Unstimulating ward environment
Mental health wards having dreary, unstimulating environments that contribute to patient boredom and impact recovery.
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
PFD report
85match
Joy Burgess
The coroner noted that mental health ward environments could be chaotic and unsuitable for patient recovery due to resource constraints, alongside lengthy waits for psychological therapies, averaging one year locally.
Matched on
terms: environment, ward
HSSIB recommendation
82match
Keeping children and young people with mental health needs safe: the design of the paediatric ward — HSSIB
HSSIB recommends that NHS England, in collaboration with key stakeholders, updates ‘Health Building Note 23: Hospital accommodation for children and young people’ to include the therapeutic environment for supporting children and young people with mental health needs.
Matched on
terms: environment, ward
PFD report
77match
Roy Campbell
The coroner noted delays in implementing an electronic system to prevent detained patients from absconding, and that environmental checks to identify means for patients to leave a ward were not consistently carried out or enshrined in Trust policy with mandatory staff training.
Matched on
terms: environment, ward
CQC enforcement action
77match
Warning Notice: Greater Manchester Mental Health NHS Foundation Trust
The Care Quality Commission (CQC) told Greater Manchester Mental Health NHS Foundation Trust that it must improve the quality of care provided to patients in its acute ward for adults of working age and psychiatric intensive care unit (PICU) at Park House, North Manchester General Hospital. Following an unannounced inspection in December, CQC had significant concerns about the...
Matched on
terms: environment, ward
PFD report
73match
Kelly Campbell
The coroner sought assurance regarding rigorous trust policies surrounding clinical decisions, such as returning shoelaces to patients. Concerns were also raised about the dreary physical environment of the rooms, which contributed to patient boredom.
Matched on
terms: environment
PFD report
69match
Dominic Travis
The coroner identified a lack of specialist inpatient mental health provision for young adults in general adult psychiatric wards. Additionally, Pennine Care NHS Foundation Trust's internal investigation was inadequate, lacking independence and transparency, being conducted by directly involved staff.
Matched on
terms: ward
PFD report
69match
Katharine Dowling
The coroner noted a lack of clear national guidance, consistent support, and appropriate environments for patients with Autism Spectrum Disorder and co-existing mental health diagnoses. There were also concerns regarding the inconsistent implementation and monitoring of ASD training for staff across the UK.
Matched on
terms: environment
PFD report
69match
Sapphire Bernard
The coroner raised concerns regarding the lack of inpatient psychiatric beds, leading to unacceptable wait times in A&E for mental health patients. The A&E environment was noted as unsuitable for those awaiting mental health beds, especially individuals with Autism or who are neurodiverse, as it can exacerbate their condition.
Matched on
terms: environment
CQC action
69match
Poole Hospital
De-clutter the lounge on Portland ward and address the damp and mould issues to make it a pleasant environment for patients to use.
Matched on
terms: environment, ward
CQC enforcement action
68match
Conditions Imposed: Isle of Wight NHS Trust
Immediately after an inspection, CQC placed conditions on the registration of the trust to minimise the risk of patients being exposed to harm. The trust was required to operate an effective system to prioritise patients needing access to community mental health services. Additionally, an urgent assessment of the physical environment on mental health wards at St Mary’s Hospital...
Matched on
terms: environment, ward
HSSIB recommendation
65match
Mental health inpatient settings: Creating conditions for the delivery of safe and therapeutic care to adults — HSSIB
Those involved in healthcare research can improve patient safety by seeking to understand the design principles for mental health inpatient settings that underpin safe and therapeutic care. Research should include consideration of sensory environments, the role of technology, and the changing needs of patients.
Matched on
terms: environment
CQC action
65match
Salford Royal Hospital
The service should ensure it takes action to implement a more dementia-friendly environment across the surgical wards and theatre area.
Matched on
terms: environment, ward
CQC action
65match
Rochdale Infirmary
The service should ensure it takes action to implement a more dementia-friendly environment across the surgical wards and theatre area.
Matched on
terms: environment, ward
CQC action
65match
Fairfield General Hospital
The service should ensure it takes action to implement a more dementia-friendly environment across the surgical wards and theatre area.
Matched on
terms: environment, ward
CQC action
65match
Bushey Fields Hospital
Ensure that the environment on Holyrood ward at Bushey Fields Hospital reflects national guidance to safely meet the care needs of peoples suffering with dementia.
