Chadwick Lodge

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

Staff assessed the physical and mental health of all patients on admission. They developed individual care plans which were reviewed regularly through multidisciplinary discussion and updated as needed. Care plans reflected patients’ assessed needs, and were personalised, holistic and recovery-oriented. They included specific safety and security arrangements and a positive behavioural support plan. Staff provided a range of treatment and care for patients based on national guidance and best practice. They ensured that patients had good access to physical healthcare and supported them to live healthier lives. Staff used recognised rating scales to assess and record severity and outcomes. They also participated in clinical audit, benchmarking and quality improvement initiatives.

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.

The provider had processes in place to ensure patients received care, treatment and support that was evidence-based and in line with good practice standards. The ward staff worked well together as a multidisciplinary team. There was clear input from occupational therapy and psychology teams. All patients had their physical health assessed soon after admission and regularly reviewed during their time on the ward. The provider had processes in place for monitoring patients’ nutrition and hydration. Staff developed a comprehensive care plan for each patient that met their mental and physical health needs. Staff regularly reviewed and updated care plans when patients' needs changed. Care plans were personalised, holistic and recovery orientated. Staff held weekly multidisciplinary meetings, which included risk meetings, individual care reviews (ICR), and Patient involved ward clinical governance meetings. Ward rounds took place once monthly for each ward and were attended by the multi-disciplinary team. Staff discussed patient’s physical and mental health, medication, incidents, and discharge planning if appropriate. Patients were invited to attend these meetings, as were their family members, with patient agreement, family members could attend remotely if they were unable to attend in person.

The service had access to a full range of specialists to meet the needs of the patients on the ward. Patients received care, treatment and support that was evidence-based and in line with good practice standards. Staff told us they complete a comprehensive multi-disciplinary assessment on admission and care plans and risk assessments are reviewed regularly. Patients had access to a full multi-disciplinary team including doctors, nurses, occupational therapists, and psychologists. Managers ensured staff had the right skills, qualifications and experience to meet the needs of the patients in their care, including bank and agency staff. Managers gave each new member of staff a full induction to the service before they started work and supported staff through regular, constructive supervision and appraisal of their work.

Patients felt supported to care for their physical health. One patient we spoke with told us that staff were very good at physical health monitoring. Patients said they could engage in activities both on and off the ward. Patients had access to a hospital gym and to outside space, including a courtyard area with an enclosed sports pitch. patients felt involved in developing their care plans and felt that care plans were achievable and understood what areas they needed to address.

One patient we spoke with, told us staff worked well together to ensure patients had lots of access to section 17 leave. They said they were engaged in education, and that there were on and off ward activities to take part in each day. Patients attended a co-production meeting, led by an occupational therapist, where they could get involved in community audits, meal plans and plans to improve the hospital. Patients told us they were involved in their care plans, which were created with a multi-agency approach. Patients told us they have a gym for to use and a kitchen for independent cooking. The music room had a drum kit, there was a multi-faith room, an activities room, and a horticulture room. When the on-site café opens there will be opportunities for patients to have paid work.

Staff held regular multidisciplinary meetings to discuss patients and improve their care. Meetings included a range of relevant professionals. Staff shared clear information about patients and any changes in their care, including during dedicated daily handover meetings. Ward teams had effective working relationships with other teams in the organisation and external teams and organisations.

The provider had processes in place to ensure joint working across internal and external organisations. This included a joint information sharing protocol with the police, which included two police liaison officers who attended the hospital regularly. The provider had a joint working protocol in place with the local authority. In addition, staff used a hotline that to liaise with the team if there was an incident, they needed further advice or information about. All patients were registered with a local GP surgery, and dentists if required. Internally, staff had access to regular meetings, including clinical governance meetings, multi-agency meetings, and team meetings. Staff were also offered debriefs after incidents.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.