28, 29 and 30 June 2022
During an inspection looking at part of the service
- The service provided safe care. The ward environments were safe and clean. The wards had enough nursing and medical staff. Staff assessed and managed risk well. They minimised the use of restrictive practices, managed medicines safely and followed good practice in safeguarding.
- Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice.
- The ward teams included to the full range of specialists required to meet the needs of patients on the wards. Managers ensured that these staff received training, supervision and appraisal, though in the specialist eating disorder service but compliance rates on training completion on the Mental Capacity Act 2005 could be improved. Supervision and appraisal rates were progressing toward the provider compliance rate.. The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare.
- Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005.
- Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. They actively involved patients and families and carers in care decisions.
- The service managed beds well, aiming to maintain bed occupancy targets. Patients were discharged promptly once their condition warranted this, unless external circumstances to the service delayed discharge.
- The service was well-led and the governance processes ensured that ward procedures ran smoothly.
The eating disorder service is a small proportion of hospital activity. The main service was acute wards for adults of working age. Where arrangements were the same, we have reported findings in the acute wards for adults of working age section.
We rated both core, and the overall services as good, because it was safe, effective, caring, responsive, and well led.