The Priory Hospital Hayes Grove

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

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

At our last assessment we rated this key question good. At this inspection, the rating has remained the same.

We have not awarded this service a score for Effective.

Find out about when we will not publish a key question score and what we look at when we assess Effective.

We looked at 6 care records during the assessment. There was a consistent approach to assessing, and reviewing patient’s health, care, wellbeing needs with them.

Staff were proactive in assessing, managing, and anticipating risks to both patients and the staff. They demonstrated rapid responsiveness to sudden deterioration in patients’ health.

Nursing staff completed a comprehensive mental health assessment of the patient on the day of admission and assessed patients’ physical health needs in a timely manner after admission. Physical health was prioritised due to the nature of the service. Patents had thorough physical heath checks completed. These included frequent weighing to calculate BMI and blood tests if required. dietetic assessment and introductory meetings took place, with meal plans prepared by the dietitian.

Staff developed care plans that met the needs identified during assessment. Care plans were personalised, holistic and recovery oriented.

The team included or had access to the full range of specialists required to meet the needs of patients in the service. As well as doctors and nurses, the service employed or had access to occupational therapists, clinical psychologists, social workers, pharmacists and dieticians. Staff were experienced, qualified and had the right skills and knowledge to meet the needs of the patient group.

Clinical psychologists worked at the hospital site and they were able to offer input into ward rounds and assessments and formulation. They also offered regular interventions such as individual, family therapy and group therapy.

Group psychotherapy was delivered to encourage patients to express emotions and develop communication skills within a supportive environment. Other group sessions included Cognitive Behavioural Therapy, nutritional rehabilitation to discover the benefits of a healthy diet and Dialectical Behavioural Therapy (DBT).

Staff were aware of how often each patient needed their physical health vital signs checked and knew how to record this appropriately. Staff ensured that patients had good access to physical healthcare, including access to specialists when needed.

An occupational therapist and activity co-ordinator worked from 9am to 5pm each weekday, offering and supporting a range of activities to keep the patients engaged. They prepared a schedule of activities for the weekend. Patients said a health care assistant ran arts and crafts sessions over the weekend and they really enjoyed this activity.

The hospital had considered how to support patients to be prepared for their discharge by the three phased approach. This aimed to give patients the tools and confidence to be prepared for managing life outside of the hospital environment.

Staff held regular and effective multidisciplinary meetings. Staff reported feeling well-supported by both peers and leaders. We observed a multidisciplinary handover meeting and saw detailed, patient-led discussions. Staff discussed new risks since the previous meeting and shared important information that all attendees should be aware of.

Staff maintained continuity of care through effective shift-to-shift handovers and held regular multidisciplinary meetings to review individual patient needs and care plans.

The teams had effective working relationships with teams outside the organisation. For example, local authority social services, community mental health teams, GPs and local NHS eating disorder services.

The service supported people to live healthier lives. They offered advice and guidance as part of their treatment. Patients had access to dietitians within the service who supported patients with dietetic assessments, meal support programmes and healthy eating advice.

All groups and therapy sessions were focussed on health and wellbeing, due to the nature of the service.

Staff monitored patients’ health, mental state and their well-being. At handover meetings, staff noted details of patients’ sleep, their most recent recorded weight, food and fluid intake, personal hygiene, compliance with medication and engagement in activities. Any changes in a patient’s presentation were discussed at the daily multidisciplinary team meeting.

Staff used recognised rating scales to assess and record severity and outcomes for patients.

Staff took all practical steps to enable patients to make their own decisions about care.

For patients who might have impaired mental capacity, staff assessed and recorded capacity appropriately. Within the 6 care records we reviewed, we found appropriate capacity assessments for certain decisions, such as consenting to treatment.

Consent for information sharing with GPs, other services, and family members was collected at the point of admission, and patients reported that this consent was revisited by staff throughout their treatment.

If a patient was detained under the Mental Health Act 1983, their detention and treatment followed the Act’s requirements and code of practice. Staff supported patients to understand how the Mental Health Act applied to their situation and that patients understood their right to appeal their detention.