- SERVICE PROVIDER
Nottinghamshire Healthcare NHS Foundation Trust
This is an organisation that runs the health and social care services we inspect
We have suspended the ratings on this page while we investigate concerns about this provider. We will publish ratings here once we have completed this investigation.
We have published a rapid review of Nottinghamshire Healthcare NHS Foundation Trust and an assessment of progress made at Rampton Hospital since the most recent CQC inspection activity.
See older reports in alternative formats:
- Community mental health services with learning disabilities or autism, published 24 May 2019: Easy read report.
- Rampton Hospital, published 8 June 2018: British Sign Language video.
- Rampton Hospital, published 15 June 2017: British Sign Language video.
Report from 12 August 2024 assessment
Contents
Ratings - Wards for people with learning disabilities or autism
Our view of the service
The Orion Unit is part of Nottinghamshire Healthcare NHS foundation trust and is an 8 bedded mixed gender inpatient unit providing assessment and treatment for patients with learning disabilities, behaviours that challenge and mental health issues. The unit provided accommodation for adults over the age of 18 who are treated informally or under the Mental Health Act. The service was last rated good (published August 2018). The report was published following the CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We carried out our on-site assessment on 24 June 2024. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at 4 quality statements across 2 key questions; Involving people to manage risks, Safe environments, Learning culture and Independence choice and control. During this assessment we found a breach in regulation under safe care and treatment. Staff were not effectively assessing risk after patient incidents. As we assessed some but not all quality statements at this visit it means we use the ratings from the previous inspection to rate all the key questions safe, effective, caring, responsive and well-led. The service is based at Highbury Hospital. The service is made up of various clinicians and they worked alongside other partners. At the time of the onsite assessment the unit was supporting 8 patients.
People's experience of this service
During this assessment we spoke to 4 patients using the service and reviewed 3 patient care and treatment records. Patients told us staff were approachable, but they did not always feel they listened to them. Patients told us they had been involved in the development of their care and treatment records, but these were not always written in the patients’ voice. Patients had access to several communal areas including lounges and an outdoor space. Patients could access activities they had an interest in, and staff supported them to access the community. Staff supported visits and calls from family members and carers. We saw patients interacting with staff through activities and conversations and being supported to be independent.