Birmingham and Solihull Mental Health NHS Foundation Trust

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

At our last inspection of Reaside we rated this key question good. At this assessment the rating remained as good.

At Reaside people’s care plans did not always reflect all their needs and did not show involvement of the person. FIRST used a new electronic records system that involved the person from the start of their assessment and in planning their care and treatment.

Staff understood people’s diverse needs and provided interpreters and accessible information where needed.

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.

At Reaside we reviewed 7 people’s care records. 5 records did not fully reflect the person’s physical, mental, emotional and social needs and 6 did not show the involvement of the person. The new trust electronic patient record which focused on involving the person was not used at Reaside at the time of our inspection. However, seclusion records reviewed showed that the person’s relatives were involved by the multidisciplinary team while the person was in seclusion and the person was able to contact their family while in seclusion.

People at Reaside gave mixed feedback about their and their relatives involvement in their care. 3 of 10 people said their relatives were involved in their care although 1 person said communication with their relative could be better. 1 of 10 people we spoke with said they were not involved in and had not seen their care plan.

Staff at Reaside described the day as task oriented, they described mealtimes, breaks for people who have e-cigarettes and allocated therapeutic observations although they did talk about activities and how they encouraged people to participate. The chief nurse told us that part of the ‘Culture of Care’ work was looking at what a person’s day is like and supporting staff to consider how the day can be more therapeutic and centred around the person.

In FIRST, people’s care plans fully reflected their physical, emotional, social and financial needs including those related to protected characteristics under the Equality Act. Staff were aware of people’s cultural needs. Staff supported people using interpreters where needed. Staff had individual discussions with people to see how they could support in times like Ramadan to ensure their medication regimes fitted in with fasting.

The electronic patient record used by the teams involved the person and their family where appropriate throughout and people led in their care planning. People said their family were involved in their care and staff visited their family to discuss their needs before they were discharged from hospital. Staff said they were able to clearly see people’s care plans and information about them as a person as soon as they logged on.

Staff at Reaside understood people’s diverse needs and told us how they provided interpreters where needed, ensured people had access to spiritual support and had reviewed the menus to reflect people’s cultural needs. However, people’s care plans did not fully reflect all the person’s needs and how staff should support them to meet these.

Two people told us about their plans for discharge which included engaging in a psychology course to prepare for this and looking at their housing needs.

FIRST staff understood the diverse health and social care needs of the people who used the service. Staff liaised with other services involved in the person’s care to provide continuity to their care and treatment. They had a good relationship with advocacy organisations who had culturally appropriate advocates to support people, so their cultural needs are met.

The service considered the needs and preferences of different people, including those with protected characteristics under the Equality Act. Staff told us how they adjusted people’s care and treatment plans so they could maintain their faith. For example, people who fasted during Ramadan, they adjusted their medications times, so they did not break their fast. Staff considered people’s religious needs and found a place of worship for them despite restrictions on where the person could go.

Delivering and co-ordinating FIRST considered the needs and preferences of different people, including those with protected characteristics under the Equality Act. Staff started a patient forum in August 2024 to ensure their interventions are what people wanted. They started a walking group because of the forum feedback. Experts by Experiences (people who had used mental health services) were used to help improve the service including interviewing staff. Staff had access to interpreters and could look at specialist support for people who have a learning disability.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in experiences and outcomes during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.