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Care Quality Commission

Like all mental health trusts, we are regulated by the Care Quality Commission (CQC) and are registered with them for the services we provide to patients. The CQC conduct both unannounced and announced inspections and review the quality of care we provide to patients.

Our Trust received a CQC inspection in March 2016 and in July 2016 they rated us as Good, meaning we are performing well and meeting our expectations. You can read the CQC inspection reports on their website.

The reports also raised some areas for improvement, and as a Trust we are working hard to address these areas and make improvements to our services. A copy of the “High Level” action plan submitted to CQC which sets out the actions that the Trust will be undertaking to address the regulatory “Must Dos” contained in our 13 inspection reports is available below.


High Level Action Plan to address the regulatory 'Must Do' issues raised by the Care Quality Commission

The full plan is available here


Please click each item below

Regulation 9: Person Centred Care. The trust must ensure that staff consistently and regularly review and update nursing care plans. They must ensure that nursing care plan documentation is personalised and addresses all the needs identified in the assessment

Regulation 12: Safe Care and Treatment. The trust must ensure that their policy on rapid tranquillisation is up-to-date and reflects current prescribing guidance from NICE. The trust must ensure that clinical staff have a consistent approach to the use of rapid tranquillisation, understand its risks and record its use and the this is appropriately monitored

Regulation 17: Good Governance. The trust must comply with the Mental Health Act Code of Practice requirements for documenting observations and decision making in any episodes of seclusion and long-term segregation

Regulation 18: Staffing. The trust must review the waiting times from assessment to treatment for patients and put systems in place to reduce the length of wait

Regulation 12: Safe Care and Treatment. The trust must ensure that the cleaning standards of the clinic room at Telford & Wrekin Crisis Resolution and Home Treatment team are maintained. The clinic room was not clean and had ants, spiders and cobwebs. Cleaning records were not maintained


See below for the full report of our latest inspection