You are here

Reports


Other CQC inspections of services

Community & mental health inspection reports for Livewell Southwest CIC can be found at Livewell Southwest CIC.

Inspection carried out on 6, 7, 8 August 2013

During a routine inspection

Our inspection focused on the Edgcumbe Assessment Unit which provides a service for people with a possible dementia, district nursing team and the follow up of community mental health services for children. We spoke with 14 people using the services and four relatives, 23 staff members and various members of the management team. We looked at 10 people�s care files, observed interactions and reviewed information provided to us by the management team about how they ensured the quality and safety of the service.

Before people received any care or treatment they were asked for their consent and staff acted in accordance with their wishes.

People we spoke with said that their care and welfare needs were being well met. Comments included: �Gold stars, the district nurses are wonderful�, �I am really impressed with the district nurses�, �Nothing is too much trouble�, �My treatment needs are met entirely�, �The staff are always willing to help�, �I think the support has been brilliant� and �Very good service.�

People we spoke with confirmed that they felt safe and supported by staff and had no concerns about the ability of staff to respond to safeguarding concerns.

Staff were able to speak confidently about the care practices they delivered and understood how they contributed to people�s health and wellbeing.

People who used the service, their representatives and staff were asked for their views about their care and treatment and they were acted on.

Inspection carried out on 4, 5, 6 February 2013

During a routine inspection

Our inspection focused on Child and Adolescent Mental Health Services (CAMHS) and adult community mental health services. We spoke with six people using the services and five relatives, 12 staff members and members of the management team. We looked at 12 people�s care files and reviewed information provided to us by the management team about how they ensured the quality and safety of the service.

People who used the services understood the care and treatment choices available to them.

People we spoke with confirmed that they felt safe and supported by staff and had no concerns about the ability of staff to respond to safeguarding concerns.

As a result of changes to the Child and Adolescent Mental Health Services (CAMHS) risks had been identified about a decline in staff morale, increased sickness absence and stress. Measures had been put in place to manage the concerns, but these measures had not been communicated effectively enough to ensure that staff felt supported and actively part of the changes within CAMHS. If staff concerns continued, there was a risk that these would impact on children and young people accessing support for their mental health difficulties.

The organisation was taking steps to address concerns raised about the delivery of CAMHS. However this action had been reactive in the light of concerns being raised rather than in a proactive approach to mitigate against risks occurring.

Inspection carried out on 7, 22, 23 February 2012

During a routine inspection

We (the Care Quality Commission) spoke with 18 patients, 16 staff and six relatives. We visited three wards which provided general rehabilitation as well as rehabilitation services for patients following a brain or spinal injury, stroke, trauma or orthopaedic surgery. We spent time in three outpatient clinics for memory, foot care and the fitting and supply of orthopaedic appliances.

One patient talked positively about their experience and said �I�ve been told I�m getting on so well that I need to do things for myself. I�m trying to do what they say�. They described their care as �very good� and were �quite contented with the staff� who were �cheerful and helpful�.

When one patient was asked if they felt well cared for they replied, �very much so�. They were positive about the staff�s attitude and said, �they�ve always got time for a word or a joke�. They said the night staff were �very kind� and �always kept up a sense of humour�. The staff were described as �very kind, very nice people�.

One patient described their care as �excellent� and said they were �always treated with dignity�. They said their family had looked at paperwork. Another patient said they felt safe and had been treated with dignity.

Patients told us that they thought the surroundings were very nice and spacious and were always clean and tidy. They said staff were always popping in and out to see if they were OK. All the patients we spoke to told us that they enjoyed the food and there was always plenty of choice.

One patient told us that staff were fantastic and had taught them how to do lots of things and that they always told them what they were doing and why. We spoke with their representative who told us they were always included in planning their relative�s care.