Child Mental Health Wards: What's Going Wrong and How to Improve (2026)

A concerning report reveals that child and adolescent mental health wards in Cumbria, Northumberland, Tyne and Wear are failing to meet expected standards, sparking urgent calls for improvement.

The Care Quality Commission (CQC) has issued a 'requires improvement' rating for all five wards operated by the NHS Foundation Trust. This follows inspections conducted between August 18th and 21st, prompted by worries about the quality of care provided. The CQC's findings pinpoint several areas of concern, including breaches of regulation related to safe care and treatment, safeguarding, person-centered care, staffing, and management.

Specifically, the wards at Acklam Road Hospital in Middlesbrough and Ferndene in Prudhoe were found to have shortcomings. Inspectors noted that comprehensive ligature risk assessments weren't consistently carried out, and the use of face-down restraint was alarmingly high. But here's where it gets controversial: The report also mentions that mechanical restraint wasn't always carried out in line with national guidelines, potentially putting patients at risk.

Despite these issues, the report also highlighted positive aspects. Inspectors observed that staff treated patients with kindness, compassion, warmth, empathy, and respect. Furthermore, the wards offered a range of activities and education tailored to support the young people's well-being.

One of the key areas identified for improvement is staff training. The report indicated that staff hadn't received all the necessary training to support patients appropriately and didn't always report safeguarding concerns to relevant partner organizations. The trust acknowledges these findings and is actively working to address them. They are implementing a new ligature assessment tool, adding risk management to mandatory staff training, and reviewing their restraint policy.

Sarah Glacken, the executive director of nursing and therapies, emphasized the trust's commitment to improvement, stating that providing safe, high-quality care is their top priority. The trust has also introduced mandatory training on supporting autistic individuals and those with learning disabilities.

And this is the part most people miss: While the report paints a concerning picture, it's crucial to acknowledge the staff's dedication and the trust's efforts to rectify the situation. What do you think about the balance between the negative findings and the positive aspects of the report? Do you believe the improvements being implemented will be enough? Share your thoughts in the comments below!

Child Mental Health Wards: What's Going Wrong and How to Improve (2026)

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