St Michael's Hospital

Updated 17 April 2014

The Trust has a total of 21 active locations. There are three hospitals sites: Brooklands, St Michael’s Hospital and Caludon Centre. 11 of these locations provide mental health services.

The Trust provides a wide range of mental health and learning disability services for children, young adults, adults and older adults as well as providing a range of community services for people in Coventry.

Coventry and Warwickshire Partnership NHS Trust has been inspected 21 times since registration.  Out of these, there have been 10 inspections covering five locations which are registered for mental health conditions.

There are two acute admission wards, one psychiatric intensive care unit (PICU), rehabilitation wards and Crisis teams linked to the hospital.

Updated 17 April 2014

St Michael’s Hospital is a purpose built facility in Warwick, providing inpatient and outpatient adult mental health care.

Larches

Core service provided: Acute admission

Male/female/mixed: mixed

Capacity: 20

Willowvale

Core service provided: Acute admission

Male/female/mixed: mixed

Capacity: 20

The Rowans Ward

Core service provided: Psychiatric intensive care 

Male/female/mixed: mixed

Capacity: 11

Rosewood

Core service provided: Long stay/forensic/secure services

Male/female/mixed: mixed

Capacity: 15

Hazlewood

Core service provided: Long stay/forensic/secure services

Male/female/mixed: male

Capacity: 12

We found that the two acute admission wards at St Michael’s Hospital, Larches and Willowvale, had staff that wanted to deliver good-quality care, and this was confirmed by the people receiving care and treatment there. We saw some good examples of compassionate care that valued the individual needs of people on their roads to recovery. However, record keeping did not always reflect the personalised care that people told us they received.

Since CQC’s inspection Larches Ward is now for men only.

The psychiatric intensive care unit provided a safe and secure environment for people who needed an intensive and supportive environment during their stay in hospital. The unit is for both men and women. As an intensive care unit, Rowans is exempt from national guidance on mixed sex accommodation. The Trust told us that it tried as far as practicable to ensure that suitable arrangements were in place to offer men and women separate toilet areas. At the time of the inspection this was not clear as a sign had been removed from a toilet door.

The Crisis teams provided a combination of crisis assessment and home treatment to people experiencing mental illness. The service also acts as a ‘gatekeeper’ for all referrals to mental health services. We saw good examples of multi-disciplinary working between the crisis teams and the acute admission wards, therefore ensuring that people had a seamless journey of care. We saw that the service regularly checked the views of people and the results of surveys were used to improve the crisis service.

Rosewood Terrace and Hazelwood Unit staff used a ‘recovery’ approach to empower people to identify their needs and the support required. There were systems, including risk assessments, to keep people safe and for reporting any issues of concern. Improvements were needed to record keeping to ensure all records were accurate, accessible and showed people’s involvement. Systems were in place for people and staff to give feedback on the service, as were audits for measuring the quality and effectiveness of services. Staff helped people access community teams and services as part of their transition from hospital. Staff were given information and understood the trust’s governance framework, such as systems for feedback after incidents. Staff told us they were supported by their teams and line managers and could give feedback on the service. They said they had direct contact with their managers, but did not meet trust executive team members.

During our visit to Rosewood Terrace and Hazelwood Unit we found 16 people were detained under the Mental Health Act (MHA) 1983. Some paperwork relating to the MHA and code of practice was not easily accessible. We identified that community leave plans had set conditions for people not detained under the MHA. This indicated they could not always access community leave when they wanted.

Updated 17 April 2014

The crisis teams provide a combination of crisis assessment and home treatment to people experiencing mental illness. The service also acts as a ‘gatekeeper’ for all referrals to mental health services. We saw good examples of multi-disciplinary working between the crisis teams and the acute admission wards ensuring that people had a seamless care journey. The service regularly checks people’s views and uses the results of surveys to improve the crisis service.

Updated 17 April 2014

Rosewood Terrace and Hazelwood Unit had systems to keep people safe and for reporting any issues of concern. Risk assessments also related to keeping people, and the environment, safe. Improvements were needed for record keeping to ensure all records were accurate, accessible and showed people’s involvement.

People and staff could give feedback on the service, and audits were used to measure the service’s quality and effectiveness. Staff helped people access community teams and services to help them move on from hospital to live in the community.

Rosewood Terrace and Hazelwood Unit staff used a ‘recovery’ approach to empower people to identify their needs and support required. People told us staff gave them support and there were opportunities for people to maintain and learn skills for independence. Care planning records did not always fully show people’s involvement. People gave us mixed views about their involvement and some people referred to paperwork being completed with them but not knowing what it was for.

Staff worked with a range of external community teams and agencies to help people access services, as required, as part of their transition from hospital to the community. People could give feedback on the

 service and raise any complaints. These were reviewed and actions considered to make any improvements. The rehabilitation and recovery service had identified that it needed to develop its systems to get greater feedback from people and relatives to influence the service.

Staff were aware of the aims and vision of the trust and governance systems monitored the performance in services. Whereas staff could talk about leadership within their service, they had limited contact with executive team members. Some staff did not know all the ways to give feedback centrally on trust issues.

Updated 17 April 2014

The Rowans Ward provided a safe and secure environment for people who needed an intensive and supportive environment during their stay in hospital. The trust stated that as an intensive care unit, Rowans is exempt from national guidance on mixed sex accommodation however it tried as far as practicable to ensure that suitable arrangements were in place to offer men and women separate toilet areas. At the time of the inspection this was not clear as a sign had been removed from a toilet door.