Nottinghamshire Healthcare 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

Young people told us staff were kind, and they attended community meetings where they discussed areas of improvement on the wards. Young people had access to advocacy services. Staff involved young people when developing and updating care and treatment records. Care and treatment plans recorded consent to treatment and plans were available in bright, colourful patient friendly versions too.

This service scored 62 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The young people we spoke with told us the wards were ok and staff were kind.

Staff we spoke with described how they worked with young people to complete their care and treatment plans that covered the following areas, “about me, my pronouns are, goals for admission, family goals, professional goals, my rights, physical health, mental health, my religion is, my dietary needs are, my language is, my learning needs are, and my strengths and skills are”.

We reviewed 8 care and treatment records. Each young person had a comprehensive electronic record in place. There were also patient friendly versions of these which were bright, colourful and used more informal language.

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

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.

Young people told us they attended the community meetings to discuss areas where improvements could be made.

Leaders told us how they were involved in a national programme to reduce the use of restrictive practice in wards for young people with mental health problems. They showed us a variety of posters and information leaflets used to explain in different ways, the use of blanket restrictions on the wards.

We reviewed community meeting minutes. These included a standard agenda which included actions from the previous meeting, catering, the environment, getting on with people on the ward and planned activities and events.

The young people we spoke with told us staff helped them to access advocacy services.

Staff we spoke with described how they gave young people every possible assistance to make a specific decision for themselves before they assumed that the patient lacked the mental capacity to make it. For young people who might have impaired mental capacity, they assessed and recorded capacity to consent. They did this on a decision-specific basis.

We saw posters on display advising young people how to access advocacy services. We reviewed 8 care records, all demonstrated capacity had been reviewed at each care plan review meeting. Individual care and treatment plans included a section on “my rights as a patient”.

Managers undertook regular audits of Mental Health Act documentation.