The Raphael Hospital, Coldharbour Lane, Hildenborough, Tonbridge.The Raphael Hospital in Coldharbour Lane, Hildenborough, Tonbridge is a Hospitals - Mental health/capacity, Long-term condition and Rehabilitation (illness/injury) specialising in the provision of services relating to assessment or medical treatment for persons detained under the 1983 act, caring for adults over 65 yrs, caring for adults under 65 yrs, mental health conditions, physical disabilities, sensory impairments, services for everyone and treatment of disease, disorder or injury. The last inspection date here was 15th April 2019 Contact Details:
Ratings:For a guide to the ratings, click here. Further Details:Important Dates:
Local Authority:
Link to this page: Inspection Reports:Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.
15th January 2019 - During a routine inspection
![]() The Raphael Hospital is operated by Raphael Medical Centre Limited (The), an organisation that also provides social care services for people with acquired brain injuries. The Raphael Hospital is an independent hospital specialising in neuro-rehabilitation of adults with complex neurological disabilities with cognitive and behavioural impairment.
The long-term conditions service at the hospital focuses on the care, treatment and rehabilitation of people with acquired brain injuries. There are facilities to accommodate a total of 60 patients. There is space for 31 patients in two wards in the main building and 21 patients in Tobias House which is designated as an area for the treatment of prolonged disorders of consciousness. There is a further capacity to treat eight patients in the special care unit for neurobehavioral rehabilitation and this unit also accommodates patients admitted under the Mental Health Act. Facilities available at the hospital included a physiotherapy gymnasium, a hydrotherapy pool, therapy rooms, consultant rooms and common areas.
We inspected this service using our comprehensive inspection methodology. We carried out the inspection on 15 January 2019.
To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.
Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.
Services we rate
Our rating of this hospital/service stayed the same. We rated it as Requires improvement overall.
However:
Nigel Acheson
Deputy Chief Inspector of Hospitals
( London and South Regions)
22nd March 2013 - During a routine inspection
![]() People using the service had their capacity to consent assessed. Where they were able to make decisions for themselves, people had signed their consent to treatment. We saw that people were able to make choices and refuse care if they wished. Where people were not always able to make decisions for themselves, we saw that this had been discussed with relatives where possible, and the correct procedures were followed to ensure that people were cared for in their ‘best interest’ and their rights were protected under the legislation such as the Mental Capacity Act. People had their needs assessed, and care plans and therapy timetables developed and implemented. There was a seven day a week therapy programme. Most of the people we spoke with, or their relatives, were positive about the service. One relative told us that “on the whole” they were “very happy with the care”. Another relative told us it was an “amazing place”, and others that the service was “brilliant, fantastic!” We found that there were processes in place for the management and handling of medication. There were sufficient numbers of staff employed.
We saw that there was a process in place for managing complaints. People or their relatives that we spoke with told us that they felt able to raise concerns, and that these were usually addressed. Some people told us they had had problems, but these had been resolved.
17th October 2011 - During a routine inspection
![]() We visited the main centre and the other two residential units. The cancer care clinic was not open on the day that we visited. We spoke with some people living at the hospital either individually or whilst they were with others. We observed that people were comfortable in the presence of staff, and that staff were respectful towards them. One person using the service told us that staff worked together as a team to make sure that people received holistic care and treatment. A relative said that the hospital communicated well, that “I think the people here (staff) are fantastic” and “communication is brilliant”. We saw on people’s personal records that their needs had been fully assessed by the service before they were admitted. One person we spoke with commented that that the staff who had completed the assessments were thorough and helpful in giving information about the service. People said that staff were kind and understood their needs. One person using the service said “There is so much team work here “.They said that staff respected and listened to them, and that they were given choices. They told us that staff understood that on some days they may not feel up to attending therapy sessions, and staff always gave the encouragement that people needed.
1st January 1970 - During a routine inspection
![]() Raphael Medical Centre is operated by Raphael Medical Centre Limited, an organisation which also provides social care services for people with acquired brain injuries. The Raphael Medical Centre is an independent hospital mainly specialising in the neuro-rehabilitation of adults suffering from complex neurological disabilities with cognitive and behavioural impairment.
The long term conditions service at the hospital focuses on the care, treatment and rehabilitation of people with acquired brain injuries. There are facilities to accommodate a total of 50 patients. There is space for 33 patients in two wards in the main building, and nine patients in Tobias House which is designated as an area for the treatment of prolonged disorders of consciousness. There is further capacity to treat eight patients in the special care unit for neurobehavioral rehabilitation and this unit also accommodates patients admitted under the Mental Health Act. Facilities available at the hospital included a physiotherapy gymnasium, a hydrotherapy pool, therapy rooms, consulting rooms and common areas.
We inspected the long term conditions service using our comprehensive inspection methodology. We carried out the inspection on 6 and 7 February 2017.
To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.
Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.
Overall we rated the long term conditions services at Raphael Medical Centre as requires improvement because:
Following this inspection, we told the provider that it must take some actions to comply with the regulations and that it should make other improvements, even though a regulation had not been breached, to help the service improve. We also issued the provider with three requirement notices that affected Raphael Medical Centre. Details are at the end of the report.
Professor Edward Baker
Deputy Chief Inspector of Hospitals
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