Latest CQC report for the Trust’s Mental Health Inpatient Units

Mental Health inpatient units at Cumbria Partnership NHS Foundation Trust have been recognised for providing supportive and caring services for patients, understanding patients’ needs and demonstrating good understanding of clinical duties in in its latest Care Quality Commission (CQC) report published today.

In February 2017 the CQC carried out an unannounced inspection of Mental Health Inpatient Units and Psychiatric Inpatient Care Units across the county.

Following the inspection the overall rating of Mental Health Inpatient Wards has remained as ‘Requires Improvement’, with two areas being rated as ‘Good’.

The CQC assessed the following five areas, which were each given a separate rating that led to the overall rating: 

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

The report includes a series of actions that the Trust must take, which includes:

  • Ensuring that the medicine management is adequate across all wards.
  • Ensuring that patients have access to psychological therapies on all wards.
  • Improving the incident reporting system.
  • Addressing the out of hour’s medical cover available across the wards.
  • Ensuring records of consent to treatment for detained patients are undertaken.

Clare Parker, Director of Quality & Nursing at Cumbria Partnership NHS Foundation Trust said:

“Despite the CQC rating remaining the same, we are incredibly proud of our staff who work within the mental health inpatient wards. They continually provide fantastic patient care through their positive approaches and show they are compassionate and kind. The Trust would like to take this opportunity to thank all staff for their commitment to continually improving our services.

“We know we still have more work to do to improve the areas highlighted in the report and will be continuing with the work already in place to address these issues and have already begun creating action plans to address other areas of improvement.”

During the inspection the CQC also highlighted a number of positive findings including:

  • Staff morale was good and staff felt their managers supported them.
  • Family and carers were involved in multi-disciplinary meetings and in patients care and treatment.
  • Staff used appropriate tools to assess risk and the needs of patients.
  • Care plans were comprehensive and holistic. Staff ensured that patients’ physical health needs were being met.
  • Patients received regular one to one time with their named nurse.

Dr Andrew Brittlebank, Medical Director at Cumbria Partnership NHS Foundation Trust adds:

“The CQC report highlights and recognises many positive practices and it is clear improvements have been made since the comprehensive inspection in 2015. In particular it is good to see the report acknowledging our Acute Admission pathway as an area of good practice and this is further supported by the pathway being nationally recognised. We know there are still other areas we need to improve upon and have plans in place to support this.

“Whilst we are aware we need to take action to improve out of hours’ medical cover there is no evidence to suggest this has adversely impacted on patient care. The way we provide medical cover across a large geographical area is not in the conventional way that the CQC is used to seeing and there is no nationally agreed standard to work to.  We have already undertaken an extensive review of all of the options available to us and we have a quality summit later this month with the CQC and our commissioners to discuss how we address this.

“Due to recruitment issues and staff shortages, we have been unable to fully utilise psychological therapies. Our nurses have however been providing psychologically informed interventions via one to one sessions and we will be undertaking a quality improvement project planned to increase the psychologically informed practice across the wards.

“We have reviewed in detail why the support in place has not translated into all staff being aware of the capacity to consent within patient care and have undertaken a focus group with consultants to improve the uptake of training and manage this though clinical audit and supervision.  We are hopeful by implementing this recommendation from the CQC as priority we can address this with our staff to ensure patient assessments and treatment are as effective as possible.

“We also took immediate action on medicines management including investing in clinical pharmacy and monitoring records through clinical audit and supervision.”

The full report is available on the CQC website.