People told us that they were kept informed regarding their care and treatment and that they were able to attend daily meetings to discuss their daily activities.

One patient told us "the hospital is satisfactory considering my circumstances". Another patient told us "It is a terrible place to be". Two patients told us that they were making good progress and this was because the staff cared and gave them encouragement and support.

We saw that patients had care plans and were they were given copies of their plan. One patient told us that they did not wish to have a care plan as this was meaningless and a waste of time.

We had good comments regarding the food and were told that there was choice and variety. Some patients told us they participated in cooking activities that was part of their rehabilitation programme toward community living again.

Patients told us they knew their rights and they felt safe. They told us they were able to talk to their allocated nurse or any member of staff if they had a problem or concerns. Staff told us they had undertaken their safeguarding training and they would not hesitate to report any concerns or issues to their line manager.

We saw that the hospital was clean and cleaning schedules were in place that ensured communal areas, bathrooms and toilets were cleaned daily.

Staff felt they had the appropriate training to undertake their roles and responsibilities.

We rated Shrewsbury Court Independent Hospital as good because:’

• Staff had completed monthly environmental assessments for all wards which included a comprehensive audit of potential ligature risks and had completed a programme of works to reduce or make-safe potential ligature points. Where these remained, a plan for mitigating these risks had been completed by staff and included as part of the audit.

• Shifts were covered by sufficient qualified and experienced staff.

• There was a qualified nurse on the ward area at all times. This was recorded on the daily shift planner. There were sufficient staff to safely carry out physical interventions and medical staff were available each day and on call at week-ends.

• Staff were up to date with all mandatory training as evidenced in the staff training matrix.

• All staff had completed safeguarding training and each ward had a named safeguarding lead.

• Staff were monitoring patients’ physical health regularly, and all the wards had access to the practice nurse.

• Medicine prescribing practices were audited weekly by the pharmacist.

• Patients had access to individual and group psychology sessions.

• All staff had regular clinical and management supervision.

• Patients took part in a satisfaction survey in March 2017 with an 86% response rate, allowing the patients to have a voice and opinion on the hospital and their treatment.
• The ward used key performance indicators to assess the quality of the care given, this included the provision of personalised activities, 1:1 time and use of section 17 leave.
• Ward managers were the key decision makers for all ward based staff and they had access to administrative and managerial support when required.