An investigation by the Care Quality Commission (CQC) has found that Black Country Healthcare NHS Foundation Trust’s adult mental health wards at Dorothy Pattison Hospital in Walsall still require improvement, despite some positive developments.
Key Findings from the Inspection
The unannounced inspection conducted in May 2024 highlighted “pockets of improvement” in patient care and management. However, the overall safety and service quality ratings remain at “requires improvement.” The trust’s leadership rating improved from “requires improvement” to “good,” reflecting better oversight since the last inspection.
Concerns that prompted the inspection included the management of the medical team and a workplace culture where staff felt unable to speak up. Inspectors found no evidence to substantiate these concerns. Staff reported feeling supported and confident in raising issues.
Areas Needing Attention
Mandatory Training: Some staff had not completed essential training, including basic life support. The trust confirmed all staff are now scheduled to complete these courses.
Ward Conditions: Inspectors noted some wards were cluttered, with areas described as “shabby” and “damaged.” Safety hazards included exposed sharp edges on doors and cigarette litter in garden areas where smoking was permitted.
Smoking Policy: The trust plans to introduce a new smoke-free policy in summer 2024 to improve the environment for patients and staff.
Leadership and Response
Following a critical leadership report in late 2023, the trust’s chair resigned, and efforts to rebuild trust among staff are underway. Carolyn Green, the trust’s chief nurse, acknowledged the need for further improvements and expressed commitment to delivering a safer, more supportive environment.
Andy Brand, CQC deputy director of operations in the Midlands, emphasized that while progress has been made, continued focus on improving processes and systems is essential to support staff and ensure patient safety.
Practical Takeaways for Mental Health Care
This report underscores the importance of continuous improvement in mental health services, particularly:
Training: Ensuring all healthcare staff complete mandatory training to handle emergencies effectively.
Environment: Maintaining clean, safe, and well-maintained wards to promote patient well-being.
Leadership: Fostering a culture where staff feel empowered to speak up and contribute to service improvements.
Smoke-Free Policies: Implementing smoke-free environments to enhance health outcomes for patients.
Patients and families should feel encouraged to engage with healthcare providers about safety and care quality, while healthcare organizations must prioritize transparent leadership and supportive workplace cultures.
