Nottinghamshire Healthcare NHS Foundation Trust

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• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

Young people were involved in the care and treatment plans. They could raise concerns through ward community meetings. The wards had access to a full multidisciplinary team to ensure patients had access to medical professionals as required. Staff monitored patients’ physical health regularly.

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.

We did not look at Kindness, compassion and dignity during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Treating people as individuals during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Independence, choice and control during this assessment. The score for this quality statement is based on the previous rating for Caring.

Young people told us they felt involved at every stage of their admission to hospital. Both young people and their families were given feedback forms before the weekly care planning meeting. This enabled staff to monitor the effectiveness of treatment plans and make changes if required. Young people said they attended the ward community meetings and were able to raise issues of concern. They said staff worked with them to complete a risk assessment which identified how staff could recognise their distress and details of how to support them individually. One young person said, “my plans printed off looking at what I need to help me and what does not help me when I’m distressed”.

Staff we spoke with said they had built very good relationships with the young people. They had access to the individual child and adolescent specific risk assessments in place. They told us they worked with the young person to identify personalised care plans in a format developed to meet the needs of the person and encouraged them to display this in their room. Managers said they had prompt access to a variety of specialists as required, these included a physical healthcare matron, paediatric nurse, and a consultant in nutrition and hydration.

We looked at 5 care and treatment plans, we saw staff worked in collaboration with young people and their families to identify specific needs and to develop plans which best met them. For example, a specific child and adolescent risk assessment tool was used with sub sections which looked at complex needs. We saw both the young person and their families’ perspectives and expectations were also recorded.

The service had contributed to the trusts' Brain Rest Protocol for young people within the wards. The process is intended to support young people who are at risk of mild-moderate traumatic brain injury as judged by health professionals. The service had developed physical monitoring plans which aimed to work with young people with disordered eating behaviour to recognise strategies to avoid the need for invasive feeding practices.

We did not look at Workforce wellbeing and enablement during this assessment. The score for this quality statement is based on the previous rating for Caring.