Sheena's Blog: CWP achieves good results for outstanding care from national regulator

by Sheena Cumiskey - 11 December 2015

I am delighted to announce that CWP has been recognised as “good” following the CQC announced inspection of Trustwide services in June.

The report, published today, shows services were rated ‘outstanding’ for being caring, ‘good’ for being responsive, well-led and effective and ‘requires improvement’ for safe. Of the 14 core services inspected, inpatient services for people with learning disabilities and/or autism were rated ‘outstanding’ – an extremely rare accomplishment.

10 core services were “good” including wards for older people with mental health problems, long stay/rehabilitation mental health wards for working age adults, child and adolescent mental health wards, community mental health services for all ages and people with learning disabilities and/or autism, crisis services and health based places of safety, community physical health services for adults and ‘end of life’ services.

Within all of the services inspected, the CQC found “…staff were observed to be professional and caring in manner. Patients were treated with compassion and empathy and engagement between staff and patients was positive, collaborative and meaningful.”

May I just take this opportunity to say how very proud I am of our results which recognises the outstanding work of all our staff, especially involving and treating people with compassion, kindness, dignity and respect. Overall, the report recognises lots of excellent patient care and good practice which shows we are heading in the right direction and that our services are seen as responsive to meet people’s needs.

Findings we are proud of:

  • Most patients said they received good care. 
  • Committed and motivated staff throughout the Trust with good morale.
  • Numerous examples of teams having ‘gone the extra mile’ to ensure patients’ needs were being met.
  • Staff reported the Trust as a “good place to work”.
  • Trust commitment to improving quality of services supported by good governance structures.
  • Recognition of Trust investment in staff through Zero Harm and Human Factors.
  • Trust Board and senior managers were open and transparent.

Inspectors noted a number of areas of good practice including:

  • The cardiac rehabilitation service gaining national accreditation for the quality of its services and the early supported discharge service for stroke winning the Trust’s six Cs award for delivering an outstanding service to patients who had experienced a stroke.
  • Adults of working age using the Trust’s community-based mental health services encouraged to act as peer supporters for other people attending the well-being group.
  • A ‘my mind’ website and a Twitter account created by young people. These provided information in an accessible format, including self-help resources for mental health needs and information about, services provided by the Trust and what to expect from them.
  • Working with Cheshire Police, the Trust had a street triage approach to policing incidents involving people who may have mental ill-health. The service had shown a to 92 per cent reduction in the number of people detained under section 136 of the Mental Health Act.

Most patients said they received good care. Inspectors found staff providing skilled interventions in a caring and respectful way across all the core services, and saw numerous examples of staff teams having ‘gone the extra mile’ to ensure patients’ needs were being met.

169/ 197 comment cards (mental health services) from patients were positive:

  • Positive feedback from focus groups and other sources of feedback used by the CQC
  • Staff have positive, caring, kind, compassionate and professional attitudes
  • Staff listen to people
  • Staff deliver high quality care
  • Patients on the wards feel safe

Positive feedback from people accessing community health services, their families and stakeholders:

  • Staff go the extra mile
  • Care exceeds expectations
  • Parents feel informed and involved in their child’s healthcare
  • Staff are child and family focused and they look at the family unit

On LD wards, patients and carers positive about care and treatment:

  • Outstanding interactions between patients and staff
  • Staff use innovative approaches to help them communicate effectively with patients

The inspection was a great opportunity for us to show how well we deliver high quality, integrated and innovative services that improve outcomes for the people who use our services. It also compliments our recent results in the 2015 CQC Community Mental Health Survey, which is based on the views of local people. The Trust achieved the highest number of questions with a ‘better than expected’ score, with a total of 13 - more than any of the other 55 Trusts who took part in the survey. In addition, the Trust’s score in the ‘overall experience’ of services category was the top in the country, with almost a quarter of people rating CWP 10 out of 10.

We are now looking at how we can use good feedback in a more robust way so we learn as much from positive areas as well as areas where we need to improve.

Next steps – continuously improving

The inspection in June was also an opportunity for us to learn more about how we can make our services even better. The Trust was well prepared for the visit, with our internal compliance visits providing a robust framework of reviewing how teams provide care and treatment in line with the CQC domains and helping staff to prepare for how inspections operate.

By no means are we complacent as we recognise that we need to continually improve our services, in particular we know that we have further work to do as overall we were rated as ‘requires improvement’ for safe – which is principally about ensuring that we always mitigate the potential risks. This also includes 3 core service areas that were overall rated as ‘requires improvement’.

From the outset of the inspection action plans were defined to ensure our commitment to continuous improvement, linked to our Zero Harm and People and Organisational Development strategies. All the feedback has been taken incredibly seriously and we would like to assure all patients, carers and families that we are in the process of further defining our action plan to ensure that we are able sustain and embed compliance with the CQC regulations and provide an even better quality of service going forward.

If you would like to read the full results of the inspection, including ratings for all services, please go to the CQC website.

Again, this was a huge team effort and although we are very pleased with the final rating we are continuously looking at ways to improve our services and be the best we can be. We will take all the feedback on board to provide an even better quality of service going forward. Thank you to everyone who helped us achieve this ‘good’ result.

Further information

  • To see the full results please go to the CQC website
  • If you have any questions about our results, please contact our PALS team on 01244 397397 or email
  • For media enquiries please contact our press office on 01244 397407. See the Trust’s press release following the outcome announcement.
  • Watch Sheena's thank you video to everyone involved with CWP for their efforts
  • During the inspection the CQC spoke with 462 employees, 134 patients, talked with 63 carers and met with representatives for other organisations, including commissioners of health services and local authority staff.

Sheena Cumiskey

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