Report into Warwickshire Mental Health Services

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Summary of report content

Healthwatch Warwickshire carried out a programme of Enter and View activities focused around inpatient mental health services in November and December 2016. The purpose of the report is to share the views and experiences of Warwickshire mental health service users, their relatives and carers and staff members, and make recommendations to improve their experience of the services. The enter and view visits were split into four areas: inpatient ward visits, Have Your Say Day, outpatient visits, admission and discharge process. The visits included observation relating to facilities, as well as unstructured interviews of staff and service users, and the use of short questionnaires. The programme of visits was set up following concerns raised locally to Healthwatch Warwickshire by service users and carers about delays in accessing services, lack of responsiveness to carers, inadequate follow up support following discharge and GPs' lack of understanding about local mental health services. It was also noted that there is a crisis in mental health service provision on a national level and several findings of a 2016 CQC report titled "Monitoring the Mental Health Act 2015/2016" were cited. The key findings from the report include: - Recommendations arising from observations made during the inpatient ward visits to St Michaels Hospital (5 wards) and Manor Site, Nuneaton (2 wards) - a green/amber/red rating system was used to rate each inpatient ward on each of the following areas: Atmosphere Decoration Fixtures and Fittings Furnishings Privacy and Dignity Storage Cleanliness Facilities Flooring Lighting Signage Other areas not covered The most recommendations were made with regard to cleanliness (7) and fixture and fittings (6). - No recommendations were made with regard to how outpatient services could be improved following the completion of questionnaires provided at Stratford Healthcare (20 people) and Manor Court Avenue (7 people). - The positive feedback received at the "Have Your Say Day" held by Healthwatch Warwickshire at St. Michaels Hospital regarding the provision of care at the hospital. The recommendations arising from the unstructured interviews focused on increasing activities, improving the communication and involvement which relatives and carers receive, improving the management of physical health conditions, improving toilet facilities, and conducting a staff satisfaction survey. - An agreement to work together with the Coventry and Warwickshire Partnership Trust to ensure the admission and discharge process is service user friendly. Overall 43 recommendations were made in the report. Coventry and Warwickshire Partnership Trust agreed to produce an action plan to address the recommendations and to meet regularly with Healthwatch Warwickshire to review progress.

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General details

Report title 
Report into Warwickshire Mental Health Services
Local Healthwatch 
Healthwatch Warwickshire
Date of publication 
Tuesday, 18 July, 2017
Type of report 
Report
Key themes 
Admission
Building and facilities
Decor
Discharge
Quality of care
Quality of treatment
Other information of note about this report 
Carers
Healthwatch reference number 
Rep-1059

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
If this work has been done in partnership, who is the partner? 
N/A
Primary research method used 
Observation
Unstructured Interview
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Announced

Details of health and care services included in the report

Secondary care services 
Dementia
Inpatient care
Outpatients
Psychiatry/mental health (hospital services)
Mental health services 
Mental health crisis service
Mental health recovery service
Psychiatry / mental health (other services)

Details about conditions and diseases

Types of disabilities 
Mental health
Types of long term conditions 
Alzheimer’s disease or dementia
Mental health condition

Details of people who shared their views

Number of people who shared their views 
54+
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
All care professionals
Care / support workers
Service manager
Does the information include other people's views? 
Yes
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
Not known
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.