- Independent mental health service
The Langford Centre
Report from 25 June 2024 assessment
Contents
Ratings - Long stay or rehabilitation mental health wards for working age adults
Our view of the service
The Langford Centre provides low secure forensic, high-dependency rehabilitation and acute inpatient mental health services to male and female working-age adults. Most patients are detained under the Mental Health Act (1983). The service is provided by Bramley Health Limited. The hospital is purpose built and provides seventy-six beds over six wards.
In this assessment we reviewed the care on the long stay or rehabilitation mental health wards for working age adults assessment group, which consisted of Seaford Ward.
We assessed twelve quality statements from the safe and well-led key questions.
The assessment group of long stay or rehabilitation mental health wards for working age adults was assessed in a comprehensive inspection in March 2023. During the March 2023 inspection, the long stay or rehabilitation wards were rated Requires Improvement in Safe, Effective, Responsive and Well Led and Good in Caring.
In the 2023 inspection we found that the rehabilitation wards were in breach of Regulation 9 of the Health and Social Care Act concerning person centred care:
- We found that the care plans did not reflect patients’ personal goals and that patient and carer involvement should be recorded in the care plans where possible.
- We also identified that the rehabilitation wards did not follow a model of care and that the service should develop their plans to review the inpatient rehabilitation model.
We conducted this focussed assessment in July 2024 following a number of reported concerns relating to the safety of patients and staff, the culture on the wards and the overall management of the hospital.
During this assessment we identified 3 further breaches relating to the running of the ward.
- The provider did not ensure that patients had free access to fresh air. Patients on Seaford were dependent on staff being available to support them for access fresh to air. (Regulation 13)
- The management of the fire safety of the ward was compromised due to the staff not being able to open the boxes containing the firefighting equipment. (Regulation 12)
In addition the outstanding breaches from the 2023 inspection relating to Regulation 9 had not been met.
Following our inspection, the provider informed us that the issue relating to staff being unable to access the fire extinguishers had been addressed.
People's experience of this service
The patients we spoke with expressed that they were generally unhappy with their care and our assessment found there was little evidence of patient involvement in care planning. Patients felt they had no direction in their care and they had not seen care plans and were not aware of what was happening to support their move out of hospital.