The Priory Hospital Altrincham Newapproachcomprehensive Report

The Priory Hospital Altrincham Quality Report Rappax Road, Hale, Altrincham, Cheshire, WA15 0NX Tel: 0161 904 0050 Date of inspection visit: 11 and 12 January 2016 Website: www.priorygroup.com Date of publication: 19/05/2016 This report describes our judgement of the quality of care at this location. It is based on a combination of what we found when we inspected and a review of all information available to CQC including information given to us from patients, the public and other organisations Ratings Overall rating for this location Good ––– Are services safe? Good ––– Are services effective? Good ––– Are services caring? Good ––– Are services responsive? Good ––– Are services well-led? Good ––– Mental Health Act responsibilities and Mental Capacity Act and Deprivation of Liberty Safeguards We include our assessment of the provider’s compliance with the Mental Capacity Act and, where relevant, Mental Health Act in our overall inspection of the service. We do not give a rating for Mental Capacity Act or Mental Health Act, however we do use our findings to determine the overall rating for the service. Further information about findings in relation to the Mental Capacity Act and Mental Health Act can be found later in this report. 1 The Priory Hospital Altrincham Quality Report 19/05/2016 Summary of findings Overall summary We rated The Priory Hospital Altrincham as good • staff were polite, friendly, caring and respectful. because: Patients told us staff had a lot of time for them. Staff had a good understanding of patients’ needs and • wards were safe for patients and staff did risk involved relatives in patients’ care. Patients had the assessments to identify and mitigate any risks the opportunity to give feedback about their care and environment posed. There were robust procedures to treatment ensure safe administration and control of medication. • there was a clear governance structure that supported Adequate staffing levels were maintained and the safe delivery of services. There were good lines of occasionally exceeded communication between ward staff and senior • care plans were holistic, recovery-orientated and managers. Staff knew how to use the whistleblowing included patients’ views. A comprehensive therapy process and felt able to raise concerns. Staff did programme was part of the treatment provided. quality walk arounds to ensure good quality services Patients’ physical healthcare was monitored were maintained. throughout their stay. Staff started to plan for discharge on admission. Where patients were detained However: under the Mental Health Act 1983, their rights were • staff were not following the hospital policy for children protected and staff complied with the code of practice visiting the wards • staff monitored incidents and lessons learned from • there were no cleaning schedules on Rivendell ward. incidents were shared with staff regularly. There were This meant ward staff had no record of the ward areas regular comprehensive audits of the requirements of cleaned the Mental Health Act and the Mental Capacity Act. • staff told us that before December 2015, clinical Staff audited the quality of care regularly and took supervision did not take place regularly. action to improve services based on the findings 2 The Priory Hospital Altrincham Quality Report 19/05/2016 Summary of findings Our judgements about each of the main services Service Rating Summary of each main service Acute wards There were robust procedures to ensure that staff for adults of provided safe treatment to patients. All patients working age received comprehensive assessments and care plans and were developed with patients. Staff audited the psychiatric Good ––– quality of care regularly and took action to improve services. Patients told us that staff had a lot of time for intensive care them. Staff were friendly, caring and respectful. units However, staff were not following the hospital policy for children visiting the wards. Child and There were robust procedures to ensure that staff adolescent provided safe treatment to patients. Staff followed mental health appropriate guidance related to children and young wards people, including the Royal College of Psychiatrists guidance on management of really sick patients under 18 with anorexia nervosa (Junior MARSIPAN). Education was provided to patients at the hospital and Good ––– patients told us that staff encouraged them with their education. Patients told us that staff were polite and happy to help. The ward participated in the Quality Network for inpatient Child and Adolescent Mental Health Services (QNIC). However, staff were not following the hospital policy for child visiting and there were no cleaning schedules available on the ward. 3 The Priory Hospital Altrincham Quality Report 19/05/2016 Summary of findings Contents Summary of this inspection Page Background to The Priory Hospital Altrincham 6 Our inspection team 6 Why we carried out this inspection 6 How we carried out this inspection 6 What people who use the service say 7 The five questions we ask about services and what we found 8 Detailed findings from this inspection Mental Health Act responsibilities 11 Mental Capacity Act and Deprivation of Liberty Safeguards 11 Outstanding practice 36 Areas for improvement 36 4 The Priory Hospital Altrincham Quality Report 19/05/2016 Good ––– The Priory Hospital Altrincham Services we looked at Acute wards for adults of working age and psychiatric intensive care units; Child and adolescent mental health wards The Prior y Hospit al Altrincham 5 The Priory Hospital Altrincham Quality Report 19/05/2016 Summar y of this inspection Summary of this inspection Background to The Priory Hospital Altrincham The Priory Hospital Altrincham provides inpatient mental The wards we visited were: health services for young people and adults. The hospital Dunham Ward – a 21-bed mixed gender adult acute ward, also provides inpatient addiction treatment programmes also providing addiction treatment programmes for adults. Tatton Ward – a 14-bed mixed gender adult acute ward Services are provided for patients who are admitted informally and patients detained under the Mental Health Rivendell Ward – a 15-bed female-only child and Act 1983. This report looks at the acute adult inpatient adolescent eating disorder ward. wards and the child and adolescent mental health ward Since its registration with the Care Quality Commission, provided by the organisation. The Priory Hospital Altrincham has been inspected twice The regulated activities at The Priory Hospital Altrincham and each ward has received a visit from a Mental Health include assessment or medical treatment for persons Act Reviewer. The hospital was compliant with detained under the Mental Health Act 1983, regulations at the last inspection in November 2013. accommodation for persons who require treatment for substance misuse, diagnostic and screening procedures, and treatment of disease, disorder or injury. The hospital director is the registered manager and there is a controlled drugs accountable officer. Our inspection team Team leader: Zena Rostron, CQC Inspector The inspection team comprised four CQC inspectors, a CQC assistant inspector and a registered mental health nurse. Why we carried out this inspection We inspected this service as part of our ongoing comprehensive mental health inspection programme. How we carried out this inspection To fully understand the experience of people who use Before the inspection visit, we reviewed information that services, we always ask the following five questions of we held about this service and the information provided every service and provider: by the organisation as requested as part of the inspection process. • Is it safe? • Is it effective? During the inspection visit, the inspection team: • Is it caring? • visited both adult acute mental health wards and the • Is it responsive to people’s needs? child and adolescent eating disorder ward • Is it well led? • looked at the quality of the hospital environment and observed how staff were caring for patients 6 The Priory Hospital Altrincham Quality Report 19/05/2016 Summar y of this inspection Summary of this inspection • spoke with 15 patients and received 13 comments • received feedback about the service from local cards from people who were using the service services including safeguarding and the police • spoke with two peer supporters • attended and observed three handover meetings and • spoke with two relatives of patients who were using one multidisciplinary team meeting the service • reviewed 18 care records of patients • observed the staff interaction and care provided to • reviewed 24 patient prescription charts patients • looked at policies, procedures and other documents • spoke with 20 staff members, including managers, a relating to the running of the service. doctor, a pharmacist, nurses, healthcare assistants and catering staff What people who use the service say We spoke with 15 patients during our inspection. Patients We spoke with two relatives of patients during our told us they felt safe and comfortable on the wards. inspection. They told us that staff were friendly and Patients described their bedrooms as luxurious. They helpful. Relatives reported being involved in the patient’s reported being involved in their care and treatment and care and having information explained to them staff having lots of time to talk. Patients told us that staff throughout their stay. One relative reported being were caring, respectful, helpful and

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