The Care Quality Commission
  • Mental Health
  • Independent mental health service

The Priory Hospital Market Weighton

Overall: Good read more about inspection ratings

27 Holme Road, Market Weighton, York, North Yorkshire, YO43 3EQ

Provided and run by:
Burnside Care Limited

All Inspections

During an assessment of Long stay or rehabilitation mental health wards for working age adults

Date of assessment Tuesday 01 to Wednesday 30 April 2025

Burnside Care Limited provides the Priory Hospital Market Weighton which is a long stay or rehabilitation mental health ward for working age adults. At the time of the assessment, the service provided treatment and care for individuals detained under the Mental Health Act. The hospital had been divided into 2 wards since the last inspection. Market Weighton, the main ward, provided 11 beds. The new ward, The Wicstun, provided bespoke therapeutic placements for two people, each living in their own single occupancy, self-contained apartments named, Wicstun Way and Wicstun Wold. At the time of our assessment, the service had 10 people admitted to the main ward and 1 person admitted to Wicstun Wold.

We rated the service as good. The service had made improvements to ensure that people had access to the required specialists and therapies, risk assessment and management plans were robust and there were regular reviews of goal orientated care plans. The provider had made improvements to their facilities to ensure the treatment, privacy and dignity of people’s individual needs were met. However, we found the service lacked some oversight or review of the effectiveness of some of the systems, processes, and procedures in place. We identified that there were gaps in processes that could lead to physical health concerns being overlooked. The improvements regarding the safety of the facilities and environment for both patients and staff still lacked a clear process. The service could not show how they evaluated or met specific standards in terms of the effectiveness of the environment or interventions implemented.

During this assessment we identified a breach of regulation 17 for good governance. We have asked the provider for an action plan in response to the concerns found at this assessment.

During an assessment of the hospital overall

Date of assessment: Tuesday 01 to Wednesday 30 April 2025. The Priory Hospital Market Weighton provided 2 wards. Market Weighton, the main ward, provided 11 beds and The Wicstun, provided bespoke therapeutic placements for two people. This assessment looked at long stay or rehabilitation mental health wards for working age adults which we rated as good. In our assessment we found the service demonstrated improvements that have been made. However, governance processes did not always operate effectively.

21, 22 & 23 February 2022

During a routine inspection

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. Although, this hospital was not a specialist service for people with a learning disability, they did provide care for five patients with a learning disability or autism. We have therefore applied this guidance.

Our rating of this service went down. We rated it as requires improvement because:

  • People’s risks assessments and management plans were not robust to assure staff of the patient’s safety.
  • People could not access assistance if required in an emergency in the occupational therapy building.
  • People did not have clear goal orientated plans for discharge and did not have access to all the required specialists and therapies suitable to ensure they did not spend longer than necessary in hospital.
  • The facilities were not suitable to promote the treatment, privacy and dignity for people with mobility difficulties.

However:

  • People’s care and support was provided in a clean, well-furnished and well-maintained environment.
  • The service had sufficient, appropriately skilled staff to keep them safe.
  • People were protected from abuse and poor care . Staff followed good practice with respect to safeguarding and minimised the use of restrictive practices.
  • Staff had the skills required to develop and implement good positive behaviour support plans to enable them to work with patients who displayed behaviour that staff found challenging.
  • People received kind and compassionate care from staff who protected and respected their privacy and dignity.
  • Staff understood their roles and responsibilities under the Human Rights Act 1998, Equality Act 2010, Mental Health Act 1983 and the Mental Capacity Act 2005.
  • People and those important to them, including advocates, were actively involved in planning their care.

