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Good practice highlighted at Greater Manchester mental health trust

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Greater Manchester West Mental Health NHS Foundation Trust has been rated “good”, following its latest inspection by the Care Quality Commission.

The trust was rated “good” for providing services that were caring, effective, responsive, and well-led but as “requires improvement” for being safe.

“The trust did many things well and we saw good practice across most services”

Paul Lelliott

The trust, which was inspected in February, provides community-based and inpatient mental health care and treatment for people living within Salford, Bolton and Trafford.

It also provides a wide range of more specialised mental health and substance misuse services across Greater Manchester, the North West of England and beyond.

In acute wards for adults of working age and psychiatric intensive care units, CQC inspectors said they found some excellent examples of good practice.

For example, there was evidence of excellent inter-agency working across all wards, said the regulator. On one ward pregnant patients and new mothers were often supported by midwives and breast feeding specialists.

“I would like to extend our thanks to our remarkable staff who work”

Bev Humphrey

Meanwhile, on wards for older people with mental health problems there was a room to provide end of life care for patients. They had good links with the local hospice and Macmillan nurses to ensure that patients were looked after in the best possible way in the final weeks of their life.

In long stay/rehabilitation mental health wards for working age adults, the care plans were judged to be of a very high standard with evidence of carer involvement. All patients stated that they had been involved in the care plans and contributed to the content, reflecting their needs and wishes.

Areas of good practice were also identified in community-based mental health services for older people and adults of working age.

The CQC said teams had a physical health lead, who visited people at home to complete physical health screening and tests. There was also a multi-disciplinary group of professionals from both mental health and physical health backgrounds that reviewed complex cases.

However, the trust was told to make improvements in acute wards for adults of working age and psychiatric intensive care units,

It must ensure that all relevant staff have the necessary training in order to safely perform their roles and protect patient safety, said the CQC in its report.

Care Quality Commission

Dr Paul Lelliott

Paul Lelliott

In addition, it was told to ensure that equipment and medical supplies were replaced when necessary in order for safe care and treatment to be delivered to patients in an emergency situation.

Dr Paul Lelliott, the CQC’s deputy chief hospital inspector and lead for mental health, said: “My inspectors found staff were caring, professional and worked to support the patients using the services.

“The trust did many things well and we saw good practice across most services,” he said.

But he added: “There are some areas where we have asked the trust to focus on, including staff mandatory training. In some wards for older people, accommodation was not always being provided in line with same sex guidance.

“Building on the very firm foundations of this inspection I believe this trust will continue the improve and I look forward to reading their next inspection report,” said Mr Lelliott.

Trust chief executive Bev Humphrey thanked her “remarkable staff” for their hard work in making the organisation somewhere to “be proud of”.

Bev Humphrey

Bev Humphrey

Bev Humphrey

She said: “We are pleased that the rating reflects the commitment we hold to offer the best mental health care and support possible.

“It was excellent to see that the CQC described our staff as ‘kind, caring, professional and non-judgemental’ and that they treated service users with dignity and respect,” she said. “These are fundamental aspects of care.”

She added that trust had acted “very quickly and thoroughly” to address the areas of improvement identified by the CQC, including more accurate and consistent recording of mandatory training and environmental improvements in one of its older people’s services.

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