St Andrew's Healthcare - Birmingham Also known as 1-121538294

Ratings

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Good

• Caring

  Good

• Responsive

  Requires improvement

• Well-led

  Requires improvement

Our view of the service

We found the service required improvement and identified 5 breaches of the regulations in relation to person centred care, dignity and respect, safe care and treatment, good governance and staffing.

Staff were not always clear about how they learnt from incidents and what was done to improve

People were not cared for in a well-maintained environment that respected their dignity. Equipment and technology did not consistently support staff to deliver safe and effective care.

Staff were supported and received training to respond to people in an emergency.

People had mixed feedback about involvement in their care plans and risk assessments. Some people said they were, but others told us they were not involved. Records were not always updated to ensure that staff knew how to safely support people.

Governance systems were not effective in assessing and identifying risk to the people who used the service.

There were examples of quality improvement initiatives.

Restraint was rarely used in the hospital. People could contact their family and friends, and most people thought permanent staff treated them with kindness and compassion.