Birmingham and Solihull Mental Health NHS Foundation Trust

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

Staff assessed people’s individual needs and involved people in this. The multidisciplinary team discussed with nursing staff how to assess and meet people’s needs. The multidisciplinary team worked together to deliver evidence-based care and treatment to people. Staff monitored people’s physical and mental health needs during their stay. Staff gave people the opportunity to consent to their care and treatment in a way the person could understand.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

One person said they only had 30 minutes notice of their care plan meeting which did not give them time to prepare. Relatives told us they were given information about the service and how they could be involved in their relative’s care. They were invited to their relative’s care plan meeting if their relative agreed to this.

Staff said they spent time talking with people and getting to know them which helped in assessing their needs. Some staff said they were not involved in care planning or people’s reviews with the multidisciplinary team. However, they had feedback from this, so they knew how to meet people’s needs. Other staff told us that each member of the multidisciplinary team completed their assessments, and this was discussed as a team to provide an assessment of all the person’s needs. Staff met together to discuss a person and to formulate their plan of care based on the assessments.

On admission the doctor assessed each person’s physical health needs, and these were monitored during their admission. The dietician assessed each person. They prescribed the portions of food that the person could have for each meal. The dietician provided training to staff on portion control which was specific to each person’s needs. The occupational therapist assessed each person and developed a plan for them. This included various stages in their treatment and as they progressed included activities of going shopping and cooking their food as well as baking and eating their food. People’s records reviewed showed that the person was involved in and contributed to their care plans and risk assessments.

People said the psychologist had helped them to develop positive coping strategies which promoted their recovery and that since the occupational therapists had been in post this had really improved the therapies available to them. People said the dietician supported them well.

Staff said the dietician provided specific training to meet the needs of people on portion control. Staff and the West Midlands Provider Collaborative told us they had provided funding to be able to provide work with people on body image and workshops on binge eating for people that used the day service. Staff also had training in autism and how this may affect people with an eating disorder. Staff told us that there were therapy groups available each week that included Mindfulness, relaxation, nutrition and meal support and psychoeducation groups with modules in self-compassion and emotional regulation.

Records showed that assessments were completed of each person’s physical health and mental health needs. Records included assessments and rating scales used to monitor the person’s needs and the outcome of their care and treatment.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

People said they were given opportunities to consent to their care and treatment and this was explained to them in a way they could understand.

We observed staff asking people for their consent before giving them their medicines. We observed in the multidisciplinary meeting that staff discussed consent with people. They explained to them their care and treatment in a way the person could understand so they knew what they were consenting to.

The provider had trained all staff in the Mental Capacity Act 2005. People’s records reviewed showed that staff gave the person information about their care and treatment and gave them an opportunity to consent to this. Records showed that staff assessed the person’s capacity to make decisions about their care and treatment. They recorded when a person consented to their care and treatment including their medicines. Records included where the person had an advance statement in place with what they wanted and what they consented to.