Frank Lloyd Unit

Updated 10 August 2016

The Frank Lloyd unit provides continuing care for older adults with a diagnosis of dementia or challenging behaviour that cannot be managed in a nursing home. The unit is a GP led service, which is reassessed every six months by the Clinical Commissioning Group (CCG).

There were two wards at the Frank Lloyd unit. Hearts Delight ward was on the ground floor and Woodstock ward was on the first floor. At the time of our inspection, there were 19 patients on Hearts Delight mixed gender ward, consisting of 15 female and four male patients. Woodstock ward was a male only ward and there were 19 patients at the time of our inspection. Access to the unit and both wards was via keypad entry and the door was locked at all times.

The Frank Lloyd unit was registered for the assessment and medical treatment for persons detained under the Mental Health Act 1983 and the treatment of disease, disorder and injury. There were no patients detained under the Mental Health Act (1983) at the time of our inspection.

The unit was inspected on 18 and 19 January 2016 where the trust was found to be in breach of regulations 11, 12, 13 and 18 of the Health and Social Care Act 2008. The trust was issued with a warning notice in relation to these breaches where need for significant improvement was identified. The trust was given six weeks and three months respectively to take action to improve areas of the service. CQC completed a follow up inspection six weeks later, on 22 March to ensure that the trust had taken action to address the identified areas of concern. This inspection was the three month follow up inspection to check that the trust had completed all identified actions in the warning notice.

The Frank Lloyd Unit was closed to admissions at the time of our inspection.

Updated 10 August 2016

• This was a second follow up inspection to an unannounced focussed inspection on 18 and 19 January 2016. During the inspection in January, CQC found the trust had breached regulations 11, 12, 13 and 18 of the Health and Social Care Act 2008. CQC issued a warning notice to the trust on 8 February 2016 for significant improvement in these areas.
• The warning notice stated that the trust must take action within six weeks regarding risk assessments, the use of Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS), the safe management of medicines and reporting and recording safeguarding incidents.
• The warning notice stated that the trust must complete a comprehensive review of patient assessment and care planning and to review staffing levels and skill mix within three months of the date of the warning notice.
• This inspection was to ensure that the trust had completed all actions set out in the warning notice and was delivering a safe, effective and caring service for patients.