The prosecution follows an incident in May 2016 when Sophie Bennett, 19, took her own life in Lancaster Lodge in Richmond, west London.
By law, registered providers of health and social care services must take all reasonable steps and exercise all due diligence to ensure patients receive safe care and treatment.
The Care Quality Commission’s Chief Executive, Ian Trenholm and Dr Paul Lelliott, Deputy Chief Inspector (Mental Health) will give evidence to the UK Parliament Human Rights Committee in early June.
This report provides examples of the local changes that have been made to services so far and highlights the extensive work which is happening nationally in response to common themes raised through LeDeR reviews across the country.
The NHS has today announced that an additional £5 million will fund reviews to improve care for people with a learning disability and committed to renewed national action to tackle serious conditions.
The world’s first programme to review the deaths of everyone with a learning disability is being expanded to speed up the spread of best practice.
Thousands more reviews will be carried out over the next 12 months, driving local improvements to help save and improve lives.
England’s Chief Inspector of Hospitals has rated the services run by Mersey Care NHS Foundation Trust as Good, following an inspection by the Care Quality Commission.
CQC carried out an inspection at the trust during October and December 2018, overall the trust has maintained its rating of Good. In respect of safe, effectiveness, responsiveness and caring, the trust has been rated as Good. In respect of well led the trust have been rated as Outstanding. This is an improvement on their last inspection, March 2017, when safety was rated as Requires Improvement.
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West London NHS Trust has been rated Good overall by the Care Quality Commission.
The trust, which was formerly known as West London Mental Health Trust, was rated Outstanding for being caring, Good for being effective, responsive and well-led, and Requires Improvement for being safe, during the inspection which took place on dates between August and October 2018.
West London NHS Trust provides mental health and an increasing range of community healthcare services in west London and Berkshire.
The Chief Inspector of Hospitals has told Avon and Wiltshire Mental Health Partnership NHS Trust that it must make further improvements following its latest inspection by the Care Quality Commission.
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THE first-ever national guidance for NHS mental health trusts to ensure ways of improving services are learned from patients’ deaths is unveiled today.
The guidance, drawn up by the Royal College of Psychiatrists (RCPsych), focuses on patients with severe mental illness and on four ‘red-flag’ scenarios, including where concerns have been raised by families and carers or where patients have experienced psychosis or had an eating disorder.
The South London and Maudsley (SLaM) NHS Foundation Trust has been rated Good overall by the Care Quality Commission.
SLaM was rated Good for being effective, caring, responsive and well-led. It was rated Requires Improvement for being safe, following the inspection in July and August 2018.
England’s Chief Inspector of Hospitals has rated the services provided by Tees, Esk and Wear Valleys NHS Foundation Trust as Good following an inspection by the Care Quality Commission.
England's Chief Inspector of Hospitals has found a number of improvements at Derbyshire Healthcare NHS Foundation Trust but says more work is needed following an inspection by the Care Quality Commission.
A team of CQC inspectors visited Southern Health in June and July 2018 to check 10 mental health services and five of its community services. Inspectors also looked specifically at management and leadership to answer the key question: Is the trust well led?
As a result of this inspection the trust remains rated as Requires Improvement overall. However, Inspectors rated the trust as Good for the key questions: Are services caring and responsive and Requires Improvement for safety and effectiveness. Inspectors also rated the trust Requires Improvement for the key question: Is the trust well-led.
The Care Quality Commission has found further improvements Berkshire Healthcare NHS Foundation Trust
A team of CQC inspectors visited the trust during June and July 2018 to check four of the trusts ten mental health services and three of its community services. CQC also looked specifically at management and leadership to answer the key question: Is the trust well led?
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The Care Quality Commission (CQC) has rated Oxford Health NHS Foundation Trust ‘good’ in four out of five quality measurements – caring, responsive, well-led, effective and ‘requiring improvement’ for safe.
The trust was rated as Good following an inspection in January 2017 but on CQC’s return inspectors found a number of improvements had been made resulting in it receiving an Outstanding rating.
Wast Hills House is an independent hospital providing assessment, treatment and care to people with a complex learning disability and autism. Wast Hills House is owned by Oakview Estates Limited, trading as The Danshell Group.
Inspectors found staff were caring and compassionate and people were being provided with safe, responsive, caring, effective and well-led care. A full inspection report has been published on our website: read the report.
