255 Lichfield Road

Updated 19 December 2017

Registered manager:

At the time of our inspection, there was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. They have the legal responsibility for meeting the requirements of the law; as does the provider.

Regulated activities that 255 Lichfield Road is registered to provide:

• Treatment of disease, disorder or injury.

• Assessment or medical treatment for persons detained under the Mental Health Act 1983.

Details about the service:

255 Lichfield road includes:

Two four -bedded enhanced recovery and rehabilitation units for people who may be sectioned under the Mental Health Act (1983) who require a structured environment with intensive support to progress through their recovery pathway.

Twenty self-contained apartments that enable patients to live independently, whilst having the safety of a therapeutic structure if needed. Each apartment has its own front door, a lounge and kitchenette, bedroom and a bathroom. Patients have access to 24 hour support as required.

A dedicated occupational therapy facility to promote independent living skills.

Therapy and treatment areas, private grounds and a family visiting room.

A communal bistro is available for patients and provides hot and cold snacks and drinks for patients to purchase between 9am - 5pm.

255 Lichfield Road accepts referrals from medium and low secure forensic services, acute wards, out-of-area services, rehabilitation services and the community. To be eligible for referral to the service, patients must be:

• Men or women aged 18 years and over.

• Have a primary mental health diagnosis.

• Informal or detained under the Mental Health Act(1983).

• Severe complex and enduring mental health needs which might include treatment resistant conditions.

• May have challenging behaviour, substance misuse and learning disabilities.

• May be difficult to engage/motivate.

• May have a history of disengagement and non-adherence with traditional services.

Previous inspections of this service:

255 Lichfield Road has been registered with CQC since 16 May 2013.

There has been one inspection carried out at 255 Lichfield Road on 12 and 13 October 2015 (inspection report published 1 March 2016).

The service was rated in 2015 as good for safe, good for effective, good for caring, good for responsive and good for well-led. The service received an overall rating of good and there were no requirement notices or enforcement actions taken by the CQC

Updated 19 December 2017

We rated 255 Lichfield Road as Good because:

• The service routinely completed assessments of the environment to ensure the safety and wellbeing of staff and patients.
• Risk assessments and care plans were detailed, reviewed frequently and identified patients strengths and goals. Patients and carers were involved in care planning and review meetings and we saw a focus on recovery and discharge planning by the clinical team.
• Local and regional governance structures were in place to ensure that quality of service delivery was monitored by senior managers. The service reported on a range of key performance indicators and there was evidence of shared learning with other hospitals in the organisation.
• Patients had access to a range of staff to meet their physical health, psychological and rehabilitation needs. The service used nationally recognised rating scales and assessments to identify patient need and monitor improvements in patients' wellbeing.
• There were sufficient staff with suitable qualifications and skills to support patients. Sickness levels were low and the registered manager was able to access bank and agency staff where needed.
• Attendance at mandatory training was high and was monitored by the registered manager. All eligible staff had received an annual appraisal and accessed regular supervision and peer support.
• Staff were aware of their responsibility to report incidents and had received training in the safeguarding of children and adults.
• Staff adhered to the Mental Health Act Code of Practice and restrictions placed on patients were based on an individual assessment of risk and need.
• Staff described morale as excellent and reported a culture of mutual support and team working. The registered manager was described as accessible, responsive and patient focussed.

Updated 19 December 2017