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Quality Account

2016/2017 Quality Account - NHS...Quality Account 3 Elysium Healthcare was formed in December 2016 and is led by Joy Chamberlain, Chief Executive Officer. The company was formed following

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Page 1: 2016/2017 Quality Account - NHS...Quality Account 3 Elysium Healthcare was formed in December 2016 and is led by Joy Chamberlain, Chief Executive Officer. The company was formed following

Quality Account

Page 2: 2016/2017 Quality Account - NHS...Quality Account 3 Elysium Healthcare was formed in December 2016 and is led by Joy Chamberlain, Chief Executive Officer. The company was formed following

2

Contents

Review of performance 14

Achievements in physical healthcare 15

Case study 16

Clinical tool used by Elysium 18

Benchmarking through peer review 20

Evaluating care 21

Positive risk taking and restrictive practice reduction 22

Regulation 22

Department of Health mandatory indicators 23

Part 3

Our quality objectives for 2017/2018 8

Statement of assurance from the Board 9

Participation in national clinical audits 9

Participation in clinical research 9

Use of CQUIN 10

Statement from the Care Quality Commission and Health Inspectorate Wales 11

Data Quality 11

Information Governance Toolkit 11

Clinical coding error rate 11

Governance 12

Part 2

Our history 3

Our objectives 3

Our values 4

Our services 4

Our sites 5

Board statement on quality 2016/17 6

Part 1

Page 3: 2016/2017 Quality Account - NHS...Quality Account 3 Elysium Healthcare was formed in December 2016 and is led by Joy Chamberlain, Chief Executive Officer. The company was formed following

Quality Account3

Elysium Healthcare was formed in December 2016

and is led by Joy Chamberlain, Chief Executive Officer.

The company was formed following the divestment

of 10 sites from Partnerships in Care (previously led

by Joy Chamberlain) and 12 sites from the Priory

Group, both of which were owned by Acadia, a US

listed healthcare company. The divestment was

a result of competition issues identified by the

Competition and Markets Authority.

Elysium entered the market with 22 sites and quickly

acquired Raphael Healthcare adding a further 2 sites to the

portfolio. This brought together three hospital groups that

excelled in the delivery of specialist healthcare provision.

The result is a blend of best practice, best systems and

innovation together with a person centred focus on staff,

patients and residents.

Our history 1: Our objective is to make a difference in

all that we do and encourage hope and

optimism for the future of our staff and

those in our care.

2: We will provide specialist services to patients

and residents which encompass the complete

pathway creating continuity of care.

3: Our focus will always be that each and every

person is unique and this will be reflected in

the individualised care people receive.

4: We will focus on harnessing the digital age.

We will invest in technology, electronic

systems and unique digital visualisation

system for those in our care.

5: We will care for our staff team. Without them

we could not deliver exceptional care.

Our objectives

Part 1

Our history and our objectives

Part

1

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In March 2017 we consulted with our patients,

residents, staff, management team and our Board on

our values. Shared values unify us and set the standard

for how we manage our decisions and our actions as a

company. Here is what the people of Elysium stand for:

Elysium provides specialist healthcare to

patients and residents with a vast array of

needs including services for those with mental

ill health, learning disabilities and neurological

conditions. We also provide specialist services

for young people, including education.

Our portfolio of services include:

Our values Our services

so we drive forward the standards and outcomes of careInnovation

to encourage all to lead a meaningful lifeEmpowerment

because in partnership we can deliver transformational careCollaboration

because we are ethical, open, honest and transparentIntegrity

show respect, consideration and afford dignity to allCompassion

CAMHS

Eating Disorder Services

Residential Children’s Homes

Adult Rehabilitation Services

Adult Acute Services

Adult Addiction Services

Adult Autism Services

Adult Psychiatric

Intensive Care Units (PICUs)

