Positive reports for Young People’s Unit


The North of Scotland Regional CAMHS Young People’s Inpatient Unit (YPU) welcomed positive reports from the Mental Welfare Commission for Scotland and the Royal College of Psychiatrist Quality Network for Inpatient CAMHS.

The 12-bedded psychiatric service is based at Dudhope Terrace in Dundee and provides access to care and support for some of the most vulnerable young people aged between 12 and 18 years old.  The regional unit serves five of the North of Scotland Health Boards including NHS Tayside, NHS Grampian, NHS Highland, NHS Orkney and NHS Shetland.

The Mental Welfare Commission for Scotland’s (MWC) published a report following their visit to the unit last year, where they spoke to members of staff, patients and family members.

The report stated that patients were generally positive about their care within the unit and that they are able to fully participate in decision making about their treatment.  The visitors heard that young people were aware of the content of their care plans and that their care goals are central to one-to-one therapeutic sessions with staff.  The inspectors also highlighted a strong focus on staff development and the quality improvement work achieved in implementing the Scottish Patient Safety Programme within the unit.

The report concluded that patients are able to personalise their bedrooms during their inpatient care which helps make the building feel less clinical, and that families are also able to use the accommodation available on site with positive comments about family contacts.  The inspectors included one recommendation in their report, relating to the filing of statutory mental health forms with patient records.  This recommendation has been actioned and completed.

The Royal College of Psychiatry Quality Network for Inpatient CAMHS (QNIC) is a supportive quality improvement network emphasising on facilitating change.  Their annual visits review the quality of service that inpatient units provide and help staff to plan improvements for the future.  Young people and staff are interviewed as part of this process to support the final report.

During last year’s visit the QNIC review team reported that the service adopts a holistic approach to support full understanding of a young person’s journey to recovery.  The team highlighted that substantial development has occurred since the last visit including promoting positive risk taking and least restrictive practices, applying the Triangle of Care model, implementing an improvement plan, enhancing parent/carer support and delivering the Scottish Patient Safety Programme.

The review team highlighted that young people were positive regarding their care and treatment and mentioned that it was encouraging that so many members of the multidisciplinary team could share their thoughts in such an open and honest way.  The report provided recommendations of areas for improvement over the coming year which included potential forms of electronic feedback and further development of unit activities for patients.  Due to the positive high level of criteria scoring (>92%) the service will aim to work towards accreditation this year.

CAMHS Regional Network Manager Lesley-Ann McGregor said, “The service has been extremely pleased with the reports as they have highlighted and demonstrated the positive service improvement and cultural changes we have been working towards to improve experiences for young people, their family and carers.

“The service’s aim has been to improve safety and reduce harm through innovation and collaboration with staff, service users, families and carers by using quality improvement approaches over the past couple of years.  It is recognised that this is a journey which the service will continue to grow within and areas for improvement will be a continuous learning process.  These positive reports are testament to the dedication of the unit multidisciplinary team and are a great achievement by all staff.”

The reports can be viewed at www.mwcscot.org.uk and www.rcpsych.ac.uk.

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