Pennine Care response to CQC Requires Improvement notice

  • CQC inspection outcome: ‘Requires Improvement’ overall for Pennine Care
  • One service rated as ‘outstanding’, nine rated as ‘good’, six rated as ‘requires improvement’ overall
  • 90% of services rated as ‘good’ or ‘outstanding’ for caring
  • No services rated as ‘inadequate’

Pennine Care has now received the final copy of the Quality Report from the Care Quality Commission (CQC), following the inspection across mental health and community services in June 2016. 

The CQC has given the Trust a Requires Improvement rating overall. 

16 core services were inspected in total; CAMHS inpatient services received an outstanding rating, nine services were rated as good and six rated as requires improvement.   Each service was assessed across five domains – safe, effective, caring, responsive and well-led.  

The main areas for improvement related to:

  • Breach of same sex accommodation guidance on six wards
  • Medicines management policy not observed in three services
  • Need to ensure a legal framework is followed when admitting patients who lack capacity to a ward
  • Mandatory training compliance fell below the required 75% in a number of services
  • Supervision policy not being fully adhered to in some services
  • Use of different recording systems and mixture of paper and electronic notes in some services
  • Incomplete care planning and risk assessments in two services

The CQC also highlighted a number of areas of good practice, including:

  • Staff were responsive, respectful, caring and professional in their attitudes and worked to support the patients
  • Good understanding of safeguarding and incident reporting processes
  • Business continuity plans in place across services
  • Staff feeling supported by managers to access training opportunities
  • Well-structured governance pathway to monitor outcomes for patients
  • Multi-disciplinary and partnership working well established internally and with external agencies
  • Facilities promoted recovery, comfort, dignity and confidentiality
  • Clear vision and values in place that is understood by staff

The Trust will now be working with services and the CQC to develop an action plan to address the areas for improvement.  

Michael McCourt, Chief Executive of Pennine Care NHS Foundation Trust, commented: “Clearly the Trust would always aspire to achieve outstanding or good for the care it provides and this was achieved by the vast majority of services inspected across all five domains. 

“It should be commended that 90% of services were rated as good or outstanding for caring and the report highlighted that staff were on the whole responsive, respectful and caring and professional in their attitudes and worked to support the patients. 

“However, there are a number of services that were rated as requires improvement and we will take the issues raised seriously and act swiftly to make changes.  This is a reflection of the immense challenges we continue to face in providing complex care to the most vulnerable of people and we need to work together with our patients, partners and commissioners to make demonstrable improvements.”

The Trust will now be working with services and the CQC to develop an action plan to address the areas for improvement.

You can view the CQC report in full by clicking here as well as the CQC media statement