Adult Low Secure Services

Adult Medium Secure Services

Adult Neurological Services

Adult Private Patient Services

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Quality Account5

Our sites

Acute / PICU / HDU services

SItE LoCAtIoN

Arbury Court Cheshire

Potters Bar Clinic Hertfordshire

Brighton and Hove Clinic East Sussex

The Spinney Manchester

Thornford Park Berkshire

Secure Services

SItE LoCAtIoN

Arbury Court Cheshire

The Spinney Manchester

Wellesley Somerset

Cefn Carnau South Wales

Chadwick Lodge and Eaglestone View Buckinghamshire

Farmfield Surrey

Thornford Park Berkshire

The Farndon Unit Nottinghamshire

CAMHS Eating Disorder Services

SItE LoCAtIoN

Rhodes Wood Hospital Hertfordshire

Rehabilitation

SItE LoCAtIoN

Recovery First Widnes, Cheshire

Ty Gwyn Hall Gwent, Wales

Aderyn Monmouthshire, Wales

The Copse Weston super Mare, Somerset

Rosebank Reading, Berkshire

Bromley Road Catford, London

Braeburn House Salford, Manchester

Three Valleys Hospital West Yorkshire

Brierley Court Manchester

Spring Wood Lodge Leeds

Sturt House Walton on the Hill, Surrey

St Neots Hospital Cambridgeshire

Private Patient Services

SItE LoCAtIoN

Rhodes Wood Hospital Hertfordshire

Brighton & Hove Clinic East Sussex

Part 1

Our values, services and sites

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Our Quality Account for 2016 / 2017 reflects our

formation as a new company which came together just

before Quarter 4 in 2016. Our statement therefore

signifies this short period of operations.

In the months since our inception we have

concentrated on the integration of the sites

to bring together seamless systems, improved

information technology and delivery of care. This

has been challenging and not without its ups and

downs but we have been proud of how staff have

supported the process which in the end enables us

to deliver higher capabilities within each site. We

are grateful for the support we have received from

Commissioners whilst we navigated this transition.

The quality of our buildings is important to us. We

agreed additional investment for a number of sites

to enable them to provide an environment which

is conducive to the best setting for recovery. It was

also important to look at gaps in the care pathway

and embark on a strategic plan to deliver seamless

care at all levels. Our achievements in both these

areas will be shared in our first full Quality Account in

2017 / 2018.

Our governance framework was a critical area to

harmonise as quickly as possible. We ended Quarter

4 in a position where all sites had implemented the

new governance framework and moving into the new

financial year we will ensure practice is embedded

and that the golden thread from Ward to Board and

Board to Ward is truly effective. This has been further

supported across our teams with the implementation

of our staff guide, Quality Governance at Elysium

Healthcare: A guide for all staff.

Board statement on quality 2016/2017

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Quality Account7

In healthcare, our workforce is key to our ability

to deliver the best and most compassionate

care possible. To this end we have invested in

core events which have given staff groups the

opportunity to come together to share concerns,

ideas, best practice and lessons learned. It has also

given us as a Board the opportunity to speak to

staff directly to impart our commitment first and

foremost to clinical excellence.

The Board is satisfied that the data presented here

is of a high quality and that it evidences our first

four months of operations. We look forward to

next year when we will be able to present a full

account for Elysium Healthcare.

Joy ChamberlainChief Executive Officer

Dr. Quazi HaqueExecutive Medical Director

Steven WoolgarDirector of Policy & Regulation

Part 1

Board Statement

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Priority 1: Delivering the Service (providing high quality care)

Complete harmonisation

Embedded governance

Harmonisation of practice and policies

Priority 3: Knowing how we are doing

(quality assurance framework)

Compliance with regulatory standards

Implementation of the Elysium

Quality Governance Strategy

Priority 2: Improving what we are doing

(quality improvement)

Consolidation of It systems

Creation of best practice networks

Implementation of Quality Improvement

objectives and delivery plans (CQUIN)

Updating of clinical models

Our quality objectives for 2017 / 2018In selecting our quality objectives for 2017/2018 we have reflected on feedback from our

key stakeholders including staff, patients, NHS England, Clinical Commissioning Groups, our

peer networks and the CQC. We have also continued to focus on our need for harmonisation

across the group. We have prioritised three core areas for improvement.

