- NHS mental health service
Archived: Bridgewater CHCFT Bevan House
Important:
This service was previously managed by a different provider - see old profile
All Inspections
4 to 27 September 2018
During a routine inspection
Our rating of this service improved. We rated it as good because:
- Following the last inspection, emergency equipment was available in both locations where midwifery was provided.
- Staff had completed mandatory training and specific skills and drills for this service. Since the last inspection, midwives spent 22.5 hours annually in the maternity unit of the neighbouring NHS trust.
- Since the last inspection, a safeguarding midwife has been employed. Staff had received safeguarding training updates and understood how to keep patients safe.
- Areas we visited were visibly clean.
- There were sufficient numbers of midwifery staff to meet the needs of the service.
- Patient records were completed appropriately by all staff. Since the last inspection, Digi pens were no longer used.
- Staff understood how to report incidents and received feedback. Since the last inspection, trends were identified and lessons learned and shared.
- Staff followed national guidance and monitored the service.
- Staff were appraised and supported by senior staff. Following the last inspection, Professional Midwifery Advocates had been trained and were awaiting direction form the regional network re implementation.
- Patients were supported by staff with individualised care. Since the last inspection, there were processes to refer women, to neighbouring trusts for support with a mental health need.
- Since the last inspection, the clinic at Halton hospital had been reorganised so that consultations were mainly in a room rather than in bays with privacy curtains.
- There was an open and transparent culture with clear supportive leadership.
- The service followed the wider regional network strategy.
- Following the last inspection, the service worked with a neighbouring hospital trust being part of the maternity voices programme where meetings were held with staff and women who used the service.
However:
- In both areas emergency bags included some equipment that was overdue for servicing, as recorded on the sticker attached and there was extra birthing, rather than emergency items not on the checklist. This was addressed during the inspection.
- Medicines which required to be kept at a certain temperature were stored in emergency bags but there was no date when the medicine was removed from the fridge. This was addressed during the inspection.
- Fridge temperature checks, at Widnes had been recording as exceeding the maximum range for at least four months.
3-6 February 2014
During a routine inspection
Bridgewater Community Healthcare NHS Trust provides community and specialist healthcare to people living in Ashton, Leigh, Wigan, Halton, St Helens and Warrington. It also provided community dental services to these areas and (more widely) and health services at three prisons.
The trust provided a range of 127 different clinical services. The largest services are district nursing, health visiting, physiotherapy, podiatry and speech and language therapy. They are usually delivered in patients' homes, clinics and local health centres.
The trust employed 3,400 staff. It has around 11,000 patient contacts a day and 2.5 million a year across all its community services.
During our visit we held focus groups with a range of staff (district nurses, health visitors and allied health professionals). We observed how people were being cared for, talked with carers and/ or family members and reviewed personal care or treatment records of patients.
We judged that services were safe. Most staff were able to describe systems for reporting incidents. There was evidence of improvements made to services through learning, though sharing of lessons learned. However this was often within individual teams and not across clinical services.
Staff used of pathways of care to treat patients, based on nationally agreed best practice. There was multi-disciplinary team work taking place. Most staff said that they felt there were enough staff in teams, and health visiting staff had seen increases as part of the ‘Every Child Matters’ policy; however there were examples where staff vacancies were impacting on service delivery.
Most patients commented on the caring and compassionate approach of staff across the organisation. We saw staff treating patients with respect. Patient surveys carried out by the trust showed high levels of patient satisfaction.
The services we reviewed were responsive to the needs of the patients. There was good triage in the walk-in centres as well as good coordination of care for people with learning disabilities and their families. Multi-disciplinary teams were working to make sure patients were discharged effectively, and the children care services were centred on the needs of families.
The trust had recently finished a management restructure process. Staff commented positively about how they were engaged with during this process. The trust’s board had a clear focus on quality, and there was a governance framework in place and regular reporting to the board took place. There were evolving programmes of leadership development for the new levels of managers across the trust. Some staff did say that there had been a lack of handover to new managers at the start of the new structures. Some of the newly appointed managers had an expanded span of control which meant that they were not fully conversant with all the risks and challenges.
27 November 2012
During a routine inspection
Bridgewater Community Healthcare NHS Trust had undertaken a number of patient experience surveys across the services they provided. District nursing patient surveys and podiatry surveys were carried out in September 2012. Four Divisions (excluding the dental division) participated in the survey.
We received very positive comments from patients during the inspection. These included: 'X always pull's the curtains around when treating me, I always feel that my privacy and confidentiality is respected', 'The nurses are very good", 'The staff always close the curtains around me, they are very respectful, 'I have no problems with staff at all, I have the utmost respect for the staff, the vast majority of the NHS are fantastic, they are just run off their feet and could do with more nurses".
We observed that throughout the clinic visited, the staff treated patients and their relatives in a professional but friendly manner. We noted positive interactions and examples of good practice in supporting patient's privacy and rights. When more sensitive information was being obtained, this was done in a caring and understanding way.