Review of mental health services

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Summary of report content

Healthwatch Coventry conducted a review of mental health services in March 2016. They visited in-patient, rehabilitation and day services to find out about changes that were made to these services and how they are working. The team visited these services' wards using enter and view methods; including surveys and observations, engaging with 25 in-patients, 7 discharged patients, and 14 staff working across the different wards. Staff were friendly, welcoming and professional. Staff told the team of their dedication to their work and safety of their patients, however, also reported that the morale on in-patient wards was low and described feeling overstretched and frustrated. Concerns about staffing levels were raised, as was the uncertainty about the future due to ongoing reviews of services. Staff felt that they do not have the capacity currently for the Trust’s plan to increase the variety of activities for in-patients. The experience of in-patient care varied depending on which ward patients were on. The team identified a need for improvements in the communication between staff and service users so that residents feel better informed and involved in their choices. Regarding the day services, the team felt that there could be more group sessions for more interaction and stimulation to ensure a positive experience for the patients. Discharge processes need to be better planned so that this is more effective and less stressful for the patient. The majority of patients engaged with said that they were happy with the quality of food during their stay. Across all services, everyone who gave feedback suggested that the smoking ban was ineffective. The report made a number of recommendations to the wards visited and to the Trust more broadly. These include: • To ensure that activities are part of the patients’ care planning and that activities are available. • To ensure that a more consistent quality of day sessions activities and sufficient staff are available to support patients. • To ensure the gardens are well maintained and better utilised, including removing the obsolete smoking shelters. • To ensure that the gym is fully utilised and staff are trained to support patient use. • To ensure that all patient discharge is well planned and better links with external agencies are established. • To ensure that staff are trained and supported to make use of care plans. • To review the current policy on hourly monitoring checks at the rehabilitation lodge as residents felt it unnecessary and to review the patient mix at the lodge. A response from the service provider was included in the report. It was suggested that some of the recommendations have been implemented.

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General details

Report title 
Review of mental health services
Local Healthwatch 
Healthwatch Coventry
Date of publication 
Sunday, 3 January, 2016
Date evidence capture began 
Friday, 18 September, 2015
Date evidence capture finished 
Friday, 20 November, 2015
Type of report 
Key themes 
Communication between staff and patients
Continuity of care
Food and nutrition
Holistic support
Quality of care
Quality of staffing
Service delivery organisation and staffing
Staff levels
Staff training
Other information of note about this report 
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
Primary research method used 
Structured interview
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 

Details of health and care services included in the report

Secondary care services 
Inpatient care
Psychiatry/mental health (hospital services)
Mental health services 
Mental health recovery service

Details about conditions and diseases

Types of disabilities 
Mental health
Types of long term conditions 
Mental health condition

Details of people who shared their views

Number of people who shared their views 
Age group 
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Not known
Does the information include staff's views? 
Types of health and care professionals engaged 
Care / support workers
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
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.