2

Part

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Quality Account9

Our statements of assurance from the BoardDuring the year ending 31 March 2017 Elysium Healthcare provided six types of services on behalf

of the NHS. Elysium has reviewed all the data available to us on the quality of care in all six of these

NHS services. The income generated by the NHS services reviewed in the year ending 31 March 2017

represents 100 per cent of the total income generated from the provision of NHS services by Elysium

Healthcare for the year ending 31st March 2017.

Our quality objectives for 2017/2018

Part 2

Participation in national clinical audits

During the year ended 31 March 2017, no national clinical

audits and no national confidential inquiry covered NHS

services that Elysium Healthcare provides.

The national clinical audits we were eligible to participate in for

the year ended 31st March 2017 were:

n Prescribing Observatory for Mental Health (POMH-UK)

Participation in clinical research

All research involving patients receiving care within

Elysium is subject to approval as described in the

Elysium Research Policy which provides details on

ethical approval and data security.

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Adult Secure Services (ex-Partnerships in Care sites)

CQUIN Action Q4 Result

Recovery Colleges Implementation of peer led education and training

programmes ✔

Quality Innovation Productivity and Prevention

Refining and reporting on the innovation PathNav

system (see PathNav description) ✔

Reducing Restrictive Practice Training, governance and evaluation relating to

reducing restrictive practice ✔

CAMHS Services

CQUIN Action Q4 Result

Improving care pathway journeys by enhancing the experience of family/carer

Implementation

of audit and

improvement plan ✔

Comprehensive and collaborative assessment of young people’s readiness for independent and successful adult life and identifying individuals’ areas for development

Development of

life skills care plan,

delivery of training

and engagement✔

Use of the CQUIN framework

A proportion of Elysium’s income in the year ending 31st March 2017 was conditional

on achieving quality improvement and innovation goals agreed by the previous owner,

Acadia Healthcare (The Priory Group and Partnerships in Care) and any person or body they

entered into a contract, agreement or arrangement with for the provision of NHS services,

through the Commissioning for Quality and Innovation payment framework.

Elysium Healthcare is only able to state the outcomes for Quarter 4 of 2016 / 2017.

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Quality Account11

Our quality objectives for 2017/2018

Part 2

CollaborationInnovation

Empowerment

Harnessing the digital era: Introducing the Pathnav app

Pathnav is a unique software application written to create a visual journey

of care. It promotes genuine collaboration between clinicians and the

patient and enables the patient to be a true partner in their care. The

application focuses on care pathway outcomes and maps each stage of

the recovery journey so the patient can see where they were, where they

are now and what is on the horizon for the future, promoting hope for

recovery. The intense focus aides the patient and the clinical team to

work together reducing length of stay and improving outcomes.

Statements from the Care Quality Commission (CQC) and Health Inspectorate Wales

Elysium is required to register with the Care Quality Commission

and its current registration status is fully registered. There are

no conditions on registration at the time of this report.

Elysium’s Welsh sites are required to register with the Health

Inspectorate Wales. All sites are fully registered and there are

no conditions on registration at the time of this report.

Data quality

Elysium was not required to submit records during 2016/2017 to the

Secondary Uses service for inclusion in the Hospital Episode

Statistics which are included in the latest published data.

Information governance toolkit

Elysium’s Information Governance Assessment Report overall

score for the year ended 31 March 2017 was Level 2.

Clinical coding error rate

Elysium was not subject to the Payments by Results

clinical coding audit during 2016/17 by the Audit Commission.

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GovernanceQuality Governance combines evidence-based

care, professionalism, effective compliance

and assurance to ensure that patients

receive high quality care. This is achieved in

partnership with patients, their friends and

family, regulators and commissioners.

Everybody has a part to play in quality governance.

Our Quality Governance guide for staff clearly outlines

our expectations from staff and from the company in

supporting staff.

