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CQC issues report of contrasts on Greater Manchester mental health trust

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Pennine Care NHS Foundation Trust has been told to improve some services by regulators who also rated others at the same organisation as “outstanding”.

Overall, the trust was issued with a rating of “requires improvement”, following an inspection by the Care Quality Commission.

“We found concerns with the levels of training”

Paul Lelliott

The CQC rated it as “requires improvement” for being safe, effective and well led and as good for being caring and responsive.

The inspection identified a number of areas for improvement including on cleanliness, single sex facilities, patient assessment and care planning.

In contrast, the trust’s child and adolescent mental health wards were rated as “outstanding”.

Pennine Care provides mental health, community and specialist services to populations across Greater Manchester, including Bury, Heywood, Middleton, Rochdale, Oldham, Tameside, Stockport, Glossop and Trafford.

The CQC told the trust it must ensure that patient areas were clean and in good decorative order and that effective monitoring systems were in place to evidence this.

The trust must also ensure that patients are cared for in single sex accommodation, which is in line with guidance to ensure safety, privacy and dignity of patients.

“On the whole we found staff who were respectful, caring and professional”

Paul Lelliott

Bathrooms should be available “without members of each sex having to pass areas occupied by the opposite sex”, noted the regulator in its report on the trust, which was published today.

In addition, the trust must ensure that when patients who lack capacity are subject to restrictions that may by a deprivation of liberty, staff consider the “appropriate framework” for providing care.

The trust must also ensure that each patient has a comprehensive assessment of their needs, and an up to date risk assessment and care plan in place.

Additionally, it was told to ensure it provided “sufficient” specialist palliative care staff to ensure that specialist advice and treatment could be provided in a “timely manner”.

Pennine Care NHS Foundation Trust

Regulator issues report of contrasts on Pennine trust

Pennine Care offices in Henry Square, Ashton under Lyme

Meanwhile, the report also identified a number of areas of good practice. For example, there was an innovative partnership with the local hospital trust and a GP practice to ensure older patients with delirium were not inappropriately placed on acute medical wards.

Staff in the child and adolescent mental health inpatients service had secured funding to train an expert parent to provide support for others and the Oldham specialist palliative care team had consulted with the local Bangladeshi and Pakistani community to help “reshape” end of life care services.

Pennine Care was formed in 2002 and provides services from 263 sites. It has an income of around £280m, and employs more than 5,500 staff including 2,952 nurses and 1,250 support staff.

Dr Paul Lelliot, CQC deputy chief inspector of hospitals and mental health lead, said: “People we met spoke positively about the care they received.

Care Quality Commission

Dr Paul Lelliott

Paul Lelliott

“On the whole we found staff who were respectful, caring and had a professional attitude towards their patients,” he said.

“We also found multi-disciplinary staff teams that worked well across the trust both internally and with external agencies,” said Dr Lelliott.

He noted that, overall, inspectors had rated six out of 16 services as “requires improvement”.

“We were concerned that guidance on same sex accommodation was breached in a number of wards,” he said.

“We found concerns with the levels of training,” he added. “Staff were not following the trust’s own policies to manage medicines in a number of services and we also found restrictions on patients’ liberty which had not been properly addressed.”

He noted that across the trust bed occupancy had been “very high”.

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