Priory Hospital East Midlands

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Patients told us they were involved in their care and treatment through attending ward rounds, where they could give suggestions regarding changes. Staff attended multi-disciplinary meetings where patients were involved in discussions about their care in a co-ordinated way. Staff attended regular team meetings, where good practice was shared. Patients had access to the garden, a hospital gym, and external services such as their GP and dentist. Patients had regular one to one sessions with their named nurse, to ensure they had a clear understanding of their care and treatment and could ask questions.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Patients told us that they could see a doctor when they need to and had a copy of their care plan. They told us they had regular reviews of their care at ward rounds, which they attended and could give suggestions regarding changes. Patients were asked if they had any communication needs. One patient told us that they have autism, and that staff don’t understand it. One patient told us that they had a full multidisciplinary team meeting with their family outside of ward round and found it very useful. Patients felt involved in their care.

Management and staff told us that they fully engaged with the multidisciplinary team at the hospital. Staff told us there was a full compliment of a multidisciplinary team at the hospital and they attended ward rounds where patient needs were assessed.

Multidisciplinary team meetings and ward rounds took place weekly. Notes from these meetings would be placed on each individual patients care plans and notes. Assessment paperwork was completed on admission. We saw examples of the use of nationally recognised outcome tools to complete patient assessments.

Patients told us that they received information and advice about their care, health and how to be as well as possible through general conversations with staff.

Management told us that as a region the provider have networks specifically around patient care and treatment. The doctors attend these so they can share cases for peer support and learn of any new developments or changes in treatments. For example, the new speciality doctor has brought in the change of one of the medications for female patients as it has a contradictory factor to fertility.

We saw examples of assessing needs in patients care plans and how things are changed post ward rounds. Audits were checked on assessment paperwork through the services ‘confirmation of care’ document.

Patients told us that sometimes there was communication issues between permanent and non-permanent staff. Even though they felt listened to, patients told us they felt permanent staff knew them better.

Managers told us regular team meetings were held to share knowledge and issues. They told us about nurse huddles and how these had promoted team building. Managers felt proud of the confirmation of care document as all wards were involved this as it was a shared team piece of work. The document made sure that each patient had their care and treatment tracked in accordance with the hospital policy in documenting all aspects of their care. Management told us that their relationship with the local acute hospital was better now since they decided to have the patients’ own multidisciplinary team visit them to discuss the wider picture of care.

We saw an occupational therapist assistant working alongside staff to engage patients in activities. We saw a handover from staff to other staff in which all risks and issues were spoken about and also changes in each patient over the last 24 hour period was discussed.

Handover documents were detailed and gave an overview on patients’ needs and changes. The service's confirmation of care document showed a consistent approach to auditing the care and treatment of patients.

Patients had access to the garden, a hospital gym, and external services such as their GP and dentist. One patient said that they don’t get the chance to exercise.

Staff told us about the support on intake of sugar and starch items as part of supporting patients make healthier lifestyle choices. Management told us that they had implemented extra staff for visits, to avoid having to cancel visits. They told us that visitors were always welcomed. They were looking at introducing a visitors plan with each patient around when they would prefer their visits to take place. Staff told us patients had access to the local area when they had leave. They had access to the gardens which was often in use especially in the good weather. Staff told us how they had been trained to be gym instructors to support patients in the in-house gym.

Food was cooked freshly on site. We were informed that hot and cold foods were served in a changing pattern as we found at our last inspection that only hot food was offered at lunchtime meaning that if patients were to stay in bed late they could miss their only opportunity to have hot food. We were told that this was actioned after a community meeting request.

We saw 1 to 1 nursing session happen notes. We saw copies of ward round notes and changes in patients’ medication and notifications of new side effects on patients care plans.

Management told us the provider had regional networks specifically to discuss patient care and treatment. The doctors attended these so they could share cases for peer support and learn of any new developments or changes in treatments. The multidisciplinary team were fully involved in ward rounds working alongside patients and the staff teams. Staff told us there were monitoring forms to complete, we were shown examples of blood monitoring and physical health checks in place.

The provider had regional network meetings in place that multidisciplinary team members attended to share good practice. Every patient had regular multidisciplinary ward round meetings where care and treatment were reviewed.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.