A recent inspection by the Care Quality Commission (CQC) has concluded that the Avon and Wiltshire Mental Health Partnership NHS Trust (AWP) requires improvement, following concerns about the quality of care provided.
The CQC visited AWP over three days in July 2024 after reports raised alarms about the trust’s care standards. The findings revealed that AWP had violated safeguarding regulations and that staff feared retaliation for speaking out on issues within the organization.
Dominic Hardisty, chief executive of AWP, expressed disappointment over the results of the Well-Led inspection. However, he highlighted that the trust received a “good” rating for its adult community services and adult wards, crediting the hard work of the staff. He also emphasized the trust’s commitment to improving services, noting that they had introduced several new initiatives over the past year to address areas highlighted by the CQC.
The CQC’s “Well-Led” inspections focus on evaluating organizational culture, leadership, and management. These inspections do not cover other aspects of care such as safety or effectiveness. AWP provides mental health services across Bath and North East Somerset, Bristol, North Somerset, South Gloucestershire, Swindon, and Wiltshire.
Concerns Over Staff Safety and Culture
The CQC report raised significant concerns about the trust’s internal culture, particularly regarding the Freedom to Speak Up (FTSU) process. The report found that the process was ineffective, and staff were hesitant to report concerns, fearing retribution. Some employees even expressed discomfort with completing staff surveys, feeling unsafe in doing so.
The inspection also highlighted issues surrounding racism, discrimination, and the effectiveness of safeguarding processes. Staff described a “performative culture” where the trust’s Equality, Diversity, and Inclusion (EDI) efforts were not backed by meaningful action. Employees also feared that revealing personal details about their protected characteristics could impact their career advancement.
Positive Developments Noted
Despite these challenges, the CQC did commend AWP for its environmental efforts. The trust’s Green Plan was praised for identifying clear opportunities to reduce emissions, including grants secured for solar panels and LED lighting.
The report also noted that some staff members felt that senior leaders were “capable, compassionate, and receptive to feedback.” There was also a recognized willingness to improve organizational culture and listen to patient input.
Shane Devlin, CEO of NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board, expressed confidence in AWP’s ongoing improvements. He reassured that his team, as system partners, would continue supporting AWP’s leadership in driving further progress.
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