Schoen Clinic Chelsea

Updated 4 May 2022

Schoen Clinic Chelsea was registered in March 2019, this was the first inspection of Schoen Clinic Chelsea.

Schoen Clinic Chelsea is a mental health day care and outpatient treatment service. The service operates two treatment pathways:

Treatments for adults with anxiety and mood disorders (A&M)

An eating disorder service for children and young people (ED)

The service operates five days a week, including evenings, and offers patients and young people and families the options of face to face treatment or an online therapy programme. The clinic is in a purpose built building there is a reception area, six therapy rooms, three group therapy rooms, a lounge, relaxation area, a treatment room and kitchen/dining room.

Schoen Clinic Chelsea is registered to provide the following regulated activities:

Treatment of disease, disorder or injury

Diagnostic and screening procedures.

Our inspection team

The team that inspected this service comprised of three CQC inspectors, one CQC inspection manager and one specialist advisor who had experience of working within eating disorder services.

What people who use the service say

Every person we spoke to was overwhelmingly positive about the care they had received or were receiving at the service. All the patients, young people and carers/parents praised the staff and told us how they had helped put them at ease and made them feel ‘normal’. One patient said that the kindness they received from everyone from the reception staff to the consultant made them feel accepted for who they are. Multiple patients told us that the service had changed their lives for the better.

Young people’s parents also praised the service highly. Parents said that the service was incredibly supportive and provided a clear programme ahead of them. All the parents we spoke to felt suitably informed and had regular appointments with their child’s key worker. One parent said, “the service made me feel like my daughter is the only one on the programme”. We received no negative feedback from parents or young people in relation to the service.

Updated 4 May 2022

We rated it as good because:

• The service provided safe care. The premises where patients were seen were safe and clean. There were sufficient staff of different disciplines to ensure patients, young people and families received the time they needed. Staff managed risk well.
• Staff completed a comprehensive assessment of all patients and young people. The physical health of young people was closely monitored during their time in the programme. Staff engaged in clinical audit to evaluate the quality of care they provided.
• Staff provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. In the anxiety and mood day programme patients were offered a range of evidence based therapeutic groups alongside individual therapeutic input. Therapeutic groups provided in the eating disorders day programme included body image group, self-esteem group, creative arts, parents group and a MANTRA group adapted for young people from the Maudsley Model of Anorexia Treatment for Adults, an evidence-based approach.
• The teams included or had access to the full range of specialists required to meet the needs of patients and young people under their care. Managers ensured that these staff received supervision and appraisal and opportunities for professional development. Staff worked well together as a multidisciplinary team and relevant services outside the organisation.
• Staff treated patients and young people with compassion and kindness and understood the individual needs of patients and young people. They actively involved patients and young people in decisions. Young people were actively involved in care and treatment.
• Every person we spoke to was overwhelmingly positive about the care they had received or were receiving at the service. All the patients, young people and carers/parents praised the staff and told us how they had helped put them at ease.
• Staff supported family members throughout their loved one’s treatment. All the family members that we spoke to said that the level of support provided by staff was greatly appreciated and they felt involved in their loved one’s care.
• The service was easy to access. Staff planned and managed discharge well and had alternative pathways for people whose needs it could not meet.
• Staff offered flexible appointments to patients, young people and family members. Staff would adapt the timing of appointments and therapies to suit individual’s work and school commitments.
• The service was well led, and the governance processes mostly ensured that its procedures ran smoothly.

However:

• Staff did not always complete a full record to demonstrate the reasons why they had not made referrals to the local authority to keep individuals safe from abuse and improper treatment.
• Care plans of patients on the anxiety and mood pathway did not always demonstrate patient involvement and some lacked sufficient detail.
• Care records of adult patients did not always clearly explain how patient risks were being managed.

Updated 4 May 2022

Updated 4 May 2022