Elements of Quality Governance

n Delivering care safely and with compassion

including safe staffing principles

n Quality monitoring from Ward to Board

n Listening to:

- Patients, service users and residents

- Families and friends

- Commissioners

- Regulators

n Internal assurance through our compliance visits

n Audits

n Proven treatments (clinical strategy)

n Doing as we should (policy and procedure)

n Clear roles, responsibilities and expectations (job

description, supervision and appraisals)

n Values based recruitment and training

Delivering the service

(High quality care)

Knowing how we are doing

(Quality assurance)

Improving what we are doing

(Quality Improvement)

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Our quality objectives for 2017/2018

Part 2

Ways in which we monitor our services:

Our Ward to Board Quality FrameworkThe Elysium Ward to Board Quality Governance Framework enables us to deliver

transparent, effective and responsive care and clarity of reporting throughout our services.

The Corporate Clinical Governance and Corporate Management Committees meet monthly

and are chaired by Dr Quazi Haque, Executive Medical Director and Joy Chamberlain, Chief

Executive Officer, respectively. The meetings are attended by the Operations Directors and

the operational and clinical leads of all of our service lines. At the meetings, monthly quality

reporting information from each hospital or service is reviewed.

n Audits

n Policy and procedure

n Proven clinical treatments

n Ward to Board /Board to Ward

n Internal and external inspections

n Hospital Risk Registers

n Complaints and whistleblowing

n Listening and responding to feedback

n Continuous learning and development

n Ward quality monitoring by staff and patients

n Staff appraisals

n Patient / Staff Community Meetings

n Patient Experience Lead Visits

n Expert by Experience Visits

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Review of PerformanceThe results for the review of performance for Quarter 1, 2 and 3 can be

seen by reviewing the Quality Account for Partnerships in Care and The

Priory Group. Below is a summary of the year end position of Elysium sites.

2

Part

3 QI Area Partnerships in Care Priory

Physical Health Improved PH screening ✔ PH assessment as part of admission ✔

Care Planning PathNAV prototype testing ✔ Evidencing patient views in EPR 7

Workforce Preceptorship Academy ✔ N/A

CAMHS Family Involvement ✔ therapeutic Approach N/A

Medication errors N/A Keep below 2.1% ✔

Personality Disorder N/A Reduction in self harm using DBt ✔

Restrictive Interventions RRI Plans ✔ Safewards N/A

Eating disorders EDQ on admission and discharge EDQ on admission and discharge N/A

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Quality Account15

Review of Performance

Part 3

Unit No of patients With PH Check Refused PH Check Without PH Check % With / Refused

Aderyn 16 15 1 0 100%

Arbury Court 77 67 10 0 100%

Brierley Court 12 9 2 1 92%

Bromley Road 20 18 0 2 90%

the Copse 23 21 1 1 96%

the Spinney 89 61 26 2 98%

total 237 191 40 6 97%

Physical Health (PH) Check within the last year

Achievements in physical healthcare screening

Improving the physical healthcare of our patients is important.

Here are a selection of results from our screening programme.

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Results from Outcome Measures Annual Report

To help the clinical team assess the needs of young people in our

care and measure the effectiveness of their treatment programme,

Rhodes Wood Hospital administers a standardised set of self-report

measures on both admission and discharge.

There is a significant decrease in scores

between the point of admission and the

point of discharge, indicating that young

people improve in their social, physical,

and mental functioning during their

hospitalisation. This finding supports

the validity of the holistic model of

treatment implemented at Rhodes

Wood, which focuses on all aspects of

the young person’s growth.

Young people treated in the financial

year of 2016-2017 presented with

higher levels of difficulties on admission

compared to those treated between

April 2015 and March 2016. Similarly,

they were discharged with higher

levels of psychosocial and interpersonal

distress. Importantly, however, the

difference between average scores

on admission and average scores at

discharge has been greater in the last

financial year, indicating a higher impact

of the therapeutic programme.

