Some improvements to address the no smoking policy at the Bradgate Mental Health Unit wards were seen. We rated Community health services for adults as good because: We gave an overall rating for community based mental health teams for adults of working age as good because: We rated the community mental health services for children and adolescents overall as requires improvement because: Overall rating for this core service Requires improvement l. We rated community inpatient services as requires improvement because: Overall rating for this core service Requires Improvement l. We rated this core service as requires improvement because: We rated this core service as good because: We rated wards for people with learning disabilities and autism as requires improvement because: Leicestershire Partnership NHS Trust (February 2016) for - PDF - (opens in new window), Leicestershire Partnership NHS Trust (June 2015) for - PDF - (opens in new window), Leicestershire Partnership NHS Trust (November 2014) for - PDF - (opens in new window), Leicestershire: Children's Services Inspections Reports (2012) for - PDF - (opens in new window), Leicester City: Children's Services Inspections Reports (2012) for - PDF - (opens in new window), Rutland: Children's Services Inspections Reports (2011) for - PDF - (opens in new window). Staff were quick to sort out requests and problems for patients. Staff used "my care plan" documents to obtain patients views on their care. However, staff told us they had little experience of incident reporting within the community childrens services. Whilst staff monitored patients risk on the waiting lists, the length of time to wait was of concern, in addition to the services lack of oversight and management of this issue. Services had complied with guidance on eliminating mixed sex accommodation. At our last inspection we raised concerns that an insufficient number of nursing staff in community health services for adults had received appropriate statutory and mandatory training. Supervision and appraisal compliance of three teams fell below 75%. Two patients told us they had experienced cancelled leave, and numerous staff confirmed that facilitating escorted leave had been difficult at times which had led to either a cancellation, or where possible delayed leave. We rated well-led as inadequate, safe, effective, and responsive as requires improvement and caring, as good. Staff completed and regularly updated environmental risk assessments of all wards areas and removed or reduced any risks they identified, with the exception of the long stay rehabilitation wards for adults of working age. Flexible approach to work to meet service needs. In rating the trust, we took into account the previous ratings of the ten core services not inspected this time. However, this was a temporary restriction due to the building works and patient safety. There were effective methods for obtaining feedback from service users and carers and feedback was acted upon. Feedback from those who used the families, young people and children services was consistently positive. Equality diversity and inclusion matters had been a focus of the new trust leadership team. Wards had well equipped clinic rooms with appropriate equipment which staff regularly checked. Patients and carers gave positive feedback about the caring nature and kindness of staff and made positive comments about the positive therapeutic relationships they had with their loved ones. There was regular and effective multidisciplinary working. Team managers identified areas of risk within their team and submitted them to the trust wide risk register. Staff interacted with the patients in a positive way and was respectful to them. Risk assessments were completed and care plans implemented to keep patients safe and promote wellbeing. This meant that patients were not protected from receiving unsafe treatment. Managers ensure that they acted on these findings to reduce the risk of reoccurrence. Staff were not always recording room and fridge temperatures in clinical rooms and out of date nutrional supplement drinks had not been appropriately disposed of. The trust learnt from incidents and implemented systems to prevent them recurring. Some families and carers told us that the service was not responsive, telephone calls to the service were not returned. Patients were positive about their care and treatment and said staff were caring and understanding and respectful. We will continue to keep our values of Compassion, Respect, Integrity, Trust at the centre of everything we do. The scrutiny process was multi-tiered, which included the nurse, Mental Health Act administrator and medical scrutiny. Leadership behaviours were fostered, and development of staff was encouraged. Care plans were not always holistic and person centred. Staffing levels were not consistent across the two sites. frank nobilo ex wife; kompa dance Address. Therefore, staff could ensure accurate measures of blood pressure were being recorded. We rated Leicestershire Partnership NHS Trust as Requires Improvement overall because: Published In the dormitories, observation mirrors were situated so that staff could observe patients without having to disturb them. An escape plan was developed with patients (PEEP)who may not be able to reach an ultimate place of safety unaided, or within a satisfactory period of time in the event of any emergency. New systems were in place for staff to report any repairs or maintenance issues. Not all services were safe, effective or responsive and the board needs to take urgent action to address areas of improvement. In community based mental health teams for older people five of six services breached national targets from referral to assessment. This meant board members were not able to monitor the trusts assertions that there were strong systems and processes in place for identifying and reporting serious incidents, including deaths, or monitoring whether reviews and investigations were completed fully. There some gaps in staff receiving regular supervision. The community therapy rehabilitation unit at Hinckley did not have a defibrillator in the unit for staff to use in an emergency despite staff having been trained how to use one. There were inconsistencies in the quality of completion for do not attempt cardiopulmonary resuscitation (DNACPR) forms, in the quality of admission paperwork within medical records and in the use of the Last Days of Life care plans. They were constantly looking at ways to improve their work and the patient experience of the service. Patients waiting for their appointment in community based mental health services for adults of working age had access to a room