The CQC praise Children’s Community Services for leaping to an improved ‘Good’ rating

Children’s community services at Cumbria Partnership NHS Foundation Trust (CPFT) have been recognised for providing high quality patient care, improved waiting times and collaborative working with partners in its latest Care Quality Commission (CQC) inspection published today.

In January 2017, the CQC undertook an unannounced inspection of the Trust’s community health services for children and young people.  The visited services included:

  • Health visitors
  • School nurses
  • Therapies
  • Children’s nurses
  • Community paediatrics
  • Sexual Health
  • Family Nurse Partnerships

The inspection has led to a significantly improved rating since the last CQC visit in November 2015 and has leaped from being rated as ‘Inadequate’ to ‘Good’ overall in all of the five areas assessed:

Are services safe?                       Good (previously Inadequate in 2015)
Are services effective?                Good (previously Requires Improvement in 2015)
Are services caring?                    Good
Are services responsive?             Good (previously Requires Improvement in 2015)
Are services well-led?                   Good (previously Inadequate in 2015)

In addition, the report has highlighted outstanding practice for the Love Barrow Families initiative. It has been designed to help improve how adult and child health and care services work to achieve the best outcomes for the complex needs of vulnerable families in Barrow.

Clare Parker, Director of Quality and Nursing said: “It is fantastic news to see the children’s community services rated so highly and highlights the positive work that the children and families care group have achieved over the past year. I am delighted to see our brilliant staff commended for all their hard work and their commitment to improving the services for children, young people and their families in Cumbria.”

Joanne Hiley, Associate Director of Nursing for the Children’s and Families care group said:

“Since our last inspection the Children and Families care group has been on a huge journey with our focus on improving safety, quality, effectiveness and building strong partnerships. The inspectors recognised the positive impact of the transformation of our supervision model, waiting time initiatives and leadership, alongside innovative projects like Love Barrow Families, which demonstrates how we place children and families at the heart of what we do.
“Despite the good judgement, we are ambitious about continuing to support our staff to deliver outstanding care. The hard work of our staff and support from our partners is exemplified in this CQC report and I'm really pleased that inspectors recognised the good services CPFT offer for children and young people in Cumbria”.

The CQC have stated that the following factors have led to the improved rating:

  • Improved leadership, governance and culture have promoted the delivery of high quality person-centred care.
  • Managers and staff have made significant improvements since 2015 and have a good oversight of risks and incidents that are monitored and reviewed regularly.
  • Staff protected children and young people from avoidable harm and abuse, and followed appropriate processes and procedures to keep them safe.
  • A robust safeguarding supervision model has been implemented to ensure that staff share best practice.
  • Children, young people, and families felt staff communicated with them effectively and kept them involved and informed about care and treatment.  Staff were praised for showing dignity and respect, and were kind and compassionate.
  • Managers and staff had improved waiting times to ensure children and young people received the right care at the right time.
  • Services for children and young people were organised to meet the needs of children and young people. Managers and healthcare professionals worked collaboratively with partner organisations and other agencies to ensure services provided choice, flexibility, and continuity of care.

Dr Raj Verma, Associate Medical Director for the Children’s and Families care group said:

“I am really pleased with the overall ‘Good’ CQC rating. It is a great recognition of the hard work of our front line staff, who are committed to continuously improving our services and have taken challenges head on to make this possible. I firmly believe that our team will continue going from strength to strength in the future to demonstrate that they are on the journey of continuous improvement.”

The Trust recognises there are still areas of improvement to make including:

  • Ensuring all nurses working in sexual health clinics are  trained to the appropriate level for safeguarding children. This is being addressed this through monthly management supervision and extra training to ensure all clinical staff across the Trust receive safeguarding supervision.
  • Improving the completion of care records within the recommended required timescales. Since the introduction of the Trust’s Electronic Patient Record system staff are now more confident with using the system on their laptops to ensure care records are in accordance with their professional code of conduct.
  • In relation to the 0-19 Universal Services which will be changing over the coming months the new services are designed to provide safer and more effective care for all children in Cumbria.  Health promotion initiatives will also be introduced across the county’s schools.

The full CQC report can be read here.