Emerald Place Clinic

We rated effective as good. We assessed six quality statements.   Staff completed mental health and physical health assessments for all young people on admission or soon after. Each young person had a detailed care plan, developed with their input. Young people were encouraged and supported to manage their own health and well-being. Young people’s care and treatment was delivered in line with national guidance, regularly monitored and reviewed at individual clinical reviews with input from young people and their parents. Staff received specialist training, in addition to mandatory training to support them to deliver evidence-based care to young people. The multidisciplinary team and staff across the service worked well together respected each other’s thoughts, ideas, and opinions. Young people were detained under the Mental Health Act. Staff were aware of their roles and responsibilities under the Act and understood the principle of the Gillick competence. The service followed Quality Network for Inpatient CAMHS standards.   However, Young people told us they would like to be more involvement in decisions made by the consultant psychiatrist, some said that decisions were often made without any discussion with them. Parents/carers said they often were not given enough information, and that 



treatment was changed without them knowing about it or without them being given a rationale.



The hospital director described how the service followed the principles of least restrictive practice, but staff said some practice was not in line with these principles. For example, restrictions were place on young people accessing the garden that were not in line with the assessed risk and plans of care. Staff said this was enforced in response to the recent incidents where young people had climbed on the roof and where a young person fell from the windowsill when they were attempting to climb up.