Pinhoe View

⚠ Staff interaction was not always respectful towards patients. At times staff ignored patients when they sought their attention and support. Staff referred to patients by room numbers or initials during their discussion.

⚠ Privacy frosting obscured patients' view of the outdoors, meaning they did not have a direct link to the outside community.

⚠ Care plans lacked patients' preferences on how they wanted their needs to be met. Care plans and risk assessments were not always developed for all areas of need and used standard statements. Care plans did not meet Accessible Information Standard (AIS) for patients with sensory loss.

⚠ Staff were not always provided with access to electronic care notes, meaning verbal and written handovers were the main form of sharing key information with staff.

⚠ The ratio of male staff was high in comparison to the female patient ratio, leading to complaints about male staff on night shifts.

⚠ The premises were not suitable for purpose as window closures were not working, meaning patients could not close windows and communal areas were cold.

⚠ Not all staff had completed and kept up to date with their mandatory training, with overall compliance below the hospital target of 90%.

⚠ Governance processes and audit programmes were not always effective in identifying and mitigating risks, and in developing plans to address identified issues.

⚠ The provider's governance systems were not effective in developing plans to address identified risks and improvements needed, indicating a failure to complete actions in improvement plans.