Nottinghamshire Healthcare NHS Foundation Trust

On this page

• 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

This means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question Good. At this assessment the rating has remained Good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

Staff provided evidence-based treatments based on national guidance and best practice guidance through the perinatal quality network. Staff worked well with internal and external teams. Staff supported patients to live healthier lives and delivered adapted support to meet cultural needs.

This service scored 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

Staff provided a comprehensive range of care and treatment interventions tailored to the needs of the patient group. These interventions were evidence-based and delivered in accordance with guidance from the National Institute for Health and Care Excellence (NICE).The unit is accredited with the Perinatal Quality Network within the Royal College of Psychiatrists accreditation scheme.Staff reported being active members of the Perinatal Quality Network, where they regularly shared best practices and contributed to the ongoing review and improvement of perinatal services. Leaders told us all staff received a thorough induction and were actively encouraged to pursue specialist training opportunities. Staff confirmed when they expressed interest in additional training, managers were supportive and facilitated access. All patient care plans we reviewed demonstrated the use of nationally recognised tools and scales, which ensured consistent and high-quality assessment, and review of treatment.

We attended 1 multi-disciplinary team ward round meeting, which included a full multi-disciplinary team including doctors, nurses, midwife, health visitor, occupational therapist, the community team members the patient and patient’s partner. The meeting was led by the doctor, but all attendees participated and had an active voice in the discussion.

Staff supported patients and family members (where consent had been given) to provide feedback for weekly ward round discussions. Feedback was given through a form that included patient goals, progress and any worries they may have.

Care records we reviewed, showed these meetings considered all professional opinions and the patients views and worries together.

Staff shared information about patients at effective handover meetings before each shift, which included a detailed overview of each patient including their presentation, activities, incidents and any changes in treatment.

Staff supported patients to live healthier lives. The service had a healthy eating session weekly, that all patients could attend. During the assessment we saw patients had access to healthy snack and were supported to make their own meals if they chose to do so. One patient who was vegan had recently been supported to make a vegan banana cake.

Staff told us the hospital kitchen team were able to support specific dietary requirements and preferences when required.

If staff had concerns regarding patients’ physical health, they had access to a junior doctor 24 hours a day. All patients had their physical health checked upon admission including blood tests and ECG’s which were conducted on the ward.

Patients were supported to access the local GP and local community services to help build confidence and maintain a connection to the local community to aid discharge.

Staff told us the supported patients to access local gyms if they had used them prior to admission.

Staff told us they had been supported to complete additionally training including baby massage and video interaction guidance training (Video Interaction Guidance (VIG) is a strengths-based, brief intervention that promotes attunement, sensitivity, and mentalization in relationships.), to help support patient relationships and confidence with their babies.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.