Matched on
terms: environment, ward
CQC action
60match
Clatterbridge Hospital
The service should review the two wards and where appropriate set out a plan to improve the environment, equipment and space for rehabilitation services being delivered.
Matched on
terms: environment, ward
CQC enforcement action
60match
Warning Notice: Cambridgeshire and Peterborough NHS Foundation Trust
The CQC inspected an acute ward for adults of working age and psychiatric intensive care unit at Fulbourn Hospital in May. Inspectors found that staff could not observe patients in all parts of the ward, recording of patient observations were poor, records of incidents were missing, and parts of the physical environment were unclean. As a result, CQC...
Matched on
terms: environment, ward
PFD report
57match
Billie Lord
The coroner noted that three-bedded dormitory accommodation at the Campbell Centre was inappropriate for mental health patients, causing additional stress, and recommended a review of the facilities to meet modern standards.
Matched on
classifier match
GIRFT recommendation
57match
Paediatric General Surgery and Urology
Take steps to improve the environment of care for children and young people undergoing surgery. a Trusts and Operational Delivery Networks to review facilities compared to expectations for child-friendly environments as described or referenced in health building notes and children's RCS standards for children's surgery consider business case for any improvements apparent, and implement as appropriate.
Matched on
terms: environment
GIRFT recommendation
57match
Orthopaedic Surgery
There should be changes to the culture and layout of wards to ensure all staff are involved in encouraging patients' mobility and independence, providing opportunities for them to get active.
Matched on
terms: ward
CQC action
57match
Mount Vernon Cancer Centre
The trust should ensure that the layout of the ward is reviewed to support patients living with dementia.
Matched on
terms: ward
HSSIB recommendation
56match
Medicine omissions in learning disability secure units
HSIB recommends that NHS England and NHS Improvement reviews and updates all health building guidance relating to learning disability secure units to reflect current clinical guidance on ensuring the design and layout provides a suitable environment for patients and staff.
Matched on
terms: environment
Committee recommendation
56match
#21 - Severe overcrowding in adult male prisons increases violence and reduces prisoner wellbeing
The adult male estate was operating at 98.0% to 99.7% occupancy between October 2022 and August 2024, with many prisons severely overcrowded.71 HMPPS confirmed that around a quarter (23.6%) of prisoners are sharing cells designed for one person, often with an open toilet.72 The Howard League for Penal Reform provided written evidence which noted that overcrowding increases pressures...
Matched on
terms: environment, ward
HSSIB recommendation
56match
Mental health inpatient settings: overarching report of investigations directed by the Secretary of State for Health and Social...
National bodies can improve patient safety in mental health inpatient settings in England by supporting provider investment in equipment, digital systems and physical environments to enable conditions within which staff are able to provide, and patients can receive, safe and therapeutic care.
Matched on
terms: environment
HSSIB recommendation
56match
Mental health inpatient settings: Creating conditions for learning from deaths in mental health inpatient services and when patients...
Organisations that provide mental health care can improve patient safety by adopting a comprehensive person-centred care approach that prioritises the individual needs, preferences and rights of each patient. This approach should ensure consistent access to meaningful therapeutic activities, actively involve families in care planning and decision making, and create supportive environments tailored to the sensory and emotional needs...
Matched on
terms: environment
GIRFT recommendation
56match
Children and Young People's Mental Health Services
The additional needs and reasonable adjustments for young people with autism and/or learning disabilities, who are experiencing a mental health crisis, must be identified and managed in all settings. Services must ensure that: a There is effective and high-quality training for staff in autism. b As already indicated within the Department of Health Building Notes, outpatient and inpatient...
Matched on
terms: environment
CQC action
53match
Fleetwood Hospital
The trust should ensure that there is a room available for child and adolescent mental health patients within the paediatric area which meets the Royal College of Paediatrics and Child Health standards.
Matched on
classifier match
CQC action
53match
Wycombe Hospital
The trust should consider improving the environment to meet the needs of people living with dementia.
Matched on
terms: environment
CQC action
53match
Clifton Hospital
The trust should ensure that there is a room available for child and adolescent mental health patients within the paediatric area which meets the Royal College of Paediatrics and Child Health standards.
Matched on
classifier match
CQC action
52match
The Princess Royal Hospital
The service should continue to improve the care provided to patients living with dementia which includes improving the environment.
