Schoen Clinic Chelsea

We rated it as good because:

• The service provided safe care. The premises where patients were seen were safe and clean. There were sufficient staff of different disciplines to ensure patients, young people and families received the time they needed. Staff managed risk well.
• Staff completed a comprehensive assessment of all patients and young people. The physical health of young people was closely monitored during their time in the programme. Staff engaged in clinical audit to evaluate the quality of care they provided.
• Staff provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. In the anxiety and mood day programme patients were offered a range of evidence based therapeutic groups alongside individual therapeutic input. Therapeutic groups provided in the eating disorders day programme included body image group, self-esteem group, creative arts, parents group and a MANTRA group adapted for young people from the Maudsley Model of Anorexia Treatment for Adults, an evidence-based approach.
• The teams included or had access to the full range of specialists required to meet the needs of patients and young people under their care. Managers ensured that these staff received supervision and appraisal and opportunities for professional development. Staff worked well together as a multidisciplinary team and relevant services outside the organisation.
• Staff treated patients and young people with compassion and kindness and understood the individual needs of patients and young people. They actively involved patients and young people in decisions. Young people were actively involved in care and treatment.
• Every person we spoke to was overwhelmingly positive about the care they had received or were receiving at the service. All the patients, young people and carers/parents praised the staff and told us how they had helped put them at ease.
• Staff supported family members throughout their loved one’s treatment. All the family members that we spoke to said that the level of support provided by staff was greatly appreciated and they felt involved in their loved one’s care.
• The service was easy to access. Staff planned and managed discharge well and had alternative pathways for people whose needs it could not meet.
• Staff offered flexible appointments to patients, young people and family members. Staff would adapt the timing of appointments and therapies to suit individual’s work and school commitments.
• The service was well led, and the governance processes mostly ensured that its procedures ran smoothly.

However:

• Staff did not always complete a full record to demonstrate the reasons why they had not made referrals to the local authority to keep individuals safe from abuse and improper treatment.
• Care plans of patients on the anxiety and mood pathway did not always demonstrate patient involvement and some lacked sufficient detail.
• Care records of adult patients did not always clearly explain how patient risks were being managed.