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

Overall, we found the wards that we assessed were effective. Staff we spoke with said that there were specialist therapeutic pathways for young people and staff used a variety of evidence-based interventions. We saw staff promoted young people to live healthier lives and young people had access to specialist professionals as required.

This service scored 75 (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 we spoke with said they could access specific specialist training such as cognitive behaviour and trauma informed therapy.

We looked at community meeting minutes and “you said, we did” notice boards. Both described improvements following feedback and suggestions from young people.

We saw evidence that staff received monthly supervision as well as reflective practice sessions and peer supervision groups.

We spoke with a visiting commissioner who said the wards teams kept them informed and up to date with any issues regarding the young persons admission.

Staff told us how they worked across the hospital to ensure safe staffing levels to meet the needs of young people.

Managers told us they attended escalation meetings with stakeholders for example, social care to ensure young people did not have extended stays in hospital.

Staff told us that there is an annual bespoke training programme for all clinical staff to access.

Staff told us that they use a risk assessment model designed for CAMHS and that staff complete training on how to use the framework. Staff also told us that they have an in-house trainer to support with its implementation into patient care and to deliver training for new staff.

We spoke with 12 staff and 3 staff told us that the staff on the eating disorder ward often are required to assist with responding to incidents on other wards and this meant that the patients on the eating disorder ward did not always have access to enough support during mealtimes. 3 staff members also told us that there can be a reluctance from other wards to provide additional support to the eating disorder ward, if requested.

We saw posters in communal ward areas such as dining and day rooms advising young people of the benefits of a healthy diet, healthy hydration, taking exercise and looking after their mental wellbeing.

The hospital had activity co coordinators who had developed a programme of sensory, educational, creative and functional sessions which were focussed on building on and improving young peoples’ capabilities and skills to aid timely discharge.

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.