Eating Disorder Quality & Outcomes
The Care Quality Commission which licenses and rates all clinical providers has rated Ellern Mede with an overall Good. We also participate in 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 as well as offering independent services for other publically 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
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.
The last QNIC review was in April 2017 and we scored 98% across all indicators. See the report PDF.
Care Quality Commission (CQC)
Ellern Mede was most recently inspected by CQC in May 2017. The review praised Ellern Mede’s open and transparent culture, the quality of our CPA process and patient care plans and highlighted many other positive aspects to our service. We achieved a rating of ‘Good’ for all services.
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).
An analysis of admission to discharge measures for NHS patients discharged between April and June 2016 shows the following:
- Average weight increase of 9.4 kilogrammes
- Average percentage median BMI rose from 83.7% to 95.5%
- Average positive change in EDEQ score of 3.2
- Positive variance in HoNOSCA score of 42.5%
- Positive variance in CGAS score of 10%