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

It was not clear how learning from incidents was shared with staff to make changes that improved care for others.

On most wards staff had information about a person before they were admitted ensuring safety and continuity of care. However, staff on Moor Green ward told us this was not always provided.

Some staff had a limited understanding of safeguarding and how to take appropriate action to report abuse. However, people told us they felt safe and the provider trained staff in safeguarding.

People gave mixed feedback about involvement in their risk assessments. Risk assessments were not always reviewed and updated. However, restraint was only ever used as a last resort and restrictions were proportionate.

People were not cared for in a well-maintained environment. 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 were not always protected from the risk of infection and the approach to resolving the risk of infection was not always effective.

The electronic system to record the administration of medicines was slow at times which meant recording was not always accurate. However, people’s medicines were appropriately prescribed and supplied.