The Priory Hospital Roehampton

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. All care plans were developed to tailor individual needs for each patient and were regularly updated following risks or during multi-disciplinary meetings. The ward teams had access to a full range of specialists required to meet the needs of patients on the ward. Patients had access to a range of therapies suited for their needs and in line with best practice and national guidance.

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.

Family and carer feedback was mixed on how children and young people’s needs were met. Some carers told us they felt their child didn’t always receive emotional support when they felt stressed. Another parent told us their child wasn’t supported to make healthy eating choices. Two parents stated they felt their child’s mental health had improved during their stay at the service. Staff ensured newly admitted patients had a care plan and risk management plan within 24 hours of admission. Care plans we reviewed were robust and included information about one-to-ones with named nurses and sessions with the occupational therapist.

Staff we spoke to stated that care plans were reviewed by nurses every week. Staff told us care plans were developed to support patients’ individual needs. For example, staff told us they had care plans around food habits and phone usage. Staff told us they sought patient consent to involve family and carers in their care and treatment.

We reviewed 4 physical health records, 2 paediatric early warning systems (PEWS) and 2 national early warning scores (NEWS). Staff on Lower Court ward used PEWS and staff on Richmond Court used NEWS. Staff on Richmond ward told us they used PEWS when there were specific concerns about a patient’s physical health. Staff completed physical health assessments in a timely manner. Children and young people had their physical health assessed on admission and at regular intervals as planned. We reviewed 5 patient care and treatment records and found staff completed a risk assessment for each young person using a recognised tool and reviewed this regularly with the multi-disciplinary team. Risk management plans linked well with care plans. Care plans we reviewed showed that all patients had care plans addressing: keeping connected, keeping safe, keeping well, keeping healthy. All care plans included risk managements which were individualised for each patient. Care plans also included patients own voice.

Patients had access to a range of therapies suited for their needs and in line with best practice and national guidance. In addition, children and young people we spoke to told us they had access to a wide range of activities including attending school, going to the gym or for walks, baking, arts and crafts, community events, puzzles and games.

In line with national guidance and best practise, children and young people were supported to access a range of therapeutic interventions. At the time of the inspection the self-sooth room was out of use which meant there was nowhere for patients to go if they were feeling distressed. However, this was resolved after the inspection and the self-soothe room was reopened. Staff we spoke to stated they follow the Quality Network for inpatient CAMHS standards for the service, human rights, and the Mental Health Act when planning for young people’s care. Staff told us they used least restrictive options and did not deprive anyone of their liberty. However, some staff commented that there should be more activities available on the ward for children and young people when patients were in distress.

Children and young people were allocated individual key workers who would meet with them each week. During these meetings, staffed discussed anything important to the patient. This information was reflected within the patient care plans. Managers and key workers also attended ward rounds whereby they would discuss care and treatment for children and young people. Care and treatment discussed was individualised and followed best practice.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.