Care Quality Commission rates Derbyshire independent mental health hospital Inadequate and places it into special measures

Published: 23 October 2020 Page last updated: 23 October 2020

The Care Quality Commission (CQC) has rated Field House in Alfreton as Inadequate following an inspection.

CQC inspected the specialist mental health service for women on 14 August and found a number of urgent improvements were needed.

As a result, the service is now rated Inadequate overall and has been placed into special measures. The hospital was previously rated Requires Improvement.

The inspection highlighted a number of concerns regarding the safety of care being delivered and with the way the service managed risks to patients. Following the inspection, CQC also issued warning notices demanding that immediate improvements be made to ensure service being provided was safe.

CQC carried out the inspection as a result of concerns raised through its online monitoring of the service.

CQC deputy chief inspector of hospitals (and lead for mental health), Dr Kevin Cleary, said:

“During our inspection of Field House we found that standards of care fell below those people should be able to expect. There were issues with observation of patients, a lack of cleanliness at the service and with staffing.

“There were insufficient nursing staff and they did not have the skills and experience to keep patients safe from avoidable harm. Bank and agency staff were not always familiar with the observation policy. We found that the service did not check or monitor that bank and agency staff who were completing observations in the correct way or at the correct time.

"After the inspection, CQC was notified of the death of a patient following use of a ligature.

“We found that mandatory training identified was not always sufficient to support staff to carrying out their roles safely or effectively and the service did not have access to the full range of specialists required to meet the needs of patients.

“It was also worrying that not all staff received a COVID-19 risk assessment, infection control standards were poor, and hand sanitiser was not available in the service’s apartments.

“This is why the hospital is rated as Inadequate overall as well as for whether its services are safe or well led.

“To ensure the provider receives the support it needs to improve, we have placed the service into special measures.

“However, since our inspection the provider has updated the inspection team regularly on the improvements it is making. Inspectors also returned to the service this week (19 October), and witnessed a number of areas of improvement.

“While this work needs to be embedded, we will continue to monitor the service. The provider knows what it needs to do to ensure improvements are made and, we will return again to check on any progress.”

A link to the report, detailing CQC’s inspectors’ findings from this inspection, is published online here: www.cqc.org.uk/location/1-112845365

A report of CQC's October inspection will be published in due course.

Ends

For further information, please contact Louise Grifferty on 07717 422917. Journalists wishing to speak to the press office outside of office hours can find out how to contact the team here: www.cqc.org.uk/media/our-media-office Please note: the press office is unable to advise members of the public on health or social care matters.

For general enquiries, please call 03000 61 61 61.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.