Between 30 April and 16 May 2018, a team of CQC inspectors visited the trust’s core services. Inspectors rated the care provided by staff to be Good regarding whether services were effective, caring, responsive and well-led and rated as Requires Improvement regarding whether services were safe.
A team of inspectors visited Northumberland Tyne and Wear NHS Foundation Trust in April and May. It was rated Good for safety, and Outstanding for caring, effectiveness, responsiveness and well-led. Overall, the trust rating has remained Outstanding - the same rating that it achieved when it was last inspected, in June 2016.
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Between 12 March and 12 April 2018, a team of CQC inspectors visited ten of the trust’s core services. Inspectors rated the care provided by staff to be Good regarding whether services were effective, caring, responsive and well-led and rated as Requires Improvement regarding whether services were safe.
South West London and St George’s Mental Health Trust has been rated Good overall by the Care Quality Commission.
The trust which serves five London boroughs was rated Good for being safe, effective, caring, responsive and well-led.
England’s Chief Inspector of Hospitals has rated the services provided by Leeds and York Partnership NHS Foundation Trust as Requires Improvement following inspections by the Care Quality Commission.
The Care Quality Commission has told Kent and Medway NHS and Social Care Partnership Trust that it must make significant improvements to its community-based mental health services for adults of working age, following its latest inspection by the Care Quality Commission.
CQC inspectors visited The Priory in January 2018 to check on the safety of patients receiving treatment for drug and alcohol use on West Wing. Previously the service was in breach of regulations around substance misuse and detoxification.
Deputy Chief Inspector of Hospitals, lead for mental health, Dr Paul Lelliott has written to specialist mental health NHS trusts in England to inform them of an upcoming workshop to explore what can be done to improve sexual safety on mental health wards and thank trusts for engaging with CQC on this work.
What does it take to raise standards in a mental health trust? How can a trust that requires improvement become good or outstanding?
To help answer those questions we visited seven NHS mental health trusts that had achieved significant improvements in their ratings.
The service was rated as Requires Improvement for safety, Good for caring, effectiveness and responsiveness and Outstanding for well-led. As a result of this inspection, the trust’s overall rating remains unchanged as Good.
CQC last inspected these services in 2016 and rated them as Requires Improvement. Following that inspection, inspectors told the provider of the actions they must take in order to improve the service.
CQC re-inspected in July 2017 to check whether the required improvements had been made. The trust had only completed three of the eight actions we had told them they must take. We changed our rating of the service to Inadequate overall.
Acute wards for adults of working age and psychiatric intensive care units (PICUs) at West London Mental Health NHS Trust have made good progress in some key areas. The trust had undertaken considerable work to better manage patient flow. This had resolved the issue of patients receiving care on one ward while sleeping on another ward.
This year’s State of Care report – published today – shows that thanks to the efforts of staff and leaders, the quality of health and social care has been maintained despite very real challenges and the majority of people are receiving good, safe care.
The Care Quality Commission has found that Southern Health NHS Foundation Trust has made a number of improvements in its investigations into serious incidents and deaths.
England’s Chief Inspector of Hospitals has rated the community mental health services for people with a learning disability provided by Northumbria Healthcare NHS Foundation Trust as Outstanding following an inspection in April this year.
Inspectors found many examples of excellent care – but they also found too much poor care and far too much variation in both quality and access across different services. This is particularly concerning given the increasing demand for mental health services, meaning that more people risk receiving care that is not good enough – or no care at all.
The Care Quality Commission has found improvements are needed on mental health wards run by Cumbria Partnership NHS Foundation Trust following an inspection in February.
Today we have published a new report detailing the findings from our comprehensive inspections of specialist mental health services over the last three years.
This report describes the quality improvement journey of three mental health organisations (two in England and one in Singapore). It provides key insights and lessons for others considering embarking on a similar journey.
England's Chief Inspector of Hospitals has rated Mersey Care NHS Foundation Trust as Good following its latest inspection by the Care Quality Commission.
The trust has been rated as Good for providing services that were caring, effective, responsive, and well-led and Requires Improvement for safety. The reports from this inspection in March have been published on our website.
The Care Quality Commission (CQC) has today (Friday, June 2) published its report on the trust, which provides mental health services in Sussex and specialist community mental health services for children and young people in Hampshire and Kent and Medway. These include two adult social care services and primary medical services for HMP Lewes and HMP Ford.
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Acute wards and psychiatric intensive care units (PICUs) at a south London NHS trust have improved since September 2015 but have still been rated Requires Improvement by the Care Quality Commission.
