- SERVICE PROVIDER
Nottinghamshire Healthcare NHS Foundation Trust
This is an organisation that runs the health and social care services we inspect
We have suspended the ratings on this page while we investigate concerns about this provider. We will publish ratings here once we have completed this investigation.
We have published a rapid review of Nottinghamshire Healthcare NHS Foundation Trust and an assessment of progress made at Rampton Hospital since the most recent CQC inspection activity.
See older reports in alternative formats:
- Community mental health services with learning disabilities or autism, published 24 May 2019: Easy read report.
- Rampton Hospital, published 8 June 2018: British Sign Language video.
- Rampton Hospital, published 15 June 2017: British Sign Language video.
Report from 20 January 2025 assessment
Contents
Ratings - Mental health crisis services and health-based places of safety
Our view of the service
Dates of assessment: 29, 30 October and 12, 13 November 2024 Nottinghamshire Healthcare provide a 24-hour, seven-day a week crisis resolution home treatment team service (CRHT) that offers assessments to people with significant mental illness who would otherwise be admitted to hospital. Nottingham City and County South teams are located at Highbury hospital and the County Mid team is based at Sherwood Oaks hospital. This includes short term home treatment to minimise the risk of people being admitted to hospital and providing support to achieve recovery from crisis at home. The trust has 2 section Health Based Places of Safety; they are the Cassidy suite at Sherwood Oaks hospital and the Acorn suite at Highbury hospital. A Health Based Place of Safety is a designated place where a mental health assessment can take place. Psychiatric liaison services are provided at 4 locations within Nottinghamshire, Queens Medical Centre, Nottingham University Hospital, Kingsmill Hospital and Bassetlaw hospital. During this assessment we assessed the CRHT and Health Based Places of Safety at Highbury hospital and Sherwood Oaks hospital and Psychiatric Liaison teams at Queens Medical Centre and Kingsmill hospital. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at 5 quality statements across 3 key questions: Safe systems pathways and transitions, Involving people to manage risks, Safe and effective staffing, Assessing needs, Responding to people’s immediate needs. As we assessed some but not all quality statements at this visit it means we use the ratings from the previous inspection to rate all the key questions safe, effective, caring, responsive and well-led. During this assessment we found breaches in regulation under safe care and treatment, safe staffing and good governance and we asked the trust to produce an action plan to make improvement's.
People's experience of this service
During this assessment we reviewed specific written feedback from 11 patients who had used the services, spoke with 3 patients being cared for within the 2 health-based places of safety (136 suites), attended 1 multi-disciplinary meeting, 1 morning safety huddle meeting and reviewed 20 patient care and treatment records. Patients felt supported by staff and were involved in their care and treatment plans. Staff were always available to meet their needs and were kind and approachable, which allowed them to “open up” about their needs.