At the last inspection in January 2014 we had some concerns regarding the recording of patient observation levels on Beech ward.

The provider had prepared an action plan to make improvements within this area. At this inspection undertaken in August 2014 we saw that improvements had been made.

We visited Beech ward at this hospital location. We found improvements had been made in relation to their record keeping processes. The trust had implemented their action plan and had made improvements to the recording of patient observations on Beech ward.

We carried out an unannounced responsive inspection to Bowmere Hospital and we spent time on Beech ward . This was due to concerns raised with regard to the safety and suitability of the premises and the level of monitoring undertaken in respect of patients mental health needs.

We spoke with five patients who told us they felt they were receiving a good standard of care and that staff were supportive and respectful towards them. Some comments made were:

“Staff treat me with respect and observe my dignity.”

“I’m happy with the care I receive here and I’m able to speak with staff if I feel

a little low."

Care and treatment plans and risk assessments were in place with information about patients care and medical needs and risks identified. Records showed patients were supported to understand their issues and learn coping mechanisms to help them when they were discharged from the ward.

Records showed the service worked with a range of professionals both within the organisation and external.

We toured the ward and found it to be well decorated bright and pleasantly furnished. We looked at a selection of patient risk assessments. We found that the ward did not routinely carry out an environmental risk assessment to ensure patients bedrooms were safe and could meet their specific needs.

Observations were documented using a variety of recording methods. However the level of observations carried out throughout a 24 hour period were not recorded in the electronic daily notes. This meant there was not a chronological overview of patient's presentation or behaviour nor the assessments made by staff to maintain their safety and to monitor their wellbeing.