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Priory Wellbeing Centre Oxford Good

Inspection Summary


Overall summary & rating

Good

Updated 3 September 2019

We rated the Priory Wellbeing Centre Oxford as good because:

  • The service provided safe care outpatient services designed to give patients help and support with mental health difficulties. Clinical premises where patients were seen were safe and clean. Staff managed referrals well to ensure that patients were seen promptly. Staff assessed and managed risk well and followed good practice with respect to safeguarding.
  • Staff carried out mental health assessments of patients in a timely manner following receipt of referrals.
  • Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment and in collaboration with families and carers where appropriate. They provided a range of treatments that were informed by best-practice guidance and suitable to the needs of the patients.
  • The team included the full range of specialists required to meet the needs of the patients. Managers ensured that these staff received training, supervision and appraisal. Staff worked well together as a multidisciplinary team and with relevant services outside the organisation.
  • Staff understood and discharged their roles and responsibilities under the Mental Capacity Act 2005 and Gillick competency.
  • Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. They actively involved patients, families and carers in care decisions.
  • The service was committed to working with the community to raise awareness of mental health conditions. 
  • The service was well-led and the governance processes ensured that that procedures relating to the work of the service ran smoothly.

However

  • In two cases the patients’ risk assessments had not been updated on the patient’s clinical records at the frequency set by the provider’s policy.
Inspection areas

Safe

Good

Updated 3 September 2019

We rated safe as good because:

  • The clinical premises where patients received care were safe, clean, well equipped, well furnished, well maintained and fit for purpose.
  • The centre had a comfortable and well-equipped room for children and young people to use while waiting on an appointment.

  • The service had enough staff, who knew the patients and received basic training to keep patients safe from avoidable harm.
  • Staff assessed and managed risks to patients and themselves. They responded promptly to sudden deterioration in a patient’s health.
  • Staff understood how to protect patients from abuse and the service worked well with other agencies to do so. Staff had training on safeguarding children and adults. They knew how to recognise, and report abuse, and they knew how to apply the safeguarding policy.
  • Staff kept detailed records of patients’ care and treatment. Records were clear, up to date and easily available to all staff providing care.
  • Staff recognised incidents and reported them appropriately. Managers investigated incidents and shared lessons learned with the whole team and the wider service. When things went wrong, staff apologised and gave patients honest information and suitable support.

However:

  • In two of the seven risk records that we reviewed the patients’ risk assessments had not been reviewed at the frequency required by the provider’s policy.

Effective

Good

Updated 3 September 2019

We rated effective as good because:

  • Staff completed an initial assessment with all patients following receipt of a referral to the service. Care plans reflected the assessed needs, were personalised, holistic and recovery-oriented.
  • Care was delivered in line with national best practice for the conditions treated at the centre. Therapies available included cognitive behavioural therapy, dialectical behavioural therapy, counselling and eye movement desensitization and reprocessing therapy.
  • The team included the full range of specialists required to meet the needs of patients under their care, including children and young people. Managers made sure that staff had a range of skills needed to provide high quality care. They supported staff with appraisals, supervision and opportunities to update and further develop their skills. Managers provided an induction programme for new staff.
  • Staff understood and discharged their roles and responsibilities under the Mental Capacity Act 2005 and Gillick competency.

Caring

Good

Updated 3 September 2019

We rated caring as good because:

  • Staff treated patients with compassion and kindness. They understood the individual needs of patients and supported patients to understand and manage their care, treatment or condition.
  • The centre’s clinical staff had developed easy-read guides to mental health conditions for children and young people.
  • Staff involved patients in care planning and risk assessment and actively sought their feedback on the quality of care provided.
  • Staff informed and involved families, carers and GPs appropriately.

Responsive

Good

Updated 3 September 2019

We rated responsive as good because:

  • Patients were offered appointments in a timely way following receipt of a referral. The service did not have a waiting list.
  • Staff worked flexibly and responded to patients’ individual needs. The service was open from 8.30am to 8pm and there was sufficient staff available for patients to be seen quickly.
  • Patients accessed the service easily in a way and at a time that suited them.
  • The service was committed to working with the community to raise awareness of mental health conditions. Staff within the service held events with partner agencies in the local area to tackle myths and stigma around mental illness.
  • The service treated concerns and complaints seriously, investigated them and learned lessons from the results, and shared these with all staff.

Well-led

Good

Updated 3 September 2019

We rated well-led as good because:

  • Leaders had the skills, knowledge and experience to perform their roles, had a good understanding of the services they managed, and were visible in the service and approachable for patients and staff.
  • Staff felt respected, supported and valued. They reported that the provider promoted equality and diversity in its day-to-day work and in providing opportunities for career progression. They felt able to raise concerns without fear of retribution.
  • The governance processes operated effectively at team level and performance and risks were managed well.
  • The service was committed to improving and responded to suggestions from staff and patients.
Checks on specific services

Community-based mental health services for adults of working age

Good

Updated 3 September 2019