CQC report highlights caring services, good practice and improvements required at CPFT

The Care Quality Commission (CQC) have released their report following an inspection of local health services provided by Cumbria Partnership NHS Foundation Trust (CPFT). Overall, the Trust was rated as ‘Requires Improvement’, with the CQC praising the kindness and compassion of staff and rating every single service as ‘GOOD’ in caring for patients in Cumbria.

In November 2015 the CQC carried out a comprehensive inspection of the services provided by CPFT, involving 85 inspectors carrying out a total of 61 planned inspections.  The Trust was assessed on the following five areas overall, which were each given a separate rating:

Are services safe?  Requires Improvement
Are services effective?    Requires Improvement
Are services caring?    Good
Are services responsive?   Requires Improvement
Are services well-led?   Requires Improvement

In total, 14 separate reports have been published which also rate services on these five areas. Six of these services were rated as ‘GOOD’ overall.   

The reports include a series of actions for the Trust to take, which includes implementing more robust processes for safeguarding supervision, improving the implementation of the principles of the Mental Capacity Act, increasing our levels of mandatory training and appraisals and improving our learning disability inpatient services.   

During their inspection, the CQC received lots of positive feedback from people who use our services and their families, and the report highlights some areas of good practice within the Trust. In particular the attitude of staff was praised and the Trust received a rating of ‘Good’ for providing caring services. They also identified a number of significant initiatives taking place, including:

  • The introduction of the Children and Young People’s Improving Access to Psychological Therapies programme aims to increase the availability of interventions for mild to moderate mental health issues such as depression and anxiety. 
  • There is a lot of good practice taking place in the memory and later life team - including the ‘#seethePERSON’ model of care which puts more focus on an individual’s personal well-being and their needs, rather than their diagnosis or symptoms, and the award winning Care Home Education and Support Service (CHESS), which combines providing mental health education to care home staff with practical outreach support.
  • The Decider Group, which is run by the Community Mental Health Assessment and Recovery Teams helps patients with a diagnosis of personality disorder to develop skills to better cope with everyday situations. 
  • In community health services end of life care, staff continuously assess the level of pain and discomfort so that patients receive appropriate and sufficient treatment to promote comfort. Treatment is not always medication as patients receive alternative therapy such as massage to relieve anxiety and help with relaxing and easing pain.
  • The Trust has identified nurse leads who have developed effective working relationships with the local maternity service to provide perinatal wellbeing groups. NICE guidelines are used to provide an in-reach service to support the development of pre and postnatal plans with pregnant women.

Dr Sara Munro, Director of Quality and Nursing for CPFT said “We are very proud of our staff, who without exception have shown themselves to be caring, compassionate and kind. Our staff work extremely hard in challenging circumstances and it’s a testament to them that every single service has been rated as ‘good’ around caring.  We would like to take this opportunity to thank them all for everything they do for the people of Cumbria.   

“Many of the issues that the CQC picked up such as appraisals, training and policies we were aware of and already had plans in place to resolve these over the coming year. Since the inspection we have also appointed to all of the safeguarding positions and are implementing plans to ensure our staff are fully aware of this through regular supervision. We are also reviewing the learning disability service inpatient model and are developing plans to improve the uptake of mental capacity act training.”

Claire Molloy, Chief Executive of CPFT said “The report highlighted that the Trust has a clear strategy, underpinned by our values – kindness, fairness, ambition and spirit. It was also recognised that there is evidence of a change in culture throughout the organisation, which is very encouraging and also aligns with the findings of the NHS National Staff Survey. We always welcome the opportunity to improve our services and the way we operate and we acknowledge that there are clearly areas where improvements are required. However, we are disappointed with some of the judgements within this report, particularly within community children’s services.  For example, although the named safeguarding nurse post was vacant at the time of the inspection, we did have cover arrangements in place and the post is now filled so we are disappointed that the final judgements don’t reflect that. However, we now must focus our efforts on making changes across the Trust and our services to reflect the feedback from the CQC – ultimately this is an opportunity for us to ensure that we are providing the best possible health care to the people of Cumbria.”

The services inspected include community, inpatient, mental health, learning disability and children’s services. The full findings from the inspection can be found online at https://www.cqc.org.uk/ and the Trust will be keeping people up to date on improvements via the website www.cumbriapartnership.nhs.uk.

Find out more about the report and what the Trust is doing to improve services.