Fulwood House

Updated 15 August 2016

Sheffield Health and Social Care NHS Foundation Trust provides services across the city of Sheffield to a population of approximately 564,000 and employs approximately 3,000 staff. The trust is the main provider of mental health, learning disability, substance misuse and community rehabilitation services, and provides range of primary care and specialist services to the people of Sheffield. It also provides some specialist services to people outside of Sheffield.

Trust Headquarters - Sheffield Health and Social Care NHS Foundation Trust, Fulwood House, Old Fulwood Road, Sheffield, S10 3TH. Telephone: 0114 271 6310

The trust does not provide any children’s mental health services. It provides the following core services:

• Acute wards for adults of working age and psychiatric intensive care units.

• Long stay/rehabilitation mental health wards for working age adults.

• Forensic inpatient/secure wards.

• Wards for older people with mental health problems.

• Mental health crisis services and health-based places of safety.

• Community mental health services for people with learning disabilities or autism.

• Community-based mental health services for older people.

Sheffield Health and Social Care NHS Foundation Trust has registered locations. providing mental health and learning disability services, including five

hospitals sites:

• Forest Lodge.

• Forest Close.

• Michael Carlisle Centre.

• The Longley Centre.

• Grenoside Grange.

The trust is also registered to provide community health services from Fulwood House.

The trust also provides adult social care services from five locations.

• Hurlfield View.

• Longley Meadows.

• Supported Living Service.

• 136 Wainwright Crescent.

• Warminster Road.

• Woodland View.

These services were not inspected as part of this process, although we did consider the intelligence from recent inspections carried out at some of these locations to help us form a judgement. The individual reports for each of these services can be found on the CQC website.

The trust also provides primary medical services from five locations:

• Jordanthorpe Health Centre.

• Highgate Surgery.

• Central Health Clinic.

• Darnall Primary Care Centre.
• Mulberry Practice.

These services were not inspected as part of this process.

Updated 15 August 2016

The findings of this inspection do not impact on the ratings from the last inspection, undertaken in November 2014.

At this inspection we found the following areas of good practice:

• The trust had a clear vision and values, supported by a set of strategic aims and there was a clear governance structure and arrangements.
• Surplus funds were used to improve quality and safety for patients.
• The board assurance framework had 14 identified risks, which had clear links to the trust’s strategic objectives, none of these risks, was rated as high.
• Following a review undertaken by the Good Governance Institute, a change in executive roles is to take place to ensure a balance between roles and capacity to deliver each portfolio.
• There was service user involvement in service design, planning and evaluation.
• The chief executive and chief nurse spent time each month in a clinical area and staff told us they valued this.
• The chief nurse and the medical director were trained as coaches and were providing training and individual coaching to staff in the organisation.
• Learning from incidents and complaints was visible at all levels of the organisation.
• The trust participated in external peer review and service accreditation.
• There was a commitment to engage with people who use the services of the trust in planning, implementing and evaluating services across the trust.

However:

• The uptake of mandatory training was below the trust target of 80%.
• We found a number of policies that had not been reviewed on time.
• Redecoration and improvements were required to some areas in a unit for people with dementia. Improvements, which had been identified as being necessary to provide a more suitable environment for people with dementia, had not been completed.
• The trust had not implemented the 2015 MHA code of practice across all services of the trust.
• Compliance with mandatory Mental Health Act, Mental Capacity Act and Deprivation of liberty training was very low for all staff and was not monitored for effectiveness by senior management of the trust.