Archived: Keats House

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• 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

At our last assessment we rated this key question Good. At this assessment the rating has remained Good. This meant people were safe and protected from avoidable harm.

• All premises where clients received care were safe, clean, well equipped, well furnished, well maintained and fit for purpose.
• Risks were assessed and managed well. The service had a very clear scope of practice and ensured it referred people to alternative services if it could not safely meet their needs.
• Staff kept up-to-date records of clients’ care and treatment and stored these in line with privacy and confidentiality requirements.

We have not awarded this service a score for Effective.

Find out about when we will not publish a key question score and what we look at when we assess Effective.

The consultant psychiatrist completed comprehensive mental health assessments over 2 to 6 sessions with each patient once accepted into the service. They highlighted the importance of taking time to understand patient’s individual needs over several sessions before offering a diagnosis or agreeing on a set treatment plan. Patients commented they found this approach effective.

The consultant psychiatrist worked with patients and their families when appropriate, to plan care and adapted this plan in response to the patients’ changing needs. This plan was then shared with the patient. We reviewed the records for 10 patients. Each contained detailed plans of care that reflected the assessed needs of each patient that were personalised, holistic and recovery oriented.

The service worked in partnership with patients’ GPs and other relevant specialists to ensure patients’ physical health was assessed and monitored.

The consultant psychiatrist ensured patients had access to a range of treatment and care that was based on national guidance and best practice. Interventions offered to patients were those recommended by and were delivered in line with National Institute for Health and Care Excellence (NICE) guidance. The consultant psychiatrist had specialist knowledge of Cognitive Behaviour Therapy (CBT) and aimed to use a blended approach offering psychological and pharmacological intervention. The consultant psychiatrist discussed all treatment options with patients, including medicine or non-medicine interventions.

The service had effective working relationships with services outside the organisation.

Staff shared information about patients and any changes in their care with other services when appropriate. The service recorded consent to share information clearly in individual patient’s individual records.

Some patients did not consent to their GP being contacted by the service or did not have a GP at all. In these cases, the consultant psychiatrist explained the potential risks associated with the service not being able to share information with patient’s GP. They would only offer treatment to patient in these circumstances if they deemed it clinically appropriate and safe to do so.

The consultant psychiatrist supported people to manage their health and wellbeing and live healthier lives. For example, helped patient access other services such to support healthy eating advice, improve sleep and going to the gym.

The service used outcome measures to monitor people’s care and treatment continuously, using a range of recognised rating scales, to improve it and to ensure that outcomes were positive and consistent. They also used outcomes to ensure that they met both clinical expectations and the expectations of people themselves.

The consultant psychiatrist used recognised rating scales to assess and record severity and outcomes. For example, Health of Nation Outcomes scales.

The consultant psychiatrist used recognised rating scales to assess and record severity and outcomes. For example, both the Beck Anxiety Inventory (BAI) and Depression inventory (BDI) were completed at the start of a patient’s treatment and used to monitor progress. The consultant psychiatrist included patients to make their own decisions in their care. Patients we spoke with said the treatment they received had positive outcomes on their mental and overall health.

The consultant psychiatrist understood their legal responsibilities in relation to the Mental Capacity Act (MCA) and associated Code of Practice. This included obtaining informed consent from patients before delivery of treatment.

In all the records we reviewed consent to treatment was obtained from clients prior to treatment. This was obtained through a form.