The Care Quality Commission (CQC) carried out an inspection of Bradford District Care NHS Foundation Trust in October and November 2017.  Nine complete core services were inspected (out of 14 provided by the Trust) and the Trust was rated as Requires Improvement.

The CQC will submit Document “AE” containing the inspection report.

Recommended –

That the report be noted.

(Caroline Coombes – 01274 432313)

The Inspection Manager, Care Quality Commission, introduced Document “AE” which reported that the Care Quality Commission (CQC) had undertaken an inspection of Bradford District Care NHS Foundation Trust in October and November 2017.  Members were informed that a new approach had been undertaken, however, the same five key questions were asked and these were used as the key lines of enquiry.  It was noted that the Trust had been very helpful prior to and during the inspection.  In October 2017 nine out of the fourteen core services had been examined.  In relation to good practice, the Trust was rated as good, however, there were areas that required further work.  The Inspection Manager reported that overall the Trust had been rated as ‘requires improvement’ and would have to submit an Action Plan.  To ensure that the necessary action was undertaken, monthly engagements via the telephone and quarterly meetings were available to the Trust.

Members then made the following comments:

·         With regard to the organisation being well-led, it appeared that leadership and continuing improvement were being measured.  Where had the balance been found in well-led?

·         Surely it was a management matter if staff did not carry out procedures.

·         The recruitment, retention and development of staff was a major issue.  Were there any problems?

·         Mental Health services in Bradford had been transformed.  Just because the overall rating was ‘requires improvement’ did not mean that it was a bad Trust.

·         What was the difference between ‘requires improvement’ and ‘inadequate’?

·         The Trust used to be classed as very good in relation to its different approaches.  Was it responsive?

·         Were policies in place but not leadership?

·         Was the Trust effective in some areas?

·         Governance was an issue for the Trust’s Board.

·         Was the oversight in relation to the operational side?

·         Were there governance and practice issues?

In response Members were informed that:

·         It was a training oversight and process issue.

·         There were some areas where staff were not following set procedures and others where management was not in place.

·         There were areas where robust procedures were not being followed by staff.

·         Well supported and trained staff usually stayed.  People had also come back to work for the Trust, due to a previous good experience.  Management training was in place and it just needed to be made clearer that staff training was too.

·         The inspection of core services had been chosen in order to look at the pathway of the Trust and how it was moving forward.

·         It could be a minor issue that made the overall rating to be ‘requires improvement’.  A breach of legislation would entail a ‘requires improvement’ rating.

·         Descriptions were available to match the ratings and the Trust had not met the ‘inadequate’ description.  Mandatory training was covered by a key question, therefore, the Trust had failed in this area and had to be classed as ‘requires improvement’.

·         The Community Health report outlines the responsiveness and other areas.  It was an innovative Trust that worked with different sectors.

·         Some cases showed that staff were not following policies.

·         Leadership and values flowed through the Trust, but some of the governance was not in place.

·         Oversight and practice were not always evident.

·         Yes, there were governance and practice issues.

Resolved –

That the report be noted and officers be thanked for their attendance at the meeting.

ACTION: Inspection Manager, Care Quality Commission