Description of Measures

Each young person is asked to complete the following measures;

1) HoNoSCA – Health of the Nation outcome Scale (Patient,

Parent and Clinician)

2) EDE-Q - Eating Disorders Examination Questionnaire

3) SDQ–StrengthsandDifficultiesQuestionnaire

4) PCAN – Pros and Cons of Anorexia Nervosa Scale

5) StAI – State trait Anxiety Inventory

6) CHoCI – Childhood obsessive Compulsive Inventory

7) CDI – Children’s Depression Inventory

8) CEt – Compulsive Exercise test

9) MSCARED – Motivational Stage of Change for

Adolescents Recovering from an Eating Disorder.

1. HoNoSCA Client

A StUDY from Rhodes Wood Hospital: Eating Disorder Services

Admission Discharge MeanDifference

18.78 (16.58) 8.76 (7.61) -9.42 (-8.97)

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Quality Account17

Review of Performance

Part 3

Mean Emotional symptoms, Conduct problems,

Hyperactivity, Peer problems, Pro social

behaviour, Total Difficulties and Total Impact

scores decreased from admission to discharge,

indicating that the young people reported fewer

difficulties in each of these fields by the time

they had completed the programme.

The reduction in symptoms for young people

admitted and discharged in the year 2016 - 2017

has increased in comparison to the previous

year 2015-16. This indicates that the therapeutic

programme has had a greater impact than in

the previous year and additionally suggests that

the treatment programme has continued to

promote recovery and symptom reduction.

2. SDQ

Subscale Admission Discharge Difference General Population

Emotional symptoms 6.68 (6.61) 4.24 (4.61) -2.44(-2) Normal: 0-5 Borderline: 6Abnormal: 7 - 10

Conduct problems 1.92 (1.78) 1.36 (1.39) -0.56 (-0.39)Normal: 0-3 Borderline: 4Abnormal: 5 - 10

Hyperactivity 4.32 (4.36) 2.92 (3.64) -1.4 (-0.72)Normal: 0-5 Borderline: 6Abnormal: 7 to 10

Peer problems 2.72 (3.53) 2.36(2.78) -0.36(-0.57)Normal: 0-3 Borderline: 4 - 5Abnormal: 6 -10

Pro social behaviour 8.16 (8.03) 7.28 (8.03) -0.88 (0)Normal: 6-10Borderline: 5Abnormal: 0 - 4

Total difficulties 15.64 (16.28) 10.88 (12.42) -4.28 (-3.86)Normal: 0-15 Borderline: 16-19Abnormal: 20-40

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Clinical Tools used within Adult services at Elysium

tools Description

HoNoS Secure / LD Health of the Nation outcomes Scales (HoNoS) was developed by the Royal College of Psychiatry as a measure of the health and social functioning of people with severe mental illness.

StARt (Short-term Assessment of Risk and treatability)

the StARt is a concise clinical guide for the dynamic assessment of short-term (i.e. weeks to months) risk for violence (to self and others) and treatability.

StARt guides clinicians toward an integrated, balanced opinion to evaluate the patient’s risk across seven domains.

HCR-20v3 the Historical Clinical Risk Management-20, Version 3, is a comprehensive set of professional guidelines for the assessment and management of violence risk.

the Wales Applied Risk Research Network (WARRN)

this was developed in collaboration with Welsh Government in response to a series of homicide enquiries. WARRN risk assessment is now used in all Health Boards in Wales covering mental health, forensic services and CAMHS services along with their associated Local Authorities.

SAPRoF TheSAPROFisaviolenceriskassessmenttoolspecificallydevelopedfortheassessmentofprotectivefactorsforadultoffenders.ThetoolwasintendedtobeusedinadditiontoriskfocusedStructuredProfessionalJudgmentassessmenttools, such as the HCR-20 or the HCR-20V3.

RSVP TheRSVPisasexoffenderriskassessmenttoolthatfollowsthestructuredprofessionaljudgementapproachtotheassessment and management of sexual violence risk.

PathNAV PathNAV is a bespoke electronic tool that facilitates discussion between clinicians and service users helping them to plan the care pathway focusing on the person’s goals, achievements and next steps within set timelines.

