The Care Quality Commission
  • Mental Health
  • Independent mental health service

255 Lichfield Road

Overall: Good read more about inspection ratings

Bloxwich, Walsall, West Midlands, WS3 3DT (01922) 694766

Provided and run by:
Partnerships in Care 1 Limited

All Inspections

25th to 26th September 2017

During a routine inspection

We rated 255 Lichfield Road as Good because:

  • The service routinely completed assessments of the environment to ensure the safety and wellbeing of staff and patients.
  • Risk assessments and care plans were detailed, reviewed frequently and identified patients strengths and goals. Patients and carers were involved in care planning and review meetings and we saw a focus on recovery and discharge planning by the clinical team.
  • Local and regional governance structures were in place to ensure that quality of service delivery was monitored by senior managers. The service reported on a range of key performance indicators and there was evidence of shared learning with other hospitals in the organisation.
  • Patients had access to a range of staff to meet their physical health, psychological and rehabilitation needs. The service used nationally recognised rating scales and assessments to identify patient need and monitor improvements in patients' wellbeing.
  • There were sufficient staff with suitable qualifications and skills to support patients. Sickness levels were low and the registered manager was able to access bank and agency staff where needed.
  • Attendance at mandatory training was high and was monitored by the registered manager. All eligible staff had received an annual appraisal and accessed regular supervision and peer support.
  • Staff were aware of their responsibility to report incidents and had received training in the safeguarding of children and adults.
  • Staff adhered to the Mental Health Act Code of Practice and restrictions placed on patients were based on an individual assessment of risk and need.
  • Staff described morale as excellent and reported a culture of mutual support and team working. The registered manager was described as accessible, responsive and patient focussed.

12th-13th October 2015

During a routine inspection

We rated 255 Lichfield Road as good because:

  • All areas were clean and well maintained and furniture was in good condition and comfortable.
  • Staff completed a risk assessment of every patient on admission and updated them regularly. All risk assessments included crisis plans.
  • All of the care plans we reviewed were thorough, holistic and recovery focussed.
  • Care plans were tailored specifically to the needs of the patient and included physical health and vocational goals
  • Staff were using the Lester tool to assess the cardio-metabolic health of patients experiencing psychosis and schizophrenia.
  • A psychologist recently joined the service and was developing a psychological intervention pathway for patients in line with the 2014 NICE guidance for the prevention and management of psychosis and schizophrenia in adults.
  • During the inspection we observed care from staff that was respectful and promoted dignity and choice.
  • A multi disciplinary approach to assessing the suitability of referrals to the service was taking place.
  • There was a full range of facilities to support treatment and care.
  • Patients told us that concerns were dealt with promptly and effectively by staff and that they received feedback following this process.
  • Regular supervision had not been happening in the service. The new manager had identified this and developed a supervision strategy, with other senior staff to resolve this

However:

  • The electronic records system had not been updated following the change in service provider. The manager had requested that the new providers' "care-notes" system be integrated within the service and training made available to staff.
  • Effective communication with local services providing physical healthcare for patients was not consistently happening. Medical and nursing staff from the service had met with the local GP practice to improve this but it had not been fully resolved at the time of our inspection.
  • Two staff raised concerns about poor exterior lighting in the self contained bungalow area, which made them feel vulnerable when working night shifts. This was fed back to the manager following our visit.