A hospital dedicated to the treatment of women with mental health needs “did not provide a range of treatments suitable to the needs of the patients”, health watchdog inspectors found when they visited. Edith Shaw Hospital, in Hugo Street, Leek, was previously placed in special measures following an inspection in January 2021 when it was judged to be inadequate.
However, following its latest inspection by the Care Quality Commission, the hospital was upgraded to ‘requires improvement’ having made improvements since its previous visit, the inspectors’ report said. Edith Shaw has 14-beds and is a female only, community based longer term high dependency rehabilitation unit. It provides mental health rehabilitation services for women with complex mental health needs. Admissions are taken from women aged over 55.
The John Munroe Group, which manages the hospital said while it welcomed an improvement on its previous inspection when it was judge inadequate, it has appealed against the latest rating.
It was previously rated inadequate in August 2021 ad due to the seriousness of the concerns, the CQC took immediate enforcement action. This included a condition to restrict the provider from admitting any new patients to Edith Shaw Hospital without the prior written agreement of the CQC.
Inspectors said this time its rating of the service had improved, but it still required improvement because: “Staff assessed patient risk however, it was not easy to clarify when reading risk assessments and management plans what the current risks were and how to manage them. The plans were not clear and concise.
“Staff did not provide a range of treatments suitable to the needs of the patients cared for in a mental health rehabilitation hospital and in line with national guidance and best practice. Patients were not supported to lead an independent life. The service did not work to a recognised model of mental health rehabilitation or to its own statement of providing outcome focused rehabilitation.
“The hospital did not fully utilise the full range of specialists to ensure that patients received an appropriate rehabilitation plan with a view to improving their quality of life and activities of daily living. Care plans were repetitive at times and it was not easy to find relevant information quickly, however staff developed holistic, personalised care plans informed by a comprehensive assessment.”
However, inspectors found the service provided safe care, and was safe and clean. The hospital had enough nurses and doctors. They minimised the use of restrictive practices, managed medicines safely and followed good practice with respect to safeguarding.
Staff were well trained and treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. The conditions placed on the hospital under Section 31 of the Health and Social Care Act 2008 at the previous inspection will remain in place, the report says. It means it cannot admit any new patients to Edith Shaw hospital without the prior written agreement of the CQC.
There are four ratings that the CQC gives to health and social care services: outstanding, good, requires improvement and inadequate.
Outstanding is given to a service performing exceptionally well. Good is given to a service performing well and meeting expectations. Requires improvement means it is not performing as well as it should and the CQC told the service how it must improve. Inadequate means the service is performing badly and the CQC has taken action against the person or organisation that runs it.
A spokesman for the John Munroe Group said: “The Edith Shaw hospital is a service for older adults, aged between 67 and 87 at the time of the inspection with an average age of 73 years, the majority of whom have significant complex challenging behaviours due to longstanding severe mental illness, and significant physical health nursing needs. The women that we provide care and treatment to, mostly have a discharge pathway that has been identified as requiring 24-hour nursing care when they no longer require restrictive interventions or detention under the mental health act.
“While we are glad the CQC can see the improvements, we are disappointed they have yet again failed to recognise and acknowledge the needs of an older adult patient group and have rated the service as ineffective in providing rehabilitation for working age adults (under 65) when we did not have any working age adults within the service, at the time of the inspection. We are challenging the CQC on this discrepancy and launching a ratings review.
“The staff team at Edith Shaw Hospital continue to remain motivated and enthusiastic in providing high quality care and treatment to all of those in our care, as they have done throughout the difficult challenges faced by all during the covid pandemic. Despite the challenges that we have faced, the team remain committed to making ongoing improvements to our service.”