- SERVICE PROVIDER
Greater Manchester Mental Health NHS Foundation Trust
This is an organisation that runs the health and social care services we inspect
We served a s29A warning notice on Greater Manchester Mental Health NHS Foundation Trust on 20 June 2024 for Lack of effective governance systems, ligature risks and fire safety concerns, medicines not managed safely, ward security systems not consistently keeping people safe, infection prevention and control risks and staff not up to date with mandatory training.
Report from 16 January 2025 assessment
Contents
Ratings - Forensic inpatient or secure wards
Our view of the service
We carried out this assessment as we had issued a s29A warning notice dated 21 April 2023 and needed to review the concerns identified from the previous inspection to see if the necessary improvements had been made. We inspected 34 quality statements across the safe, effective, caring, responsive and well-led key questions and have combined the scores for these areas with scores from the last inspection to give the rating . All but one of the wards that we inspected was located within the Edenfield Centre on the trust's main site in Prestwich, Manchester. The exception was Wentworth ward at Wentworth House, in Eccles. We visited five medium secure wards including Rydal, male admissions with 15 beds and seven patients, Dovedale, male admissions with 15 beds and seven patients, Silverdale, male assessment and treatment with 16 beds and 14 patients, Ferndale, male assessment and treatment with 16 beds and 15 patients, Keswick, male, pre- discharge with 19 beds and 12 patients. We visited two low secure wards including Delaney, male admissions with 15 beds and nine patients and Isherwood, male, pre discharge with 15 beds and 10 patients. We visited three women’s secure wards including Borrowdale, female WBS assessment and treatment with 12 beds and four patients, Derwent, female WBS with six beds and four patients and Buttermere, female WEMSS with six beds and one patient. We visited two step down wards including Newland, male eight beds with five patients and Wentworth, male, ten beds with six patients. Whilst we found that the trust had made improvements in some areas including an improved learning and safety culture, and supportive leadership culture. We observed staff who were kind, compassionate and caring. Our assessment found some continued areas of concern.
People's experience of this service
We spoke with 13 carers and 30 patients during the assessment. Most people told us they were treated with kindness, empathy and compassion. Their privacy and dignity were generally respected. However, group activities were not always suitable for people with protected characteristics such as autism and blanket restrictions impacted negatively on people and their carers. There were good examples of positive patient involvement, but people had been impacted by staffing pressures and leave and activities were sometimes cancelled. There were occasions when communication between staff and patients was not satisfactory, and patients were not assured that staff would always be available to them if they needed support.