Turning Point - Douglas House

Updated 19 December 2023

Turning Point is a national health and social care charity, providing services for people with complex needs, including those affected by drug and alcohol misuse, mental health problems and those with a learning disability.

Turning Point operates Douglas House which is an independent mental health hospital in Didsbury, Manchester, which can admit both informal and detained patients. Douglas House provides a total of 12 beds to both men and women and provides Community Rehabilitation and recovery services. Turning Point - Douglas House has been registered with the CQC (Care Quality Commission) since 8 February 2011. At the time of our inspection there were 11 patients at the hospital.

It is registered for the following regulated activities:

• Assessment and treatment under the Mental Health Act

• Treatment of disease disorder or injury. These regulated activities permit the hospital to provide care and treatment to informal and detained patients.

There have been five inspections carried out at Douglas House. The most recent inspection took place on 7, 8 and 18 March 2016. Douglas House was rated outstanding at the last inspection, gaining outstanding in both the caring and well led key question and good in safe, effective and responsive.

At the time of this inspection, there was a registered manager in post. There was also a named controlled drugs accountable officer. This meant that there was a senior person in charge who checked that the hospital met the appropriate regulations and oversaw the arrangements for managing controlled drugs (drugs that require special storage with additional record keeping rules).

We carried out a routine Mental Health Act (MHA) monitoring visit in January 2023. On that visit we found good adherence to the MHA and MHA Code of Practice, and we did not raise any issues relating to the service.

What people who use the service say

Patients told us that staff were kind, caring and supported them with their mental health and other needs. They told us that they felt the hospital had improved their lives and they were able to give us examples of how they felt this had happened, for example in relation to improving fitness and physical health.

Patients told us that staff were approachable and that they often spent time talking with them. They told us the hospital offered tasty food and they were able to cook for themselves on a weekly basis with support if needed.

Patients told us there were lots of activities on offer at the hospital and that they enjoyed taking part in these.

We reviewed carer feedback and found this to be positive. Patients told us they were encouraged to involve their family and carers in their care if this was something they wanted to do. For example, inviting them to ward rounds and important meetings about their care.

Updated 19 December 2023

• The service provided safe care. The hospital environment was safe and clean. There were enough nurses and doctors. Staff assessed and managed risk well. They minimised the use of restrictive practices, managed medicines safely and followed good practice with respect to safeguarding.

• Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the patients cared for in a mental health rehabilitation ward and in line with national guidance about best practice. Staff engaged in clinical audit to evaluate the quality of care they provided.

• The ward team included a full range of specialists required to meet the needs of patients on the wards. Managers ensured that these staff received training, supervision and appraisal. The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare.

• Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005.

• Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. They actively involved patients and families and carers in care decisions.

• Staff planned and managed discharge well and liaised well with services that would provide aftercare. As a result, discharge was rarely delayed for other than a clinical reason.

• The service worked to a recognised model of mental health rehabilitation. It was well led, and the governance processes ensured that ward procedures ran smoothly.

However:

• The back garden was in need of some maintenance including weeding.

• The clinic room temperature was over 25 degrees on the day of our inspection. This had been documented but no action taken to mitigate.

• There was one weekly check of the emergency bag missing.

• There was an out of date mask in the defibrillator bag.

• Safeguarding level two training was at 53%.

Updated 19 December 2023