Archived: Spiral Health Preston Unit

There were sufficient staff on duty and the skill mix met the need of patients. Staff were given opportunities to improve their clinical competencies and skills.

Nursing staff and allied health care professionals were positive about the culture of the service and demonstrated that they provided person centred care.

Patient feedback was positive, particularly in relation to diet, medication, and the availability of staff.

The provider took action when concerns were raised and risks highlighted.

However, we found that more diligence was required in respect of completing and recording audits and making sure changes concerned with quality were embedded.

We found gaps in safety concerning the disposal of medication. The provider had not ensured that senior operational staff followed the medication policy because nursing staff did not manage service user’s medication correctly on admission and discharge. Medication was not disposed of efficiently. Medication audits were aimed at ensuring the safe administration of medication, however the safe disposal and storage of medication was overlooked.  ineffectual because they had not highlighted that the policy was not being adhered to.

The senior management team were in the process of reviewing governance systems to ensure the safe and effective running of the service.