Registration condition on Surrey and Borders lifted

We have lifted one of two conditions imposed on Surrey and Borders Partnership NHS Foundation Trust.

Two conditions were imposed on the trust earlier this year after we discovered that it was not meeting our essential standards of quality and safety.

We required the trust to take action to ensure that:

· all people who use services have up to date care plans and that staff receive training in the assessment and recording of risk
The trust provided us with evidence to show that it has met the condition before the deadline and applied for the condition to be removed.

Following an inspection in May where we interviewed patients and staff and reviewed documents at six units, we discovered that the trust has:

· put in place monthly record-keeping audits to check on care plans and risk assessments

· designated a nurse to primarily be responsible for auditing the quality of the Care Plan Approach and risk assessments

· organised an audit group to carry out regular inspections of inpatient services including record-keeping, assessments and care plans

· trained all relevant staff in their three-yearly Care Plan Approach and risk training, and will provide them with 10 clinical supervision sessions and an annual appraisal
We will assess whether the trust has met the second condition in the near future.

Find out more

· Download the review of compliance:
http://www.cqc.org.uk/publications.cfm?fde_id=15936

· Read the press release:
http://www.cqc.org.uk/newsandevents/pressreleases.cfm?cit_id=36437&FAArea1=customWidgets.content_view_1&usecache=false

· Read our essential standards of quality and safety:http://www.cqc.org.uk/aboutcqc/whatwedo/monitoringessentialstandardsofqualityandsafety/whataretheessentialstandardsofqualityandsafety.cfm