Matched on
terms: environment
CQC action
52match
Royal Shrewsbury Hospital
The service should continue to improve the care provided to patients living with dementia which includes improving the environment.
Matched on
terms: environment
CQC action
52match
The York Hospital
The service must ensure their new ED environment does not compromise the fundamental standards of care staff can provide to patients, protects their privacy and dignity, and ensures staff can offer them emotional support.
Matched on
terms: environment
CQC enforcement action
52match
Conditions Imposed: Greater Manchester Mental Health NHS Foundation Trust
The Care Quality Commission imposed conditions on Greater Manchester Mental Health NHS Foundation Trust following an unannounced inspection in March 2024. The conditions require the trust to make improvements in specific areas, including effective service management, ensuring a clean, smoke-free environment with suitable cleaning rotas, and providing staff with access to up-to-date ligature risk assessments.
Matched on
terms: environment
PFD report
49match
Matthew Arkle
The report identifies gaps in the risk assessment for unescorted leave and the recording of family requests. Delays occurred in reporting a patient missing due to inaccurate departure times and the absence of a CCTV review policy.
Matched on
classifier match
CQC action
48match
Queen Elizabeth The Queen Mother Hospital
The trust should consider introducing education facilities for children staying on wards.
Matched on
terms: ward
CQC enforcement action
48match
Warning Notice: West London Mental Health NHS Trust
The Care Quality Commission issued a Warning Notice to West London Mental Health NHS Trust, requiring significant improvements in the care of patients at Broadmoor Hospital. Inspectors found the trust did not have enough suitably qualified staff to meet patient needs, with a 30% vacancy rate for qualified nurses. This affected the provision of social and therapeutic activities...
Matched on
classifier match
CQC action
48match
Kidderminster Hospital and Treatment Centre
Ensure all patients are cared for in a suitable environment.
Matched on
terms: environment
CQC action
48match
The Royal Orthopaedic Hospital
The trust should ensure wards are adapted to the needs of patients living with dementia.
Matched on
terms: ward
CQC action
48match
Cygnet Bury Hudson
The provider should address the issues in relation to a sensor light shining into patients’ bedrooms and the office doors slamming on East Hampton ward so that patients’ sleep is not disturbed.
Matched on
terms: ward
IMB recommendation
48match
Norwich (2021)
Are there plans for refurbishment of the healthcare unit and L Wing to provide a more suitable environment for the ill and elderly?
Matched on
terms: environment
CQC action
45match
Windsor Dialysis Unit
Considerre-decoratingthe‘quietroom’andprovidinginformationforpatientstotakeaway.
Matched on
classifier match
CQC action
45match
West Berkshire Community Hospital
Considerre-decoratingthe‘quietroom’andprovidinginformationforpatientstotakeaway.
Matched on
classifier match
CQC action
44match
Birmingham Children's Hospital
The trust must ensure there is a suitable mental health room including toilet facilities which complies with statutory requirement.
Matched on
classifier match
CQC action
44match
Wavertree Bungalow
We recommend the provider seek advice and guidance from a reputable source about adapting a suitable environment for people using the service.
Matched on
terms: environment
CQC action
44match
Royal Victoria Infirmary
The service must ensure that there is timely review of dementia friendly environments, ensuring that premises used by the service provider are safe to use for their intended purpose.
Matched on
terms: environment
CQC action
44match
Royal Preston Hospital
The trust should consider reviewing the environment where paediatrics are treated to be more child friendly.
Matched on
terms: environment
CQC action
44match
Chorley and South Ribble Hospital
The trust should consider reviewing the environment where paediatrics are treated to be more child friendly.
Matched on
terms: environment
CQC action
44match
St Benedict's Hospice
The service should review the resources available for the occupational therapy department and explore options for improving the environment at Palmer Community Hospital to ensure they meet the needs of children accessing the service.
Matched on
terms: environment
CQC action
44match
Durham Diagnostics and Treatment Centre
The service should review the resources available for the occupational therapy department and explore options for improving the environment at Palmer Community Hospital to ensure they meet the needs of children accessing the service.
Matched on
terms: environment
CQC action
44match
Reside at Southwood
We recommend that action is taken to review the accommodation with regard to best practice guidance about creating dementia friendly environments.
Matched on
terms: environment