Enter and view: Ward 2, Mary Seacole House

 Healthwatch Birmingham  undertook an “Enter and View” visit to Ward 2, a 14‑bed women’s acute psychiatric ward at Mary Seacole House, conducted on 26 February 2014. The purpose of the visit was to assess patient experience and review whether improvements identified in earlier inspections during 2013 had been sustained.

Overall, the ward showed significant improvement since previous critical reports, particularly in staffing levels, patient care, and the quality of the environment. 

In terms of patient care and experience, most patients interviewed reported very positive views about the ward and staff. They felt supported, treated with dignity, and informed about their rights. Activities had increased and were largely patient-led, including new wellbeing and educational groups. Care plans were thorough, up-to-date, and clearly recorded, demonstrating improved clinical practice. 

The ward environment had also improved, with all bedrooms offering en-suite facilities and better ventilation and privacy. The addition of direct access to a secure garden was particularly beneficial, contributing to fewer incidents and a calmer atmosphere. 

Regarding safeguarding, patients reported feeling safe on the ward, and staff were appropriately trained in managing risks and preventing abuse. Patients received information on arrival about their rights and how to raise concerns, while access to advocacy services was available and responsive. 

In terms of staffing, a key issue previously identified had been addressed. The ward now had a full team of qualified nurses and support staff, alongside improved shift patterns that ensured better coverage. Staff morale was high, with team members describing good support from management, particularly through an “open door” leadership approach. 

The report also identified strong systems for monitoring quality and patient feedback. These included real-time feedback collection, regular satisfaction surveys, audits, community meetings, and external inspections. This information was actively used to improve services and inform activity planning. 

Despite these improvements, the report made some recommendations. These included reinstating staff peer support sessions that had been discontinued and improving access to medical staff, particularly ensuring faster access to a doctor when patients are admitted. ]

In conclusion, the report found that Ward 2 had made substantial progress since earlier inspections, particularly in staffing levels, patient engagement, and care quality, resulting in a more positive and safe environment for patients.