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CQC rates CNWL as Good

18 August 2017
Central and North West London NHS Foundation Trust
  • Media,
  • Hospitals,
  • Mental health community services,
  • Mental health hospital services

A combined trust providing community and mental health services delivering care across north-west London, Milton Keynes and other parts of the south-east has made significant improvements since its last inspection and has been rated Good overall by the Care Quality Commission.

Central and North West London NHS Foundation Trust (CNWL) has been rated Outstanding for being caring, Good for being effective, responsive and well-led and Requires Improvement for being safe.

CQC undertook this inspection to find out whether CNWL had made improvements since February 2015, when it rated the trust as Requires Improvement overall.

Since the last inspection the trust has made considerable improvements especially in their inpatient mental health services. Whilst there are still significant pressures for adults needing to access an inpatient bed for an acute mental illness the trust has improved how it is managing beds across the trust. Steps have been taken to make ward environments safer and to ensure there are sufficient staff to meet the needs of the patients. On wards for older people with mental health problems, patients of different genders are appropriately separated to promote their dignity and emergency resuscitation equipment is accessible. In addition patients with mental health needs are receiving improved support with their physical health.

There are however areas where the trust still needs to improve. Further work is needed to reduce the number of incidents of restraint including prone restraint. Records of restraint need to be completed correctly so this can be monitored. Where rapid tranquilisation is used, the appropriate checks must be carried out afterwards to ensure patient safety. We also found some challenges in the community based mental health services for adults of working age. Staff turnover is very high and patients are not always receiving consistent care. In addition many patients are not receiving timely access to psychological therapies.

Paul Lelliot, Deputy Chief Inspector (Mental Health), Hospitals, said:

“I am very pleased at the improvements that have been made at Central and North West London NHS Foundation Trust. The trust has a skilled and experienced leadership team who are committed to providing high quality services. Its Good overall rating is a testament to the staff at the trust and the successful implementation of the trust’s comprehensive improvement plan.”


For further information please contact Ray Cooling, Regional Engagement Manager (London), on 020 7448 9136 or call the press office on 020 7448 9401 during office hours. 

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Last updated:
17 August 2017

Notes to editors

Central and North West London NHS Foundation Trust (CNWL) provides integrated health and social care services to a population of around three million people living in the South-East of England including London, Milton Keynes and Buckinghamshire.

The mental health services provided by the trust are located mainly in the five London boroughs of Westminster, Kensington and Chelsea, Brent, Harrow and Hillingdon as well as Milton Keynes. The community services provided by the trust are located mainly in Camden, Hillingdon and Milton Keynes. Other services are provided outside these areas.

Whenever CQC inspects it will always ask the following five questions of every service:
  • Are they safe?
  • Are they effective?
  • Are they caring?
  • Are they responsive to people’s needs?
  • Are they well-led?
Since 1 April, registered providers of health and social care services have been required to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.