Care Quality Commission
CQC takes action at Greater Manchester neuro care and assessment centre
The Care Quality Commission (CQC) has taken action at LANCuk Heywood, following an inspection in March and April which found shortfalls in care.
LANCuk (Learning Assessment and Neurocare Centre) based in Heywood, Greater Manchester, provides assessment and treatment for both children and adults with attention deficit hyperactivity disorder (ADHD) and autistic people.
CQC carried out the inspection to follow up on concerns raised at a previous visit last October, when the service was rated inadequate and placed in special measures.
Following this latest inspection, insufficient improvements had been made regarding safe care and treatment as well as governance which led to CQC using enforcement powers to impose conditions on the provider’s registration. This means they cannot admit any patients to the medicine prescribing service without prior written agreement from CQC.
The overall rating for LANCuk Heywood remains rated as inadequate. The ratings for safe and well-led also remain rated as inadequate, being effective and caring remain rated as good, and being responsive improved from requires improvement to good.
Brian Cranna, CQC’s head of hospital inspection, said:
“When inspectors returned to LANCuk Heywood, it was disappointing to see that its leadership team hadn’t taken the necessary action to remedy the concerns raised during the last inspection.
“We remained concerned that there was no oversight of the prescription management process to prevent the possible misuse of medications. Thorough checks should be carried out before increasing the dose of medicines which wasn’t happening.
“The service had three different systems where care records were stored which made it difficult for staff to keep track. In addition, there was a two-month backlog of letters for GPs and patients which could delay people’s care and treatment and put them at risk.
“Patients told us getting through to the service was challenging and sometimes messages weren’t being passed on or calls returned. They also said that seeing different clinicians on each visit wasn’t ideal as they felt like they were explaining their story repeatedly. Patients would benefit from knowing the time scales and what to expect in between appointments.
“Multidisciplinary meetings hadn’t taken place and key information wasn’t always shared with clinicians. This meant staff weren’t given the opportunity as a team to discuss any updates or learn from incidents.
“We were pleased to see however, that the service had introduced an incidents and complaints database which has clear records to support any decision making and learning.
“Leaders now understand where improvements must be made, and we’ll continue to monitor the service closely to ensure people are safe. If we’re not assured people are receiving safe care, we will not hesitate to take further action.”
CQC inspectors found:
- The service was not well led, and the governance processes did not ensure that procedures relating to the work of the service ran smoothly.
- Staff did not engage in clinical audit to evaluate the quality of care they provided.
- There was no information provided to patients regarding the service, including what to expect and timescales.
- Staff records did not include all required documentation and checks.
- The service did not have oversight of the prescription management process to mitigate the possible misuse of prescriptions and ensure it was safe or appropriate to increase the dose of the medicine before prescribing or continuing to prescribe for patients when clinically appropriate to do so.
- Clinical premises where patients were seen were safe and clean. Staff assessed and managed risk well and followed good practice with respect to safeguarding.
- Staff provided a range of assessments and treatments that were informed by best-practice guidance and suitable to the needs of the patients.
- The service included or had access to the full range of specialists required to meet the needs of the patients. Managers ensured that these staff received training and supervision.
- Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. They actively involved patients, families and carers in care decisions.
Full details of the inspection are given in the report published on our website.
Notes to editors
For enquiries about this press release, email firstname.lastname@example.org.
Journalists wishing to speak to the press office outside of office hours can find out how to contact our media team. (Please note: the press office is unable to advise members of the public on health or social care matters.)
Latest News from
Care Quality Commission
CQC reports on safe use of radiation in healthcare settings21/11/2022 12:20:00
We have published our annual report on our work to enforce the Ionising Radiation (Medical Exposure) Regulations in England.
CQC reports on safe use of radiation in healthcare settings17/11/2022 12:20:00
We have published our annual report on our work to enforce the Ionising Radiation (Medical Exposure) Regulations in England. The regulations protect people from the dangers of being accidentally or unintentionally exposed to ionising radiation in a healthcare setting.
CQC rates air ambulance service outstanding31/10/2022 12:20:00
The Care Quality Commission (CQC) has rated a Cambridgeshire-based air ambulance service outstanding, following an inspection undertaken in September.
CQC reports on its review of NHS Blood and Transplant27/10/2022 16:05:00
A review of blood donation and apheresis services run by NHS Blood and Transplant (NHS BT) has found safe and effective care and treatment provided by competent and skilled staff, working together effectively to meet local patient needs.
Gridlocked health and care system leading to deterioration in people’s access to and experience of care24/10/2022 16:33:00
The Care Quality Commission’s (CQC’s) annual assessment of the state of health and social care in England looks at the quality of care over the past year.
Independent review into handling of protected disclosures announced alongside wider review29/09/2022 15:20:00
CQC's Executive Team has appointed Zoë Leventhal KC of Matrix Chambers to lead an independent review into our handling of protected disclosures shared by Mr Shyam Kumar alongside a sample of other information of concern shared with us by health and care staff.
What we are doing when13/07/2022 12:20:00
Our strategy, launched in 2021, sets out our ambitions to reduce health inequalities and to drive improvements for people who use services. We’re changing the way we work to put us in a strong position to deliver on those ambitions and make us more relevant to the way that care is developed.
Our annual update on the safe management and use of controlled drugs06/07/2022 09:20:00
CQC’s annual update on the safe management and use of controlled drugs draws on prescribing data, feedback from controlled drug local intelligence networks, and our wider inspection and regulatory work.
All CQC-registered providers to ensure their staff receive training on interacting with people with a learning disability and autistic people01/07/2022 15:43:00
From 1 July 2022, all health and social care providers registered with CQC must ensure that their staff receive training in how to interact appropriately with people who have a learning disability and autistic people, at a level appropriate to their role.