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.
Publication of report on closure of Bootham Park Hospital and eventual transfer to TEWV. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
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.
Barnet, Enfield and Haringey Mental Health NHS Trust (BEH) is embarking on a new era in their quality improvement journey.
BEH is teaming up with Haelo, the Innovation and Improvement Science Centre founded at Salford Royal NHS Foundation Trust, (SRFT) as part of their world-renowned quality improvement programme.
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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.
Camden and Islington NHS Foundation Trust has been rated as Requires Improvement overall after an inspection by the Care Quality Commission (CQC) in February 2016.
The Care Quality Commission (CQC) today publishes its report following the inspection earlier this year of Camden and Islington NHS Foundation Trust (C&I); it has rated the Trust as ‘Requires improvement’ overall.
South West London and St George's Mental Health NHS Trust (SWLSTG) today (Thursday 16 June 2016) welcomed the publication of England's Chief Inspector of Hospitals report into their services following an intense, week-long inspection involving over 60 experts.
The Care Quality Commission (CQC) rated seven of the ten services that were inspected as Good and three as requires improvement. In particular the CQC commended the Trust on the positive developments it has made in acute inpatient services, community learning disability services and child adolescent and mental health services.
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.
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.
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 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.
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.
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.
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.
England’s Chief Inspector of Hospitals has rated the services provided by Coventry and Warwickshire Mental Health Partnership NHS Trust as Requires Improvement 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.
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.
England's Chief Inspector of Hospitals has rated Greater Manchester West Mental Health 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 safe.
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 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.
England's Chief Inspector of Hospitals has told Surrey and Borders Partnerships NHS Foundation Trust that it must make improvements to some services following an inspection by the Care Quality Commission.
Overall, the trust has been rated as Requires Improvement for providing safe and well led services, and rated Good for being caring, effective and responsive to people’s needs.
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
Categories:
Media
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.
North East London Foundation Trust. You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
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?
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.
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.
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.
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.
In March we were visited by the Care Quality Commission (CQC) who inspected our services. They have now published their reports. We welcome this independent view of our services as an opportunity to continue improving our services for local people.
Without exception, all of our services were found to be caring and the reports highlight how our staff treat people with kindness, care and compassion. Across our 14 service line reports, more than 70% of the individual ratings are ‘Good’ (green).
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.
England's Chief Inspector of Hospitals has rated South West Yorkshire Partnership NHS Foundation Trust as Requires Improvement following an inspection by the Care Quality Commission.
The Chief Inspector of Hospitals has rated Oxford Health NHS Foundation Trust as Good after inspectors from the Care Quality Commission found that a number of its mental health services had improved.
The trust provides community health, mental health and specialised health services across Oxfordshire, Buckinghamshire, Milton Keynes, Berkshire, Swindon, Wiltshire, Bath and North East Somerset.
On its previous comprehensive inspection in September and October 2015, the trust had been rated as Requires Improvement overall. At the time the trust was told that it must make improvements in three core mental health services
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.
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.
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.
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.
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 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.
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.
Today we have published a new report detailing the findings from our comprehensive inspections of specialist mental health services over the last three years.
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.
Dr Paul Lelliott, Deputy Chief Inspector of Hospitals (and lead for mental health) said:
"We welcome this report, which highlights the failure of Southern Health NHS Foundation Trust to investigate and learn from the deaths of people who received care from their Learning Disability and Mental Health services. We will be working closely with NHS England, Monitor and the Health and Safety Executive to understanding the implications of its findings.
"We will also be undertaking a wider review into the investigation of deaths of people with Learning Disabilities in Mental Health and Acute trusts in different parts of the country. As part of this review, we will assess whether opportunities for prevention of death have been missed, for example by late diagnosis of physical health problems."
CQC is carrying out a review of how NHS trusts identify, report, investigate and learn from deaths of people using their services.
This follows a request from the Secretary of State for Health, which was part of the Government’s response to a report into the deaths of people with a learning disability or mental health problem in contact with Southern Health Foundation NHS foundation Trust.
CQC’s review will consider the quality of practice in relation to identifying, reporting and investigating the death of any person in contact with a health service managed by an NHS trust; whether the person is in hospital, receiving care in a community setting or living in their own home. The review will pay particular attention to how NHS trusts investigate and learn from deaths of people with a learning disability or mental health problem.
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.
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.
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.
Dr Paul Lelliott, Deputy Chief Inspector of Hospitals (lead for mental health) has welcomed the publication of the independent Mental Health Taskforce's Mental Health Taskforce's Five Year Forward View for Mental Health.
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.
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.
We have now completed our comprehensive inspection programme of all 56 mental health NHS trusts in England, following the development, testing and roll-out of our new model over the last three years.
A new waiting time target for admission to acute psychiatric care of four hours should be introduced, a commission convened by the Royal College of Psychiatrists has said.1
The commission warned that access to acute care for severely ill adult mental health patients was “inadequate nationally and, in some cases, potentially dangerous.” There were major problems both in admissions to psychiatric wards and in providing alternative care and treatment in the community, it added.
The commission asked for a new waiting time pledge to be included in the NHS Constitution from October 2017. It wants a maximum four hour wait for admission to an acute psychiatric ward or for home based treatment.
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 (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.
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
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.
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.
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.
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.
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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.
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.