The Care Quality Commission has rated wards for people with learning disabilities or autism provided by Central and North West London NHS Foundation Trusts as Outstanding following its latest inspection.
South West Yorkshire Partnership NHS Foundation Trust’s rating upgraded to Good as services to patients improve
England’s Chief Inspector of Hospitals has upgraded the overall rating of South West Yorkshire Partnership NHS Foundation Trust from Requires Improvement to Good following an inspection earlier this year.
During this inspection, the team looked areas where the trust had been told they must improve during a comprehensive inspection in March 2016.
England’s Chief Inspector of Hospitals has found that the services provided by Kent and Medway NHS and Social Care Partnership Trust have improved following the latest inspection by the Care Quality Commission.
Two years ago, CQC rated the trust as Requires Improvement after inspectors identified significant variation in the quality of its services.
As a result of the latest inspection in January 2017, the trust has been rated as Good overall, and Outstanding for being caring. Safety is rated Requires Improvement.
Mental health wards for older people at Central and North West London NHS Trust have been rated as Good overall by the Care Quality Commission.
The wards at five different trust sites were rated as Good for being effective, caring, responsive and well-led. They were rated as Requires Improvement for being safe, after the inspection carried out at the end of January and beginning of February 2017.
The trust had made many improvements since the last CQC inspection in 2015 when caring, responsiveness and effectiveness were all rated as Requires Improvement.
A south east London trust that specialises in mental health care and community services has been rated Good overall by the Care Quality Commission.
Oxleas NHS Foundation Trust was re-inspected between 27 February and 1 March 2017, following an inspection in April 2016 when it was rated Requires Improvement.
On 13 April 2017, The Care Quality Commission (CQC) has given our Trust an overall rating of ‘Good’. It follows a recent inspection between November 2016 and January 2017.
In their most recent report, inspectors found that staff across the organisation were kind, caring, compassionate, respectful and warm with patients.
We are delighted to report that the latest inspection report on our Trust from the Care Quality Commission (CQC), the independent regulator of health and social care in England, has rated us as Good overall.
Four months ago a team from the CQC visited us to carry out an inspection. During the announced inspection in November 2016, the CQC team visited 28 wards, teams and clinics and spoke to staff, service users, relatives and carers, attended meetings and joined care professionals for home visits and clinic appointments.
One of the largest providers of NHS services in Northamptonshire has been rated as Good by the Care Quality Commission (CQC) and Outstanding regarding whether services were caring.
Northamptonshire Healthcare NHS Foundation Trust (NHFT) provides a comprehensive range of physical, mental health and specialist services, many of which are provided in hospital, from a GP surgery, clinic or in the patient’s own homes.
The CQC carried out a comprehensive assessment of NHFT services in January of this year and rated the Trust overall as Good. This was an improvement on the last inspection in 2015 when the Trust was rated as Requires Improvement.
Dudley and Walsall Mental Health Partnership NHS Trust, which provides care to approximately 560,000 children, adults and older people across Dudley and Walsall, was inspected by the Care Quality Commission (CQC) in November last year. Inspectors found that overall considerable improvements had been made since the last inspection in February 2016 and the Trust has now been rated ‘good’ for providing safe, caring, responsive and well-led services.
Devon Partnership NHS Trust ... has been awarded an overall rating of ‘good’ by the Care Quality Commission (CQC).
The services inspected at Devon Partnership NHS Trust in December 2016 were rated as ‘good’ across the board in the five domains assessed by the CQC, these are Safe, Effective, Caring, Responsive and Well-led. Among these the Secure Service, which is based at Langdon in Dawlish, received a rating of ‘outstanding’ for its responsiveness.
England’s Chief Inspector of Hospitals has rated the services provided by Northamptonshire Healthcare NHS Foundation Trust as Good following an inspection by the Care Quality Commission in January and February.
Northamptonshire Healthcare NHS Foundation Trust provides services across Northamptonshire to a population of 700,000. The trust offers a comprehensive range of physical, mental health and specialist services, many of which are provided in hospital, or from a GP surgery or clinic.
The trust was previously inspected in February 2015 when it was rated as Requires Improvement overall. Inspectors found considerable improvements had been made at the latest inspection where the care was rated as Good overall.
England’s Chief Inspector of Hospitals told Tees, Esk and Wear Valleys NHS Foundation Trust that although the overall trust is doing well, it must make improvements to the safety of two core services after its latest inspection by the CQC.
