Greater Manchester Mental Health NHS Foundation Trust

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• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

We assessed 1 quality statement from this key question, equity in experiences and outcomes. We have combined the scores for these areas with scores based on the rating from the last inspection, which was good. Our rating for this key question is good. We found people had opportunities to raise concerns about equities in experiences. Advocates were accessible to people on the wards we visited. Community teams supported patients when they were discharged into community care. Access to out of hours arrangements were in place

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.

We did not look at Person-centred Care during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

Patients did not raise any concerns about their experiences on the ward in respect of equality or discrimination. The wards held community meetings that the patients could attend to give their views and feedback on the services. Patients generally described that they knew how to raise any concerns that they may have and that they would feel confident in being able to do this. Patients reported that they could access advocacy services if required. Some patients at Anson Road raised a concern about only being given a £30 budget a week for food shopping made it difficult to buy healthy food and support their healthy living goals. Patients reported this to be a blanket rule and were not aware as to why this was the maximum budget.

Managers gave examples of where adjustments had been made or were already in place to support patients who may have accessibility or mobility needs. Staff and managers described how patients would be supported with any spiritual or cultural needs that they may have, which included visits from religious leaders, having access to spiritual materials or being supported to attend places of worship. Staff also described how any dietary needs would be supported for any patients that had specific requirements for cultural or religious reasons. Managers described how patients who had specific communication needs would be supported, using interpreter or translation services. Managers felt assured that patients would be treated equally whilst on the wards and that, if patients had any concerns about this, that they would raise this with them.

All patients had opportunities to raise any concerns about equities in their experiences. They had access to advocacy, 1-1 therapeutic time with their named nurse, and they could raise issues they faced in the patient meetings as well as accessing friends and family surveys. Patients could also access service user voice forums. The trust monitored complaints and concerns across the rehabilitation services. Patients also had access to the patient advice and liaison service. There were 16 patients identified across the services who were experiencing delayed discharges. There were varying reasons for this and the most common reason was waiting for external agency assessment. Others were awaiting supported housing or had property conditions not suitable to discharge to. All rehabilitation wards had access to out of hours emergency physical health and psychiatric emergency cover. The trust was working with commissioners and housing to improve the rehabilitation pathway from inpatients to community care under the community rehabilitation service (HEART). The HEART team provided in reach services to patients moving on from rehabilitation to support and plan their discharge into the community. Outcome measures were completed at the start, mid-point and at the end of the in-reach phase. They assessed the quality of life of patients and decided with the patient what support and services are needed to move on.

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.