- SERVICE PROVIDER
Nottinghamshire Healthcare NHS Foundation Trust
This is an organisation that runs the health and social care services we inspect
We have suspended the ratings on this page while we investigate concerns about this provider. We will publish ratings here once we have completed this investigation.
We have published a rapid review of Nottinghamshire Healthcare NHS Foundation Trust and an assessment of progress made at Rampton Hospital since the most recent CQC inspection activity.
See older reports in alternative formats:
- Community mental health services with learning disabilities or autism, published 24 May 2019: Easy read report.
- Rampton Hospital, published 8 June 2018: British Sign Language video.
- Rampton Hospital, published 15 June 2017: British Sign Language video.
Report from 24 September 2024 assessment
Contents
Ratings - Community-based mental health services for adults of working age
Our view of the service
The service was last rated good (published May 2019). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We carried out our on-site assessment on 09 July 2024. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at 3 quality statements across 5 key questions: Safe systems, pathways, and transitions, Safe staffing, Safe environments, Assessing needs and Person-centred care. As we assessed some but not all quality statements at this visit it means we use the ratings from the previous inspection to rate all the key questions safe, effective, caring, responsive and well-led. The service is based across 11 locations across Nottinghamshire. At this assessment we carried out an on-site assessment of the Nottingham City provision of this service. This included 4 hubs across Nottingham city. During this assessment we found breaches in regulation under safe care and treatment, good governance and safe environments. Not all patients could access services easily, access to specialist services consisted of long waiting lists, there was no clinical strategy in place showing the services met patients needs and not all environments were wheelchair accessible. The service is made up of various clinicians, who worked alongside other partners.
People's experience of this service
During this assessment we spoke with 3 patients, reviewed 8 patient care and treatment records and visited 4 locations where the service is provided. Although patients felt staff delivered person centred care and tried to meet their needs, not all patients had access to the specialist services they needed. Due to long waiting lists to see specialist services, patients felt helpless. Not all environments were wheelchair accessible. Following the assessment the Trust told us, where access is required, the service offered alternative settings and home visits where appropriate. There was no water available at the City North hub and patients went to sessions desperate for a drink due to side effects from their medicine. However, staff did take the time to explain treatment plans delivered person-centred activities.