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.