Commission for the quality of care called for further improvements in the Somerset Partnership NHS Foundation Trust, United Kingdom
Ian Biggs, regional director of CQC in the south-west, said that his team will return home Rydon without notice to monitor progress and decide whether additional measures are necessary.The inspectors concluded that CQC Somerset Partnership NHS Foundation Trust met five of the seven principles that have examined, but did not achieve two results:
“But the people we met on Rydon Ward said he did not feel involved in their care and treatment and found that care plans should keep track of their needs, and their treatment are not always updated.
The service is a partnership of the Somerset Trust Rydon four quarters Cheddon Road in Taunton.
Today’s report was produced in response to concerns raised by the trust first with CQC, and also from the south-west Strategic Health Authority and Somerset NHS last year. Three people were treated the Rydon service dead in separate incidents between May and July.
Their report notes that the layout of the room on two levels of observation in patients difficult. Rydon Ward had already been done to complete the restructuring. After the incident, the trust has decided to improve safety by reducing the number of beds, and increasing the ratio of staff to patients.
The inspection team examined a wide range of issues relating to the care and welfare of the people who use services, safety and security of premises and staff as they were incurred.
He said: “Somerset Partnership Trust has taken steps to make improvements after this series of tragic accidents and have taken appropriate advice to make the environment safer to avoid people in their care.
CQC said the trust has made a number of improvements in service Rydon, which provides care and treatment of adults with mental illness. But still not able to meet two fundamental criteria of quality and safety.
“While the reduction in the number of beds and staff increased to Rydon Ward have clearly improved the safety and security of the building, everyone recognizes that the basic scheme is not ideal. The complete reconfiguration Rydon Ward is still needed , and we are sure that it is in hand.
Care and welfare of the people who use services: Inspectors found that people using the service has not received any information about their care and treatment and said they did not feel involved in their care. Record some people do not accurately reflect their needs and risks.
Records: When inspectors examined a random sample of files, quickly identified inaccuracies or plans that do not reflect the needs of current and could mean that can not receive appropriate care. Care plans currently on the old remained as electronic records, even if it had been replaced, and were not updated quickly enough.
“It ‘was a sharp contrast with what was found in a similar service, also provided by Somerset Partnership Trust, where people have copies of their care plans, which contain an accurate record of their needs.
