Agenda item

The Care Quality Commission’s Quality Report on the services provided by Leicestershire Partnership NHS Trust (LPT).  Representatives of LPT and Leicester City Clinical Commissioning Group (as commissioners of services) have been invited to the meeting.

The Care Quality Commission’s Quality Report on the services provided by Leicestershire Partnership NHS Trust (LPT) was received by Members.

Dr Peter Miller Chief Executive and Cathy Ellis, Chair, LPT NHS Trust and Dawn Leese, Director of Nursing Quality, Leicester City Clinical Commissioning Group and and Jim Bosworth, Associate Director of Contracting, Leicester, Leicestershire and Rutland Clinical Commissioning Groups (as commissioners of services) attended the meeting for this item.

Dr Miller gave a short presentation on the report (copy attached) and stated:-

a)   The full report ran to 500 pages and the inspection had covered all the services provided by the Trust.  The matrix on slide 3 of the presentation showed the ratings for each element of the services that had been inspected.  The colour coding was Red (Inadequate), Orange (Requires Improvement) and Green (Good).

b)   The overall rating for the Trust was ‘Requires Improvement’. In relation to the national context 60% of Trusts had received a ‘Requires Improvement’ rating, 35% of Trusts were rated as ‘Good’, 5% were rated as inadequate.  Only 3 Trusts were rated as ‘Outstanding’.

c)   The Trust provided services at 156 sites and was required to display the poster at slide 4 of the presentation on all sites.

d)   The Trust was required to submit a detailed Action Plan against all the ‘Requirement’ actions in the inspection report before 4 August 2015.  This could be supplied to Members if requested.          

e)   The Trust employed approximately 5,600 staff and the report had identified that there was too much reliance on agency staff, but this was common to other Trusts.

f)    The other key themes highlighted by the report are in the slide of the presentation attached.

g)   There was now an increased level of scrutiny in the process as the Board would be considering the risks identified in the report and the actions being taken over the next six months and the Board meetings were in public.

Ms Leese and Mr Bosworth stated that the CCG felt it was a varied report and the comments on the staff commitment were to be commended.  The CCG were working with the LPT to deliver the Action Plan and improve services.  Many of the issues identified in the CQC’s report were known issues where work was already in progress to address.

Following further comments by Members in relation to the Bradgate Mental Health Unit, Dr Miller stated that a number of improvements had already been put in place since the Trust was issued with Warning Notice by the CQC 2 years previously.  Amongst other things the balance between qualified and non-qualified from a 40% - 60% split had moved to target of a 60% - 40% split, 10 new therapists had been appointed and there were more day activities taking place.  There were still improvements to be made in administration procedures and environmental settings but the direction of travel was encouraging.  Although the Bradgate Unit had received a rating of ‘Inadequate’ this represented an improvement from it being the subject of a ‘Warning Notice’ but there was still more to be done.

Members discussed generally how the Commission could be involved in supporting the Trust to improve particularly in those areas shown ad Red on the service matrix.

RESOLVED:

1)         That Dr Miller be thanked for his presentation and that the Commission noted the positive comments in the report about the caring staff.

2)         That the representative of the CCG be thanked for their attendance and participation in the item.

3)         That the Commission establish a Task Group to be Chaired by Councillor Sangster to look at key areas of the CQC report with a view to producing a report by December 2015 of what improvements have been achieved.

4)         Other Members of the Task Group to be appointed after the meeting, and the Task Group to involve the Adult Social Care Scrutiny Commission in the review process.