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Review of Performance

Part 3

tools Description

My Shared Pathway My Shared Pathway was developed with the Royal College of Psychiatry. It is a recovery and outcome focused model.

EQ-5D (EuroQol) Applicabletoawiderangeofhealthconditionsandtreatments,itprovidesasimpledescriptiveprofileandasingleindexvalueforhealth status.

Recovery Star the Recovery Star developed by the Mental Health Providers Forum, is an outcomes measure which enables people using services to measure their own recovery progress, with the help of mental health workers or others. there are a number of Stars which service users can choose to work with.

the Lester tool the Lester Positive Cardiometabolic Health Resource is an intervention framework for adults with psychosis on antipsychotic medication.

MUSt Malnutrition assessment tools are designed to help identify adults who are underweight and at risk of malnutrition, as well as those who are obese.

Health Action Plans National requirement for adults with a learning disability.

NEWS (National Early Warning Score)

this is a standardised national tool across service providers. It tracks 6 physiological parameters and alerts the nurse who is taking physical observations when a parameter varies from the norm and that intervention is required.

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Benchmarking through peer reviewElysium is committed to reporting clinical

performance in a way that will support the creation

of aligned national frameworks to permit comparison

across NHS and independent service providers.

We participate in peer review networks which enable our

performance to be reviewed in an independent and transparent

way. We learn from peer reviews and they help us make policy

and procedure change which supports the mandate for greater

patient involvement and engagement.

Over the course of 2016/2017 five hospitals providing services

for medium and low secure patients participated in peer reviews.

All hospitals scored highly with The Spinney achieving a score

of 96% against the standards in Low Secure Care and 97% for

Medium Secure Care.

Rhodes Wood Hospital participated in the Quality Network for

Inpatient CAMHS but at the time of this report the results of the

review had not been received.

Site Location Low Secure Score Medium Secure Score

Arbury Court Cheshire78% 76%

Chadwick Lodge Buckinghamshire78% 76%

Farmfield Surrey73% 77%

the Spinney Manchester96% 97%

thornford Park Berkshire86% 87%

Quality Network for Forensic Mental Health Services

There is a very good leadership at the service and a

non-hierarchical culture, with senior management being

approachable and lines of communication open between all staff,

ensuring that teams work well together and are confident to voice

their opinions and challenge decisions. Peer Review Team comment

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Quality Account21

Review of Performance

Part 3

Evaluating services through feedback: Patient satisfactionWe have looked at the different patient evaluation tools in

place across the sites and developed a harmonised annual

survey for the future.

It is important to us that patients and residents are true

partners in their care and we welcome input and feedback

that help us improve what we do.

Patients are placed

at the centre of their care and

are actively involved in developing their

care plans and reviewing the progress

against their recovery goals. Patients

can also chair their own CPA meetings.

Peer Review Team comment

The provision of care for

the elderly in secure settings on one

of the wards is impressive and addresses

the particular needs of this population,

with the emphasis being placed on

physical healthcare and support tailored

for patients with dementia.

Peer Review Team comment

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Positive risk taking and restrictive interventionsElysium is committed to the strategies set out by the Department of Health to

deliver positive and proactive care delivered by a proactive workforce. Each site

has a restraint reduction action plan. The graph below shows good use of early

intervention skills with the use of seclusion as an intervention of last resort.

RegulationWe welcome the regulatory inspection programme of both the Care

Quality Commission and the Health Inspectorate Wales. In addition to

inspection by these bodies many of our services undergo external peer

reviews. We also report to the NHS and the General Medical Council with

respect to the revalidation of all our doctors.

Our Hospital Directors and clinical teams also work closely at local level to

liaise with safeguarding teams, community mental health teams, police and

medical health organisations.

Care Quality Commission InspectionsDuring the year 2016/2017 the CQC inspected eighteen of our services.

Reports have been received for fifteen inspections. Thirteen services

received a ‘good rating’ and two were reported as ‘outstanding’.

Two services received an overall rating of ‘requires improvement’.

