Issue - items at meetings - Sussex Partnership Foundation Trust CQC Inspection Summary and Brighton and Hove Action Plan & 2020 Vision

Report of the Assistant Chief Executive (copy attached).

23.1    The Committee considered a report of the Assistant Chief Executive in relation to the Care Quality Commission inspection in January 2015. The report detailed the findings from the inspection and the actions that the Trust had planned. Dr Kay MacDonald, Sussex Partnership Trust, introduced the report and stated that the Care Quality Commission (CQC) held a planned week long inspection of services provided by Sussex Partnership NHS Foundation in January 2015.

23.2    Dr Kay MacDonald introduced the report and stated that the CQC rated Sussex Partnership as an organisation which ‘requires improvement’ and the Sussex Partnership Trust stated that this was disappointing.

23.3    Sussex Partnership Trust explained to the Committee that it was recommended to join Suicide Zero, as there was not an action plan currently in place to tackle the high rate of suicide in the City.

23.4    It was explained to the Committee that the CQC felt the recording of statutory and mandatory training was not accurate and was overall not adequate enough as a trust.

23.5    Sussex Partnership Trust explained that since the inspection, “My Learning” has been introduced and this would be shown in the next inspection.

23.6    Mr John Child, Service Director, explained to the Committee that the majority of findings from the inspection were in relation to the trust wide, rather than local. The Service Director outlined the local findings in the report.

23.7    The Service Director outlined that concerns were raised in relation to the safety in Hanover Crescent and concerns around medication management in Brunswick Care. It was explained that a monthly Quality Improvement Plan would be submitted to the CQC to improve on these areas.

23.8    Councillor Allen requested a map and information to be sent to the Committee Members in relation to the areas around Brighton and Hove that were inspected, as the city’s residents were often treated outside of the city. Mr Child agreed to send these out.

23.9    In response to Councillor Peltzer Dunn, it was expressed that the Sussex Partnership Trust wished to improve all the services in the City and especially improve patient confidence. It was stated that the services had started to communicate more with patients and listen to their feedback, in addition to working closely with the CQC and Brighton & Hove City Council.

23.10  Dr MacDonald clarified to the Committee that the Sussex Partnership had their own inspection before the CQC inspection and were expecting some problems in relation to the accuracy of recording information.  It was explained that a new electronic recording system has now been introduced to help record care in a consistent way across the trust. It was currently being trialled in Child and Adolescent Mental Health Services (CAMHS) and would be introduced to other services in November 2015.

23.11  Mr Child explained to Councillor Barradell that as Rutland Gardens being an old Victorian building, they had some problems with cleanliness. Since the inspection, the Sussex Partnership Trust had ensured more housekeeping staff have been employed and would continue to have regular infection control audits.

23.12  Dr MacDonald offered to send a detailed report to the Committee Members that outlined the cleanliness of other services and properties in the City.

23.13  Councillor Wares expressed concern that the Sussex Partnership Trust had not been reactive enough given their understanding of the situation. In response to Councillor Wares concerns, Dr MacDonald clarified that a further visit from CQC in November 2015 was scheduled and the Sussex Partnership Trust were required to show their work plans to them. It was also confirmed that local engagement will be incorporated the plans will cover all areas of concern.

23.14  In response to the Healthwatch Representative, Dr MacDonald provided assurance that there had been interviews with carers and the CQC had looked into this feedback, alongside surveys. Mr Child added that they work closely with MIND and Brighton & Hove City Council to ensure feedback from services users.

23.15  RESOLVED – The Committee agreed to note the report and asked the Trust to report back in six months on progress against the actions.