Priory Hospital Arnold

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

Patients told us they were involved in their care and treatment through attending ward rounds. Staff completed comprehensive patient assessments including regular physical health checks and delivered evidence-based care and treatment. Staff attended multi-disciplinary meetings where patients were involved in discussions about their care in a co-ordinated way between different services including external partners. Patients had access to various therapies and activities including occupational therapy, psychological therapies, and assistance with daily living activities. Patients were aware of their right under Section 132 of the Mental Health Act (these states as soon as a patient is detained under the Act the patient must be given their rights orally and in writing, unless it is not practicable at that time. If this is the case, it must be documented in the patient's electronic care record).

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.

Patients told us staff treated them as individuals, and they were involved in their treatment decisions. They felt involved in their care and risk management planning. Their families and other people who contributed to their care were invited to attend treatment reviews at ward rounds if they had consented to this. Patients said they felt that everyone worked well with them.

Staff told us they always encouraged patients to be involved with care and risk planning. Staff demonstrated an understanding of the value of the patients voice when providing good quality person-centred care.

Staff had clear processes in place to complete admission assessments and ensure care plans were person centred and kept up to date.

Patients were able to speak to staff about their care and treatment and were seen as an individual. They felt staff supported them.

Treatment provided was in line with legislation and best practice guidance. Staff attended regular meetings and completed mandatory training to keep up to date with the latest legislation and good practice guidance. Care provided was evidence based, measurable and person centred. Staff supported patients to understand their treatment plans and demonstrated a good knowledge of the communication options available, including the access to interpreter services.

Managers had monthly medical advisory committee meetings in place. These were multi-disciplinary meetings attended by pharmacy and nursing staff including ward managers, where they would discuss medicines management and actions would be put in place and reviewed where required. Each ward was discussed in detail ensuring appropriate medicines management was in place. Staff had a weekly patient safety meeting in place where patient safety issues including environmental issues and policies were discussed in detail by a multi-disciplinary team. These meetings were logged clearly showing where actions had been identified what mitigation was going to be put in place.

Patients felt comfortable speaking to staff about their treatment and received information when they requested it. Their care was coordinated, and everyone involved in their care worked well with them.

Staff had access to support and information needed to provide good quality person centred care. Staff worked well with external partners involved with patients. External partners were invited to treatment reviews to enable continuity of care and support for either planned discharge or relocation to another provider.

We observed good quality interactions between staff and patients. Staff were always present and available for patients offering a range of activities on the ward. Information was displayed on ward notice boards relating to care, advocacy access, activities, communication needs and feedback on care.

Treatment plans were developed through a multi-disciplinary approach. These were reviewed on a weekly basis through multi-disciplinary ward review meetings.

Patients told us staff were available to discuss their treatment and knew they would be supported to get the correct information.

Staff encouraged patients to be involved in their care and supported them to make decisions about their care and treatment including healthier lifestyle choices, where possible. Patients were involved in monitoring their health and were encouraged to take part in the necessary assessments and physical health checks to achieve this.

Patients had access to information on making healthier meal choices. The service had processes in place to ensure patients had access to specialist advice from dieticians if required.

Patients felt staff saw them as individuals and their care was personal to them. Patients attended ward rounds where their treatment progress would be discussed.

Staff told us treatment plans were evidence based and monitored for outcomes. They were based on national guidance. Staff monitored and assessed patients’ needs, which enabled them to keep improving. Lessons learnt from incidents and positive patient outcomes were shared, which helped to improve the service.

Care plans in place measured patient outcomes and goals. Treatment plans were evidence based and multi-disciplinary team members monitored outcomes to drive continued improvement.

Patients knew their rights and were informed of them regularly. They had access to an independent advocate who attended the service 3 days a week.

Staff demonstrated good knowledge of the Mental Capacity Act 2005 and consent to treatment. All patients were encouraged and supported to have input into their treatment and care plan. If staff had concerns around patients’ capacity to consent, they knew what actions to take.

We reviewed 19 patient care and treatment plans. We found they were all detailed, person centred and gave an overview of patients’ needs. They evidenced consent to treatment documentation was in place.

We requested information around Mental Health Act data including informing patients of their rights under Section 132. All patients had received their rights and all patients detained under the Mental Health Act had been scheduled to have their rights explained 3 monthly.