22 August 2012
Care Quality Commission publishes two reports
Reports into AWP community and inpatient services have
been published by the Care Quality Commission (CQC) following
routine inspections last month.
Road inpatient services were given a clean bill of health, with
improvements made since the CQC last inspected meaning that the
hospital now meets the essential standards inspected.
But having visited 11 community teams in Bristol, South
Gloucestershire, B&NES, Swindon and North Wiltshire, inspectors
concluded that four of the five essential standards inspected were
not being met and this could have a 'moderate' impact on people
using the service.
At Callington Road, the inspectors looked at the essential
standards covering consent to care and treatment, care and welfare
of people who use services, safeguarding, supporting workers and
assessing and monitoring the quality of service provision. During
their visit, inspectors spoke with staff, service users and
relatives, receiving many positive comments. Inspectors concluded
that "patients were cared for and treated by staff who had an
understanding about the different complex mental health needs and
the impact this had on all aspects of their lives."
As the CQC itself acknowledges, the community inspections took
place midway through the implementation of the planned redesign,
which involved more than 700 staff and more than 30 teams. Many of
the issues highlighted by the inspectors had been identified by the
Trust to the CQC in advance of the team visits and actions were in
place to deal with these issues.
While most people spoken to by the inspectors were happy with
the service they received and praised staff, the CQC raised
concerns about the limited evidence of people's views and
experiences being taken into account in the way the service was
provided, insufficient information on services, difficulties in
contacting the service, incomplete care records, a lack of
assurance that people's needs, including risks, were always
assessed in a timely fashion and insufficient qualified, skilled
experienced staff to meet people's needs.
In one team, the inspectors raised a safety alert as they were
concerned about the number of cases where a new care coordinator
appeared not to have been appointed but following investigation by
the Bristol Safeguarding Board, they are content at the steps taken
by the Trust.
Director of Nursing Hazel Watson said: "Despite raising four
moderate concerns, the CQC raised no other immediate patient safety
issues. We are working hard to tackle the vacancies and since the
inspections were made some 30 people have been recruited.
"I am pleased that in both reports the Trust recognises the work
of staff and complemented them on many aspects of their practice.
We recognise that the redesign of community services has had a
major impact on colleagues but we are confident that once complete,
staff and service users will benefit from the changes."
Visit the CQC website to access the community teams report and the Callington Road report.