Archived: York & Selby Early Intervention Service

Updated 15 March 2017

The York and Selby Early Intervention Service is an independent mental health community service, based in York, North Yorkshire. The provider of the service is Community Links Northern Ltd. The NHS trust contract with Community Links to provide the early intervention in psychosis service in the local area. Because of this, the service works closely with the trust to ensure it fulfils the details of the contract.

The service provides community mental health support to people aged 14 to 65 experiencing their first episode of psychosis, or those thought to be at risk of developing psychosis. The service works intensively with service users for up to three years before they are discharged into other care services. The service takes on the role of care-coordination for the people they work with. It provides support to people living in York, Tadcaster, Selby and Easingwold.

This service has been registered with the Care Quality Commission since 2012 to carry out the following regulated activity:

• Treatment of disease, disorder or injury.

The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The Care Quality Commission last inspected this service in June 2016. At that time, we found that the service had breached regulations and we issued four requirement notices. These related to the following regulations under the Health and Social Act (Regulated Activities) Regulations 2014:

• Regulation 12: Safe care and treatment.
• Regulation 15: Premises and equipment
• Regulation 17: Good governance
• Regulation 18: Staffing

Updated 15 March 2017

We rated the York and Selby Early Intervention Service as good overall because:

Following our inspection in June 2016, we rated the services as good for responsive and caring. Since that inspection, we have received no information that would cause us to re-inspect these key questions or change the ratings. During this inspection, we found that the service had addressed the issues that had caused us to rate safe, effective and well led as requires improvement following the June 2016 inspection. However, the service had outstanding issues in the effective domain regarding training in the Mental Health Act.

The service was now meeting Regulations 12, 15, 17 and 18 of the Health and Social Care Act (Regulated Activities) Regulations 2014.

• We felt that the service was safe because medicines management practice had improved. The provider had also made changes to the building to make it safer for service users and staff. Staff had received training in resuscitation and in the prevention and management of violence and aggression. The learning of lessons from incidents had improved.
• We felt that the service was effective because the provider had made clear policies and guidance available to staff regarding the Mental Health Act and Mental Capacity Act. The provider had made training in both Acts mandatory for staff. The involvement of advocacy services had increased.
• We felt that the service was well led because the service manager had taken action to rectify the concerns raised from the last inspection and made improvements. The service had a robust governance system in place relating to policies and procedures which had been updated since our last visit. The service had formed a clearer governance and reporting structure with the NHS trust it contracted with.

Updated 15 March 2017