Health Inspectorate WalesFour services were inspected by the Health Inspectorate Wales. Reports

have been received for three and the required standards are being met.

Incidences requiring the use of interventions

Early Intervention Physical InterventionBreakaway Seclusion

MonthDec 2016

25.51

5.02

1.67

6.27

21.79

8.47

4.44

2.82

25.39

8.61

2.58

6.16

30.82

9.25

7.32

3.470

10

20

30

5

15

25

35

Jan2017

Inci

dent

s pe

r 10

,000

bed

day

s

Feb 2017 Mar 2017

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Quality Account23

Review of Performance

Part 3

Department of Health mandatory quality indicatorsThe NHS (Quality Accounts) Amendment Regulations 2012 set

out a core set of quality indicators, which we are required to

report against in our Quality Account.

We have reviewed the indicators and are pleased to provide our

status against them.

Ensuring that people have a positive experience of care: staff survey Friends and Family Test with staff.

Treating and caring for people in a safe environment and protecting them from avoidable harm:Patient safety incidents, the number and, where available,

rate of patient safety incidents reported and the number and

percentage of such patient safety incidents that resulted in

severe harm or death.

Patient safety incident statisticsOur intention is to use data from 1st April 2017 to 31st March

2018 to form a baseline for the reporting of patient safety

incidents going forward. In the short reporting period to

31st March 2017 we focused on establishing our culture of

openness and transparency, calibrating our care information

and reporting systems and the integration of separate groups

coming together as one. Our commitment to technology is

evidenced by the fact that we have further developed our

CareNotes system. We have rolled this out to all sites. We have

also integrated our incident reporting system, IRIS so that it is

linked to CareNotes. This enables the clinical team to see real

time data fully integrated for each and every patient.n 66% of staff were likely or

extremely likely to recommend

Elysium as a good place to work

9%

25%

66%

Would recommend

Would not recommend

Neutral & don’t know

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Senior staff have welcomed the CareNotes and IRIS system

The move from paper to electronic allows for a much

more comprehensive quality of care. The system

moves away from over reliance on qualified nursing to

capture information and gives the wider workforce of

staff who have day to day interactions with patients the

opportunity to capture the detail that sometimes would

have been missed on paper.

The link of IRIS to care notes will allow staff to gain a lot

of time back. The ability for IRIS to capture the incident

and share and import information into all of the patients

potentially involved in the incident will drastically reduce

time needed to accurately capture the data. The ability to

then capture themes and trends via the dashboards will

allow for closer monitoring and understanding of incidents

in real time for all from patients through to board.

Phil Coombes, Clinical Director, The Farndon Unit

(previously Raphael Healthcare)

As a hospital we have begun a real

improvement in practice this year by

adopting Elysium CareNotes and the IRIS

reporting system; I’ve been delighted by

the response from frontline clinical staff to

the introduction of the new linked systems

that enable staff to make better quality,

more timely and detailed records and far

easier than was the case previously. From a

risk management and learning perspective

this is enabling our multidisciplinary teams

to start to use far more meaningful and

accurate information to underpin decision-

making and this ultimately benefits both

staff and patients.

Geoff Keats, Hospital Director, Chadwick Lodge

(previously Priory Group)

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Quality Account25

Review of Performance

Part 3

An affirmation by a service user

U P F R o M t H E D E P t H S

I’m powerful, I’ve come up from the depths

I am steadyI am strong

There is light here nowThere is moistureThere is warmth

I’ll grow - bear fruit

I will be luscious

I will be strongI will be steadfast

I will win - become myselfStay myself

And grow.

Exhibited in the Tate Gallery London as part of the Koestler Awards

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www.elysiumhealthcare.co.uk

We welcome feedback on our Quality Account.

Please contact us using the details below,

orcallourheadoffice:

020 8327 1800Email us on: [email protected]

Central referrals

0800 218 2398

Elysium Healthcare

2 Imperial Place

Maxwell Road

Borehamwood

Hertfordshire

WD6 1JN