13 February 2018

During a routine inspection

  • We rated The Priory Hospital Market Weighton as outstanding because:
  • There was positive feedback from patients, carers and the advocacy services. All felt that staff went that extra mile to provide recovery focused, person centred care. Staff were continually respectful and positive in their approach to patients and there was evidence of strong caring and supportive relationships between staff and patients.
  • Patients were actively involved their care and were involved in decisions about the service. Patients were involved in interviewing all new staff and attended meetings regarding changes about the service at every level. Feedback from advocacy services about the service was positive reporting that they received appropriate referrals and patients give positive feedback to them about the hospital and its staff. All patients we spoke with were clear that they knew how to complain should they feel they wanted to.
  • Patients were encouraged in their interests and hobbies and supported to do voluntary work in the local community.
  • All patients made positive comments about the food. The chef had an excellent knowledge of the patients and was able to talk us through each patient and their nutritional needs on the day of our inspection. Whilst no-one required a special diet the chef and other staff were clear if one was needed it would be provided.
  • The Priory Hospital Market Weighton was providing holistic and person centred care to every patient. Staff had a clear vision of recovery and used outcome measures to monitor and assess recovery, whilst engaging patients in the process. The assessment process enabled patients and staff to get to know each other in order to ensure the placement was the correct place for everyone involved. Staff encouraged daily living skills.
  • Patients had access to psychological therapies as recommended by the national institute of health and care excellence. Every patient’s physical health was checked on admission and throughout their time in the service and were registered with a local GP surgery for this support.
  • The hospital was clean, tidy and well maintained. Staff managed blind spots , such as corridors that were not in sight of the nursing office, by use of observations, individualised risk assessments and the good knowledge of the patients by the staff. The clinic room was fully equipped and there were medication audits every two weeks by the local pharmacist.
  • The hospital was staffed sufficiently in order to ensure the safety of patients. There was no evidence of restrictive practice and patient risks were managed on an individual basis using a recognised risk assessment tool. Staff had a good understanding of safeguarding procedures at all levels and the hospital had good links with the local safeguarding team. All staff were aware of how and when to report incidents and the process for learning from incidents.
  • Staff were encouraged and supported to undertake specialist training for their role. Staff received supervision every four weeks and 100% of staff had an appraisal in the 12 months leading up to our inspection.
  • There was a good understanding at all levels of the Mental Health Act and its code of practice. Likewise the staff had a good understanding of the Mental Capacity Act and Deprivation of Liberty Safeguards. Staff assessed mental capacity when there were concerns and best interest meetings were held for patients that this affected.
  • The morale in the team was high and staff had a sense of pride in their work. The staff were committed to providing good quality, recovery focused care to all patients. The provider had a range of quality assurance and governance meetings set up across their organisation in order to monitor and improve performance.

11 December 2013

During a routine inspection

There were nine patients at the hospital at the time of our visit.

Where patients were able to consent to care or treatment their views and wishes were respected. The provider worked in accordance with relevant legislation where patients were not in a position to consent to their care or treatment.

Patients told us they were satisfied with their care and treatment. One patient told us “I like boundaries. I like to know where I am”. Patients we spoke with confirmed they were involved in their care planning and reviews. We found care plans were detailed and reviewed regularly.

Although we found medicines were given to patients as prescribed we found that a lack of effective auditing made it difficult for the provider to minimise the risks associated with medicines. Protocols for supporting people with medication administered on an ‘as and when required’ basis were robust.

We found there were sufficient staff to meet patient’s needs. Staff and patients who we spoke with confirmed this.

Although there quality monitoring took place we found that actions were not always recorded on completion to provide a thorough audit trail. Patients were involved in governance meetings and were able to effect change.

25 January 2013

During a routine inspection

Patients were supported to be involved in decision making about their care through a care planning process. This included that health needs were identified and patients had access to health professionals.

People told us nurses involved them in their care plan and that they contributed to their monthly reviews. They also said that staff treated them with respect and they were satisfied with thier care.

Clear systems were in place for the reporting of and supporting of people with any safeguarding issues and staff were knowledgeable on these systems.

Effective recruitment processes and quality assurance systems were in place to help manage potential risks.

17, 18 November 2011

During a themed inspection looking at Learning Disability Services

At the time of the inspection visit, there were 11 patients present. Nine patients were living in the main unit. No 27a, which is for semi-independent and the high dependency unit make up part of the main building. One patient was in the high dependency unit and two patients were living at No 27a. Two patients were living at No 27b, which is detached from the main building and offers more independence. We met and introduced ourselves to all 11 patients and spoke with six patients in more depth to get their views of the service. All of the patients were men.

Overall, patients and their relatives told us they were satisfied with the care and treatment at Holme Road. Things that patients said they liked included: the staff, the food, and gardening, going out for walks and doing activities, like arts and crafts. One patient showed us the allotment, which they were very enthusiastic about. Another told us they did lots of things, including further education. They explained that daily living tasks were organised so everyone took turns to be involved. Patients told us the staff supported them to be involved in putting their care plans together and going to review meetings. Relatives confirmed they were involved in this process. One patient said that staff had read their care plan to them and that they would like a copy of their own, for it to be more accessible with pictures and less writing.

Two patients mentioned that they had advocates. That is someone from outside of Holme Road who came in and spoke up for them. All of the patients we spoke with said they usually got on with other patients. However, two patients did say that one particular patient sometimes hit out at people. They said that they didn't like this and it upset them.

The expert by experience who was part of our inspection team said that they thought that generally, people appeared relaxed and reasonably happy in the home.

There was one patient in the unit who we were not able to talk with to gain their views because we were not familiar with their way of communicating. We used the SOFI tool to observe how this patient, and two other patients, were spending their time. This was very helpful and showed that there was very positive interaction between the staff and the patients.

Mental Health Act Commissioner reports

Each year, we visit all NHS trusts and independent providers who care for people whose rights are restricted under the Mental Health Act to monitor the care they provide and check that patients' rights are met. Immediate concerns raised by patients on those visits are discussed, if appropriate, with hospital staff.

Our Mental Health Act Commissioners may carry out a number of visits to each provider over a 12-month period, during which they talk to detained patients, staff and managers about how services are provided. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. We are looking at different ways to indicate the outcomes of our monitoring in the future.