Bromley Road Hospital

This means we looked for evidence that patients’ care, treatment and support achieved good outcomes and promoted a good quality of life, based on the best available evidence.

Our rating of effective stayed the same. We rated it as good because:

Care and treatment were delivered through effective multidisciplinary team working and reflected recovery-oriented and person-centred care. Staff from a range of disciplines worked collaboratively to assess, plan and review patients' care and treatment. Positive Behaviour Support (PBS) plans were a particular strength of the service. These plans were informed by comprehensive psychological formulation, demonstrated a clear understanding of the factors influencing patients' behaviour, and reflected individuals' strengths, preferences and support needs. Patients were meaningfully involved in developing and reviewing their PBS plans.

For example, plans captured what was important to patients, their preferred coping strategies, personal goals, communication preferences, and early warning signs of distress identified by the patient. We also saw evidence that patients had contributed their views on how staff should support them during periods of increased anxiety and what interventions they found helpful or unhelpful. Plans were highly personalised, focused on improving quality of life and reducing restrictive interventions, and evidenced a genuine commitment to collaborative care planning. Staff understood and implemented PBS approaches consistently, supporting patients to achieve their recovery goals and maximise independence where possible.

Staff worked collaboratively with external healthcare providers, including GPs and specialist services, to improve patient outcomes and access to care. Medical oversight was evident throughout the service and patients' physical healthcare needs were actively monitored and managed. The service had strengthened arrangements for physical healthcare since the previous assessment and had addressed the previous recommendation relating to physical health monitoring for patients receiving high-dose antipsychotic therapy.

Patients prescribed high-dose antipsychotic medicines were receiving appropriate physical health monitoring in line with best practice. A dedicated physical health lead provided oversight and scrutiny of physical healthcare, supporting staff to identify, monitor and respond to patients' physical health needs. Staff demonstrated a good understanding of physical health monitoring requirements and escalation processes and were able to describe the actions they would take when concerns were identified. These improvements provided greater assurance that patients' physical health needs were being monitored effectively and managed in a timely way.