Patients received appropriate support that protected their safety and welfare and was person centred. Patients said they knew about their care plans and that they were offered a copy. However, the physical health needs of patients were not always appropriately met.Patients told us that they routinely participated in activities that they enjoyed. One regularly visited the hospital's farm to feed the animals. Another described The Manor Flats as 'quiet and peaceful.'
Consent was appropriately sought and recorded and staff understood their responsibilities regarding consent. Patients met with an independent advocate if they wished to. One said that their advocate was 'very good'
Staff had access to appropriate training supervision and appraisal. We identified some gaps in supervision and appraisal, but the majority of staff had completed both in accordance with the provider's policies.
Patients' personal records including medical records were not always accurate and fit for purpose. Some documents were not completed or reviewed in a timely manner and some information was difficult to locate.
Patients told us that they were happy with the arrangements for administering their medicines. However, we saw evidence that there were sometimes delays in obtaining medicines. We also found that the way medicines were recorded made it difficult to be sure that some medicines had been administered as intended by the prescriber.