A recent Care Quality Commission (CQC) inspection has raised serious concerns about the Birmingham and Solihull Mental Health NHS Foundation Trust, prompting an urgent call for improvements. Conducted in August, the inspection revealed alarming issues related to safety and care quality, resulting in the trust’s rating being downgraded from ‘good’ to ‘requires improvement.’
The report highlighted concerns over serious incidents, including three fatalities, linked to insufficient monitoring of the anti-psychotic medicine clozapine. The trust was issued a warning notice due to information system deficiencies in risk and medicines management, with a subsequent action plan in place.
Staff shortages were noted, raising concerns about the trust’s ability to provide safe and effective care. Inadequate assessment and recording of risks for service users were also identified. The CQC expressed worry about deteriorating leadership, emphasizing its impact on the overall quality of care.
Critical deficiencies in medicines management systems were identified, potentially risking harm due to the absence of proper monitoring and collection procedures for prescriptions. Managerial shortcomings in monitoring service effectiveness led to an overall ‘requires improvement’ rating.
Despite these concerns, positive aspects were acknowledged, such as clean and purposeful environments and commendable staff collaboration. The CQC remains committed to ongoing monitoring, emphasizing sustained improvements for the safe care of individuals. Further action will be taken if necessary.