The Retreat York

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 best available evidence.

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

Good: This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

We looked at five care plans and found them to be a comprehensive care plan for each client that met their mental health needs. Care plans were developed with the client’s input.

Staff delivered care in line with best practice and national guidance for treating ADHD such as offering behavioural therapy, psychoeducational workshops, and involving family where appropriate.

Staff made sure clients had support for their physical health needs, either from their GP or community services. Staff used recognised rating scales to assess and record the severity of people’s conditions and care and treatment outcomes, such as the Conners rating scale for ADHD.

We saw consent to treatment was recorded in all the care records we looked at.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Staff completed a comprehensive assessment of each client. This included but was not restricted to the use of screening tools, information provided by other professionals, such as the clients GP, and background information from the clients including family and friends, where applicable. This meant that staff had a range of relevant information available when deciding the next steps for client’s care and treatment.

Staff made sure that clients had their physical health observations taken prior to medication being prescribed.

We looked at five care plans and found them to be a comprehensive care plan for each client that met their mental health needs. Care plans were developed with the client’s input.

At the time of our assessment there were 31 staff employed in all areas of the service. 88% of management appraisal appointments had been completed. The two psychiatrists employed in the ADHD service received their medical supervision from outside of the service.

Staff provided assessment and treatment, including interventions and medications, suitable for the clients in the service. The service had good links with other local services, including GP’s and local support groups.

Staff delivered care in line with best practice and national guidance for treating ADHD such as offering behavioural therapy, psychoeducational workshops, and involving family where appropriate.

Staff made sure clients had support for their physical health needs, either from their GP or community services. Staff used recognised rating scales to assess and record the severity of people’s conditions and care and treatment outcomes, such as the Conners rating scale for ADHD.

Staff used technology to support clients, such as providing appointments virtually. 79% of clients had opted to use video calling technology instead of face-to-face interviews.

The team included or had access to the full range of specialists required to meet the needs of clients in the service.

The service held monthly staff meetings.

Managers ensured that staff received the necessary specialist training for their roles.

Managers described how they monitored staff performance and the ways in which they dealt with poor performance promptly and effectively.

The service had good links with GP services, where there were shared care arrangements in place to continue prescribing when a client was discharged. There were also good links with local NHS and private services. Staff signposted clients to other services where appropriate.

There was a sessional worker who engaged with local ADHD support groups and helped to link in new clients, so they could access peer to peer support.

Staff were consistent and proactive in empowering clients and supporting them to manage their own health and maximise their independence.

Where appropriate, staff gave people advice so they could create their own coping strategies. There were well established links to other mutual aid support groups in the area.

Staff used recognised tools and rating scales to assess and record severity and outcomes. These including adhering to NICE guidance on ADHD and recording client improvement through Conners rating scales.

Staff understood the requirements of legislation and guidance when considering consent and decision making.

Staff supported clients to make decisions. Where appropriate, they assessed and recorded a client’s mental capacity to make decisions in relation to their care and treatment plan.

The service monitored the process for seeking consent appropriately.

We saw consent to treatment was recorded in all the care records we looked at.