The CQC inspected core services at the trust, which provides inpatient and community mental health services, between 17 and 19 October 2016. As a result it is rated as Good overall as well as Good for being safe, caring effective, responsive and well led.
Black Country Partnership NHS Foundation Trust was previously inspected in November 2015 when it was rated as Requires Improvement and the trust board was told it needed to make a number of improvements.
England’s Chief Inspector of Hospitals has rated the community mental health services for children and young people provided by Northumbria Healthcare NHSFT as Good following an inspection in September 2016.
England’s Chief Inspector of Hospitals has rated the services provided by North Staffordshire Combined Healthcare NHS Trust as Good following an inspection by the Care Quality Commission in September.
Responding to the Care Quality Commission’s re-inspection report, Carolyn Regan, Chief Executive at West London Mental Health NHS Trust said:
“This re-inspection report clearly highlights the huge range of improvements that our staff have worked tirelessly to put in place. From our new Thames Lodge medium secure unit to improvements in staff morale, reduction and review of restrictive practices and work to improve the assessment, monitoring and treatment of our patients’ physical health.
England’s Chief Inspector of Hospitals has upgraded the rating of Rotherham Doncaster and South Humber NHS Foundation Trust from Requires Improvement to Good following an inspection by the Care Quality Commission in October 2016.
England’s Chief Inspector of Hospitals has upgraded the rating of Lancashire Care NHS Foundation Trust from Requires Improvement to Good following a comprehensive inspection by the CQC in September 2016
Care Quality Commission (CQC) inspectors have updated ratings for the Tavistock and Portman NHS Foundation Trust following an inspection in November 2016, rating us as Good across all categories.
The government must do more to coordinate its efforts to establish a culture of open-minded learning and investigation within the NHS in England, says the Public Administration and Constitutional Affairs Committee in its report.
Experts acknowledge that mental health problems may be more difficult to diagnose for people with learning disabilities. This is because it can be harder for the person to explain how they are feeling and what help they would like.
England's Chief Inspector of Hospitals has told Sussex Partnership NHS Foundation Trust that, although it has made significant progress since CQC’s last inspection, it must make further improvements to the quality of its services following an inspection by the Care Quality Commission.
The Chief Inspector of Hospitals has rated South West London and St George’s Mental Health NHS Trust as Good overall after the latest focused inspection by the Care Quality Commission.
A team of inspectors, including specialist advisors and experts by experience had visited the trust during March 2016 as part of its programme of inspections of all NHS mental health trusts, rating the trust as Requires Improvement overall. However, after a subsequent inspection during September 2016 inspectors found significant improvements.
The trust is now rated Good for being effective, caring, responsive and well-led. It is rated Requires Improvement for being safe.
The Care Quality Commission has told West London Mental Health NHS Trust that it must make significant improvements in the care of patients at Broadmoor Hospital in Berkshire.
CQC has issued a Warning Notice requiring the trust to improve care at the high security psychiatric hospital.
Inspectors visited Broadmoor in November 2016 to check the trust’s progress in meeting requirements that had been identified on a previous inspection. On the latest inspection, CQC found that the trust still did not have enough suitably qualified staff deployed to meet the needs of patients.
In response to the data, Dr Paul Lelliott, deputy chief inspector of hospitals (lead for mental health), said:
“It is concerning to see that more people are being detained under the Mental Health Act than in previous years, when there is a national commitment to reduce this number.
Our review of the way NHS trusts review and investigate deaths has found that opportunities to learn from patient deaths are being missed – and too many families are not being included or listened to when an investigation takes place.
Home News Press Releases CQC calls for action to end missed opportunities to learn from patient deaths
CQC calls for action to end missed opportunities to learn from patient deaths
Published:
13 December 2016
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A national review by the Care Quality Commission (CQC) has found that the NHS is missing opportunities to learn from patient deaths and that too many families are not being included or listened to when an investigation happens.
NHS investigations and reporting of deaths (leading on from Southern Health issues). You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
Emergency and urgent MH liaison targets. You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
England’s Chief Inspector of Hospitals has upgraded the overall rating of 5 Boroughs Partnership NHS Foundation Trust from Requires Improvement to Good following an inspection in July this year.
England's Chief Inspector of Hospitals has told Leeds and York Partnership NHS Foundation Trust that it must make improvements following an inspection by the Care Quality Commission in July 2016.