Quality & Outcomes

The Care Quality Commission (CQC) which regulates all healthcare providers has rated both Ellern Mede Ridgeway and Ellern Mede Barnet with an overall Good. You can read both of these CQC reports in full here. We also participate in external peer review through the Royal College of Psychiatry’s Quality Network for Inpatient CAMHS (QNIC) which most recently gave us an average of 98% across all its indicators.

Ellern Mede Ridgeway provides contracted services to NHS England and Ellern Mede Barnet provides spot purchased beds to the NHS as well as offering independent services for other publicly funded referrers and private individuals. We provide an Advocacy service to patients through Advent Advocacy. Our external relationships provide strong external inspection, measurement and assurance of quality control for our services which we are pleased to announce has been rated with an overall Good by the Care Quality Commission and a 98% rating from QNIC. The on-site Ellern Mede School has been accredited by OFSTED as Outstanding.

Ellern Mede Quality (EMQ) is an internal audit system which involves all staff and all aspects of service provided by Ellern Mede. EMQ is co-ordinated by our internal Audit Team and reporting to our Quality Safety and Standards Committee (QSSC). EMQ is a robust quality assurance process for continuous evaluation, measurement, action and improvement.

Ellern Mede offers a comprehensive 24 hour service which is underpinned by full risk management, safeguarding, and governance. Continuity of care is paramount. Great care is therefore taken at each shift handover, and Multidisciplinary Team (MDT) handovers twice weekly, where full reporting on each and every patient is shared. We also offer a fully responsive and transparent feedback and complaints process. The hospital has a Safeguarding Lead, a Caldicott Guardian, a Complaints Officer, a Training Officer and a Policies Committee. We hold a monthly Quality Safety and Standards meeting which all staff are welcome to attend.

The hospital management process encourages feedback from patients, parents, referrers, commissioners, case managers, schools and staff alike. It involves daily reporting and weekly meetings including the Community Meeting which is led by patients. MDT weekly reviews and Care Plan Approach (CPA) reviews incorporate all stakeholders.

We hold a weekly Centre Operations Management meeting (COM) led by the Registered Manager and the Managing Director. There are regular meetings of the Senior Management Team (SMT). This approach to the safe and successful management of our hospitals include action-oriented meetings as shown in the diagram below.

We hold fortnightly Academic Sessions for staff featuring both external and in-house speakers as well as comprehensive training and development time for staff including continuous professional development, reflective practice, mandatory and statutory training. We are rolling out our own E-Learning system. We also offer an Education Fund for staff to be able to undertake their own choice of professional development training. We have close links with a number of universities in the Greater London area.

“We want to say a huge thank you for looking after us so well and to thank you for your exceptional care and consideration to visitors. Our daughter has made wonderful progress in your care and we are delighted that she is well enough to come home soon.”
Parents of an inpatient at Ellern Mede Ridgeway

Independent Review

Quality Network for Inpatient CAMHS (QNIC)

Ellern Mede participates in external peer review annually with QNIC, gaining benchmarking on standards and ideas for improvement in service. Results are based on the organisation’s number of standards met or partly met as a percentage of total possible compliance.

Click on the links below to see the latest QNIC reviews:

Ridgeway – QNIC review
Moorgate – QNIC review
Barnet – QNIC review

Care Quality Commission (CQC)

Ellern Mede Ridgeway was most recent inspected in February 2022 and was rated “Good” across all key lines of enquiry. Ellern Mede Barnet was inspected in November 2022 and was rated “Requires Improvement”.

The Ridgeway report praised the open and transparent culture, quality of the CPA process and patient care plans.  The Barnet report noted that staff interacted with patients in a thoughtful and respectful way, discussing care and treatment in a respectful and discreet way during the ward round.

Click here to view the Ellern Mede Ridgeway report

Click here to view the Ellern Mede Barnet report

Patient safety and Patient experience

Ellern Mede Ridgeway has an excellent patient safety record with no serious incidents to report.

Patients shape how services are delivered by giving their own opinions and sharing their experience at the weekly patient-led Community Meeting where both wards meet and each ward presents its own agenda. Actions are fed back by staff at the next meeting.

We conduct an annual opinion survey with patients, parents and staff. 95% of parents report they have trust in our teams and 80% say the service has been effective in helping their child.

Clinical effectiveness and outcomes for patients

Ellern Mede is successful in helping patients to restore weight and normalise their percentage median Body Mass Index (BMI) otherwise known as weight for height percentage. The service will reduce eating disorder cognitions as measured by the Eating Disorder Examination Questionnaire (EDE-Q) and the Health of the Nation Outcome Scale for Children and Adolescents (HoNOSCA) and Children’s Global Assessment Scale (CGAS).

The following tables show the improved HONOSCA and CGAS scores along with positive weigh, height and BMI scores from admission to discharge comparing 2016-17 to 2017-18.

April- March 2016-17      
  On admission On discharge Difference
Average HONOSCA 23 12 -11
Average CGAS 35.4 55.7 20.3
Wt/ht % 76.4 96.3 19.9
BMI 15.4 19.3 3.9
April- March 2017-18      
  On admission On discharge Difference
Average HONOSCA 25.8 15.4 -10.4
Average CGAS 35.1 54.8 19.7
Wt/ht % 80 93 13
BMI 16.1 19 2.9