28 July 2021

The Care Quality Commission (CQC) has published its report following a focused inspection to follow up on concerns raised about the safety and quality of the service being provided by our Hammersmith and Fulham Crisis, Assessment and Treatment team (CATT).

This inspection focused on specific areas of concern raised by the local coroner in March 2021 when they published a Regulation 28 Prevention of Future Deaths Report.

The CQC’s inspection has not led to a re-rating, so the service remains rated good overall following its last inspection in 2018.

Carolyn Regan, Chief Executive at West London NHS Trust said:

“We value the feedback from this CQC report that notes the recent improvements to the service provided by the Hammersmith & Fulham CATT. The report acknowledges the efforts we’ve made in engaging families and carers in patient care and will help us further improve the quality of risk assessment and record keeping within the service. We constantly strive to learn from experience and improve our services along the way.”

Key findings from this most recent inspection were:

  • The service assessed and managed individual patient risk appropriately. When necessary, staff worked with patients, family and carers to develop crisis plans
  • Changes had been made to risk management processes and clinical risk training
  • The service used systems and processes to safely prescribe, administer, record and store medicines. Staff working for the mental health CATT regularly reviewed the effects of medicines on each patient’s physical health
  • Staff developed care and treatment plans informed by a detailed assessment and, usually, in collaboration with families and carers
  • Staff supported, informed and involved patients, families or carers appropriately. Work was being undertaken by the team to further embed the Triangle of Care standards to improve patient and carer involvement
     

Leaders had the skills, knowledge and experience to perform their roles, had a good understanding of the services they managed, and were visible in the service and approachable for patients and staff.

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