HMP & YOI Styal

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

At our previous inspection, we found ineffective administration systems to manage patient care. At this inspection, we found improvements in clinic administration and the quality of patients’ records on SytemOne. Simplifying waiting lists, reviewing task lists and cleansing data had led to a much more streamlined clinic management system.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Assessing needs is based on the latest evidence we assessed for the Effective key question.

The judgement for Delivering evidence-based care and treatment is based on the latest evidence we assessed for the Effective key question.

The judgement for How staff, teams and services work together is based on the latest evidence we assessed for the Effective key question.

The judgement for Supporting people to live healthier lives is based on the latest evidence we assessed for the Effective key question.

Managers and clinical leads had reviewed all the waiting lists, removing duplication and cleansing data, for example, the nurse triage waiting list had been removed. Waiting lists for primary care services had been simplified and all staff advised on how they should be used. All waiting lists were accurate and up to date. There was a clear pathway for dealing with urgent needs promptly. Managers reiterated the purpose of each waiting list and ensured they were used correctly. Managers had plans to promote the use of ‘patient recalls’ for follow ups and reviews by training staff on how and when to use them. The provider had reduced the tasks list from over 500 tasks to 299 and work was still ongoing. As part of the cleansing process, staff were carefully checking each task against patients’ records to ensure that actions had been taken and that follows up were planned where needed. In the meantime, managers had clarified when and how staff should use tasks and had good oversight of all new tasks. They completed frequent checks on the tasks list throughout the week to check if they had been used correctly, if they had been sent to the correct person/team, and if they had been closed when completed. They used their findings to inform learning and reiterate the correct practice with staff. The standard of patients’ care records had improved. We reviewed 50 records to assess the quality of the notes and found an improving picture with notes written clearly and contemporaneously.

The judgement for Consent to care and treatment is based on the latest evidence we assessed for the Effective key question.