- Independent mental health service
St Matthews Hospital
Report from 19 December 2024 assessment
Contents
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
Effective
Staff planned and delivered patient’s care and treatment with them. Staff encouraged collaborative working with patients and ensured they were active partners in their care, where possible. Staff listened to what really mattered to patients and incorporated this into ongoing care and treatment which was reviewed regularly with the multi-disciplinary team. Patients told us they felt involved in their care. Staff took time to discuss and explain anything they did not fully understand. Provider policies and procedures contained relevant references to evidence-based practice as well as relevant legislation and national guidance. For example, the care planning policy included several references to guidance, including, but not limited to the National Institute for Health and Care Excellence (NICE) guidance around people’s experience using adult care services (2019); NICE guidance around decision making and mental capacity (2018) as well as the Nursing and Midwifery Council (NMC) Legislation, and the Data Protection Act (2018). Managers regularly audited numerous aspects of ongoing care and treatment to monitor the quality of the service. Examples of regular audits included call bell audits; infection prevention and control; medicines; nutrition; observation and safeguarding audits.
This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Assessing needs
We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.
Delivering evidence-based care and treatment
Patients said that they felt staff did see them as individuals and because of this knew the patients’ strengths and areas in which they may need a little extra support. Patients also said that the staff were aware of patients’ personal goals and supported them to achieve these. Patients felt supported by staff to manage their care and treatment. All patients we spoke with told us that they had input into their care plans. Staff informed patients of any possible changes, with individual preferences considered when updating and reviewing.
Staff completed a high number of individual care plans for each patient. Staff undertook thorough assessments which included each patients mental health, physical health and social circumstances. Staff aimed to work with each patient where possible. Senior staff completed regular audits of care records, taking into consideration evidence-based practice and national guidance. One recent example staff gave was around updated NICE guidelines related to epilepsy. Guidance included what should be included within a patient’s care plan. Senior staff had shared this information with all staff, to ensure the guidance was reflected within individual care plans of patients who had epilepsy.
Policies and procedures contained relevant references to evidence-based practice as well as relevant legislation and national guidance. They offered all staff underpinning knowledge in specific areas of care and treatment. Initial induction to the service and training provided to staff supported this. Managers ensured staff working collaboratively with patients was embedded into relevant policies and procedures, to maximise joint working and work towards individual goals. Staff were informed to protect people’s fundamental human rights and promote person centred care at all times, including when any restrictions were placed upon them.
How staff, teams and services work together
We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.
Supporting people to live healthier lives
We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.
Monitoring and improving outcomes
We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.
Consent to care and treatment
We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.