Rotherham General Hospital

⚠ Mental health risk assessments were still not being completed. On our first visit we reviewed five mental health attendances and found no completed mental health risk assessments.

⚠ We reviewed a further four attendances on our second visit and found that all four had completed risk assessments. However, staff did not implement the risk management plan as a result of the completed risk assessment.

⚠ We spoke with patients who had been experiencing long waits and saw that intentional rounding had not been documented in four cases. We saw one example of a patient whose condition had deteriorated whilst in the waiting room and had not been escalated to the nurse in charge.

⚠ However, staff still did not always know how to report abuse and not all staff had completed training on how to recognise and report abuse.

⚠ The service did not control infection risk well. Staff did not consistently use equipment and control measures to protect patients, themselves and others from infection. Equipment and the premises were not consistently visibly clean. We found that staff continued to not always follow infection control principles including the use of …

⚠ At this inspection we saw that access to a call bell had been included into the electronic patient record, but we observed that some patients still did not have access to their call bells. We also observed patients waiting in excess of seven minutes for their call bell to be …

⚠ At this inspection we were provided with the ligature risk assessments for the designated cubicles, but these were not stored within the department and therefore not easily accessible to staff.