hospital for up to 20 patients in Oldham. Patients include deaf people with mental health needs, offending behaviour or are on the autistic spectrum. The service is for people who are hearing impaired or who use British Sign Language (BSL) as a means of communication.
Patients are offered treatment in a low secure or open rehabilitation environment. The two wards are:
• Appleton ward which is a low secure ward for up to six deaf male patients who require low secure care and treatment
• Braidwood ward which is a 14 bed ward for deaf males who require rehabilitation. This includes four individual flats with support to achieve independence.
All Saints Hospital has been registered with the Care Quality Commission since 20 January 2013. There has been one inspection carried out at All Saints Hospital on 13 December 2013. All Saints Hospital was fully compliant with the outcomes assessed on that inspection.
We have also carried out a number of routine Mental Health Act (MHA) monitoring visits at All Saints Hospital. The provider has sent action statements following these visits to address minor shortfalls in adherence to the MHA and MHA Code of Practice.
There was a registered manager in place at the time of our inspection.
Updated
24 May 2016
We rated All Saints Hospital as good because:
• The ward environments were clean and well maintained.
• There was a strong deaf culture with a proportion of staff who were deaf working with deaf patients.
• Staff were committed to providing high quality care to patients.
• Staff had a good understanding of the physical and relational security arrangements of working on the low secure wards.
• The open rehabilitation ward had three types of rooms to promote patients to move towards independent living; patients moved from bedrooms, to bedsits to fully equipped flats as part of their recovery.
• Care plans were comprehensive and risk management plans were detailed on all the files we looked at.
• There was an emphasis on promoting physical health through the employment of a designated nurse.
• Patients were involved in their care with the support of a specialist independent deaf advocate.
• Patients also had a strong say in how the hospital was run through the patients council and were working together with staff to produce recovery tools adapted to the needs of deaf patients.
• There was effective multidisciplinary input especially given the size of the hospital.
• There were robust audits in place and managers were well cited on any issues within the hospital and were working to address these.
• The hospital treated a wide range of patients’ needs and adapted their models of care well to meet these needs.
• Staff felt well supported and morale was high.
However we found that
• There were often delays in patients being discharged from the hospital because there wasn’t the range of appropriate deaf community services available. This was beyond the full control of the hospital.
• Patients felt at times that when the hospital used agency staff that they could not always communicate with them because the agency staff did not have signing skills.
• There was a foothold in the low secure fence which had been identified but not been fully resolved. Patients were observed at all times whilst in the areas and presented with no or low risk of absconding.
Long stay or rehabilitation mental health wards for working age adults
Updated
24 May 2016