We rated Park Grange as good because:

• All patients had up to date risk assessments in place which had been regularly reviewed by the multidisciplinary team.
• An assessment of ward ligature risks had been recently completed. Staff were knowledgeable about the location of ligature risks.
• The safety of patients’ bedrooms had been improved by the upgrades to the en-suite bathrooms and bathroom doors which had reduced ligature risks.
• Staff had completed relevant mandatory training courses and received regular supervision and appraisal.
• The standard of patient care plans had improved and there was evidence of patients contributing to their plans.
• Patients had access to a range of activities both on the wards and in the community.
• Patients’ needs had been assessed, including their physical health, and they had support from a range of suitably qualified staff including doctors, nurses, occupational therapists and psychologists.
• Each ward had a patient representative and held regular community meetings to make decisions about priorities and activities.
• Patients told us that staff were positive and supportive in their attitudes and behaviours.
• There were good processes at ward level to ensure that patients’ needs were planned for and monitored on each shift, and that patients were kept safe.
• Staff were positive about their jobs and felt supported. Staff said that the service was well led and felt confident in raising any concerns.

However:

• Only 55% of staff had completed training in the Mental Capacity Act and Deprivation of Liberty Safeguards. The hospital target was 90%.
• Park Grange was not completing a full assessment of daily living skills for patients ready for discharge.
• The provider’s response to patients following an error in detention paperwork was insufficiently clear.
• Staff used paper and electronic systems to record patient information which was time consuming and presented a risk that information was not readily available to staff when needed.
• Patients and staff on the Lower Ward were disturbed by having to respond to phone calls and the doorbell for the hospital when reception staff were busy.