• Mental Health
  • Independent mental health service

The Priory Hospital Roehampton

Overall: Good read more about inspection ratings

Priory Lane, London, SW15 5JJ (020) 8876 8261

Provided and run by:
Priory Healthcare Limited

Latest inspection summary

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Background to this inspection

Updated 6 April 2022

The Priory Hospital Roehampton is an independent hospital that provides care and treatment for people with mental illness. The hospital provides inpatient child and adolescent mental health services on Lower Court and Richmond Court. Lower Court provides care and treatment for up to 12 children and adolescents experiencing an acute episode of mental illness. Richmond Court provides care and treatment for up to six patients. Both wards accept both male and female patients.

The service is registered to provide the following regulated activities:

  • Treatment of disease, disorder or injury
  • Assessment or medical treatment for persons detained under the 1983 Act

The last inspection of this service was in April 2021. We rated the service overall good. We rated the domain of safe as requires improvement. We rated effective, caring, responsive and well-led as good. We found one breach of regulation. This was in relation to regulation 12 (safe care and treatment).

This was a focused inspection carried out in response to a number of notifications received by CQC which indicated that there were risks to patient safety and to check on improvements made since our last inspection. We inspected both wards providing inpatient child and adolescent mental health services and looked at elements of the domains safe, effective, caring, responsive and well-led.

There was a registered manager in post.

What people who use the service say

We spoke with seven patients and two carers.

Patients reported that permanent and regular agency staff understood their individual needs. They told us that this was not the case with ad-hoc agency staff who mainly covered night duty. Patients described these staff as not understanding boundaries and what support was required when they were distressed.

Patients told us that the therapies programme had improved and staff supported them with their education.

We received mixed feedback from carers. One carer told us that communication on Lower Court could be improved, another carer told us that staff on Richmond Court kept them up to date about the care and treatment of their family member.

Overall inspection

Good

Updated 6 April 2022

Priory Hosptial Roehampton provides inpatient child and adolescent mental health services. The service provides mental health care and treatment for children and young people aged between 12 and 18.

Our overall rating of this service stayed the same. We rated it as good because:

  • The ward environments were safe and clean. Staff assessed and managed risk well. They minimised the use of restrictive practices, managed medicines safely and followed good practice with respect to safeguarding.
  • Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided some treatments suitable to the needs of the children and young people and in line with national guidance about best practice. Staff engaged in clinical audit to evaluate the quality of care they provided.
  • Managers ensured that permanent staff received training, supervision and appraisal. The ward staff worked well together as a multidisciplinary team.
  • Staff treated young people with compassion and kindness, respected their privacy and dignity, and understood the individual needs of young people. They actively involved young people and families and carers in care decisions.
  • The service was well led and the governance processes ensured that ward procedures ran smoothly.

However,

  • The service did not always provide safe care. The wards did not have enough permanent nurses and doctors. The service did not always have sufficient staff to meet the safer staffing numbers. Agency staff were not always familiar with young people’s needs. Permanent staff did not always have confidence in the competency of agency staff.
  • The ward teams did not include the full range of specialists required to meet the needs of young people on the wards. There had been no psychologist in post almost a year.