Psychiatry-UK LLP

Independent Healthcare Org · South West

Overall Rating
Requires Improvement Last inspected 18 August 2023
Domain Ratings
Safe
Requires Improvement
Effective
Good
Caring
Outstanding
Responsive
Good
Well-led
Requires Improvement

View Full CQC Report

11 must-do actions
6 should-do actions

Must-Do Actions (11)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Safe
The service must ensure waiting lists are managed safely and effectively and that senior staff have a clear understanding of patient risks.
Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment
The service did not have a clear, consistent understanding of changing or escalating risks experienced by patients awaiting assessment and treatment.
Must Do
Safe
The service must ensure that risks associated with providing care and treatment out of hours and led by consultants outside of the UK are consistently and effectively managed.
Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment
The service did not have effective risk management systems in place for clinical staff providing care outside of the core working hours of managers and senior staff.
Must Do
Safe
The service must ensure patients who experience extended waits for treatment are appropriately managed for risk.
Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment
The service did not have a clear, consistent understanding of changing or escalating risks experienced by patients awaiting assessment and treatment.
Must Do
Safe
The service must ensure patient risk assessments are carried out consistently and are individualised.
Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment
Staff did not use a consistent approach to risk assessments with patients.
Must Do
Safe
The service must ensure known safeguarding risks are followed up and/or acted upon when patients disengage and cannot be contacted.
Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment
The service did not have an effective system to follow up or act upon known safeguarding risks when patients disengaged and did not respond to contact.
Must Do
Safe
The service must ensure learning from near misses or incidents is consistently communicated to all staff.
Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment
The service did not ensure learning from near misses or incidents was consistently communicated to all staff.
Must Do
Safe
The service must ensure there is monitoring and assurance that consultants complete care and treatment records in a timely manner.
Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment
There was no monitoring or assurance that consultants completed care and treatment records in a timely manner.
Must Do
Well-led
The service must ensure risk management, quality assurance, and clinical governance systems are fit for purpose and meet the needs of patients and staff.
Regulation 17 HSCA (RA) Regulations 2014 Good governance
Risk management, quality assurance, and clinical governance systems did not meet the needs of the service, its patients and its staff.
Must Do
Well-led
The service must ensure auditing systems have the capability to manage the security assurance of prescriptions sent by individual consultants to patients and pharmacies.
Regulation 17 HSCA (RA) Regulations 2014 Good governance
Auditing systems did not have the capability to provide security assurance of prescriptions sent by individual consultants to patients and pharmacies.
Must Do
Well-led
The service must ensure accountability for patients who are waiting for assessment or treatment is clearly defined.
Regulation 17 HSCA (RA) Regulations 2014 Good governance
The service did not ensure accountability for patients who are waiting for assessment or treatment was clearly defined.
Must Do
Well-led
The service must ensure assurance that clinical staff providing care remotely from home always follow good standards of confidentiality.
Regulation 17 HSCA (RA) Regulations 2014 Good governance
The service did not have assurance that clinical staff providing care remotely from home always followed good standards of confidentiality.

Should-Do Actions (6)

Recommended improvements to enhance service quality.

Should Do
Safe
The service should ensure there are mechanisms in place to learn from near misses.
Regulation 12 (Safe care and treatment)
Should Do
Safe
The service should ensure staff working in head office have fire safety training and the building has suitable emergency signage.
Regulation 12 (Safe care and treatment)
Should Do
Safe
The service should ensure consultants complete patient records in a timely manner after assessments.
Regulation 12 (Safe care and treatment)
Should Do
Well-led
The service should ensure organisational accountability for patients who are waiting for assessment or treatment are clearly defined.
Regulation 17 (Good governance)
Should Do
Well-led
The service should ensure there is assurance of confidentiality for patients who receive care from clinical staff working from home.
Regulation 17 (Good governance)
Should Do
Well-led
The service should ensure training is tailored to staff roles and responsibilities.
Regulation 18 (Staffing)
Location Details
CQC ID: 1-10058846641
Local Authority: Cornwall
Region: South West
Inspection Report
Type: Focused inspection
Date: 18 August 2023
Rating: Requires Improvement
Actions: 11 must-do , 6 should-do
AI-extracted 17 Feb 2026