Archived: Mental Health and Well Being Services

Updated 19 December 2019

The Mental Health and Well Being Service is a standalone service that is run by Mental Health and Well Being Services Ltd.

The service address is:

Building 2 Charlesworth Court,

Off Knights Way,

Battlefield Enterprise Park,

Shrewsbury,

SY1 3AB

The service was led by the registered manager who is a consultant psychiatrist. He was supported by another consultant psychiatrist with practicing privileges, a consultant psychotherapist, three nurse non-medical prescribers and a health and psychology practitioner. The clinical team are supported by administrative staff who manage appointments and are the first point of contact for new referrals to the service.

A number of clinics are held at a satellite location led by the nurse prescribers at the Malinslee Medical Practice in Telford, for those individuals commissioned for the ADHD service by the NHS. This site was not visited as part of this inspection.

The service is open Monday to Friday 9am-5pm. However, there are additional appointments available during evenings and weekends to meet the needs of patients. All appointments must be pre-booked.

The service is registered to provide the following regulated activity:

• Treatment of disease, disorder or injury

How we inspected this service

We carried out an announced comprehensive inspection at Mental Health and Well Being Services on 30 October 2019. Before visiting the service, we reviewed a range of information we hold about the service. Prior to the inspection we reviewed any notifications received, and the information provided from the pre-inspection information request.

During our visit we:

• Spoke with the registered manager, health and psychology practitioner, psychotherapist and two administration staff.
• Looked at the equipment and rooms used by the service.
• Reviewed 10 case records, three personnel files, clinical policies, minutes of meetings and other policies.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 19 December 2019

We carried out an announced comprehensive inspection at Mental Health and Well Being Services as part of our inspection programme. Mental Health and Well Being Services provides a variety of mental health assessments and treatment for private patients and a specialised NHS commissioned service for adults with Attention Deficit Hyperactivity Disorder (ADHD). The service also provides consultations and treatments for children from the age of eight years old.

Dr Wasi Mohamad is the registered manager. A registered manager is a person who is 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.

A total of 24 people provided feedback about the service. One patient and one carer attended the inspection, 18 shared their opinions through comment cards completed before our inspection. Four patients shared their experience through the CQC’s website. All feedback received was positive and complimentary of the service received.

Our key findings were:

• The service was responsive to meet the needs of the individuals who used the service and were delivered in a way to ensure flexibility and continuity of care. People could access the service at a time that suited them, with additional appointments offered out of hours.
• The service used telecommunication applications to provide video appointments and consultations for those patients who were unable to attend a clinic or appointment, to increase patient access to the service.
• Patients and carers that we spoke with and feedback received through comment cards and the CQC website were extremely positive about the service they received.
• Patients and their carers told us that they felt listened to and worked in collaboration with the service in regard to their care.
• The service had not received any complaints since it’s opening.
• All staff received regular supervision and appraisals.
• There was good record keeping and a very high standard of overarching governance of the service.
• Clinical audit had a positive impact on quality of care and outcomes for patients.

We saw the following outstanding practice:

• The leadership, governance and culture were used to drive and improve the delivery of high-quality person-centred care.
• The registered manager of the service inspired and motivated staff to succeed in their roles and for the service to deliver exceptional patient care. The continuing development of staff skills, competence and knowledge was recognised as integral in providing high quality care.
• There was a strong, person-centred culture. Staff were highly motivated to offer care that was kind and promoted dignity. Relationships between patients and staff were strong, caring and supportive. These relationships were highly valued and promoted by the registered manager.
• Patients’ immediate and ongoing needs were very fully assessed. This holistic assessment recognised social and physical health risks alongside mental health needs.
• The registered manager drove continuous improvement and there was a proactive approach to seeking out and embedding new treatments, such as the introduction of repetitive Transcranial Magnetic Stimulation (rTMS) therapy, as an additional model of care.
• Positive outcomes for patients were identified by service evaluation for the Attention Deficit Hyperactivity Disorder (ADHD) service through recognised outcome measures.

Dr Kevin Cleary

Deputy Chief Inspector of Hospitals (Hospitals - Mental Health)