unsupervised which held items which could cause harm. Experience of presenting findings from investigations at Director level within the client organisation. NG3 6AA, In We actively implement equal opportunities in employment and service delivery and seek people who share our commitment. The HBPoS had poor visibility for observing patients. Governance processes had improved since our last inspection and operated effectively at trust level to ensure that performance and risk were managed well. Access to treatment for specialist community mental health services for children and young people, Maintaining the privacy and dignity of patients and concordance with mixed sex accommodation, Seclusion environments and seclusion paper work. the service is performing well and meeting our expectations. The trust delivered programmes for staff to develop into senior roles and had a clear career development programme for nursing staff. The room used to administer medication on Arran ward at Stewart House was not appropriate; the room was a bedroom and still had a toilet in. The trust had high numbers of vacancies for registered nurses. There was an effective incident reporting system. This meant patients had been placed outside of the trusts area. Although this issue had been recognised by the trust, it had not been addressed quickly or effectively. There was a blind spot in the seclusion room on Acacia ward at the Willows which meant staff could not easily observe patients. All hospitals were running at a high bed occupancy level of above 85% which national data has linked to increased risk of bed shortages as well as an increase in healthcare associated infections. There were clear responsibilities, roles and systems of accountability to support good governance and management. The trust ceased mixed sex breaches by maintaining male and female only weeks. There were waiting lists of up to 18 months for psychology and up to 40 weeks for other treatment within the personality disorder service. All three service inspections were unannounced. Staff expressed pride in their ability to work as a team and managers told us they were proud of achievements. To address this deficit the trust moved patients that required an acute bed to a rehabilitation bed which was not clinically justified or met the needs of the patients. Patients and their relatives felt involved in the care provided. Managers had plans in place to address this issue. WebAverage salary for Leicestershire Partnership NHS Trust Psychiatric Nurse in Acton Round: 36,054. experienced counter fraud specialist to become a member of the anti-crime team. It's also a great way to learn about other chapters in your The service had seven vacancies for qualified nurses andthree for non-registered nurses. Staff told us they felt happy and enjoyed their work. Staff described managers as supportive and approachable. The service did not have a system in place to monitor the number of lighters each ward held. WebOur Trust values; How we are managed; UH Bristol and Weston partnership; Our performance - how we are doing; Our work - transforming care; (UHBW) was formed on 1 Staff monitored those patients on the waiting list regarding risk levels. There was an effective duty system in place to provide rapid access to support. There was detailed discussion and consideration of patients and carers needs. There were risk assessments and plans in place to keep people and staff safe. Multi-disciplinary team meetings took place on a regular basis. The bed in the seclusion room on Phoenix was too high and a patient had used it to climb up to windows and to block the viewing pane. Some local leaders were visible and approachable however, some staff did not know who directors linked to their service were or did not feel engaged with the trust. Staff in some services completed care plans with detailed information on allergies, and risks around medication. In rehabilitation services, staff had effective working relations with the new rehabilitation community transition support team created in response to the pandemic to facilitate faster discharges from the wards. we have taken enforcement action. In rating the trust overall, we took into account the current ratings of the 12 services not inspected this time. investigations to nominated clients and will be required to work to tight
Staff could not rely on performance reports being accurate. 27 February 2019. Managers used a tool to identify and review staff numbers in accordance with need. Patients returning from leave from the acute mental health wards were not assured of returning to their original ward. All jobs will require permission to work in the UK. Staff were given opportunities to expand their knowledge and develop their roles. 87 of the total patients had been waiting over a year to begin treatment. Patients and their carers were not involved in care planning and care programme approach (CPA) reviews. We heard positive reports of senior staff feeling able to approach the executive team and the board. Staff worked with both internal and external agencies to coordinate care and discharge plans. We have not inspected against other requirement notices that were issued at the same time; therefore, all requirement notices from the last inspection remain in place. Shifts were not always covered with sufficient staff, or with staff who had the appropriate qualification and experience for the role. Staff acknowledged directors visits. Patients were mostly very happy with the care provided by staff; however some patients told us they did not like being woken at 6am and going to bed early. Improvements were noted in some wards in core services but not all. 9 August 2019, Leicestershire Partnership NHS Trust: Evidence appendix published 27 February 2019 for - PDF - (opens in new window), Published We rated it as requires improvement because: When aggregating ratings, our inspection teams follow a set of principles to ensure consistent decisions. Adult liaison psychiatry services are provided by Leicestershire Partnerships NHS Trust (LPT), the mental health trust in the Leicester, Leicestershire and Rutland Integrated Care System. the service is performing badly and we've taken enforcement action against the provider of the service. However at South Leicestershire clinical supervision take-up was low at 73%. We did not inspect the whole core service. Patient involvement in planning care was now in place and the voice of the patient in changes to services had been considered. Staff were not in receipt of regular supervision in order to discuss training needs, developmental opportunities or performance issues. There was a lack of storage at Stewart House, the utility/laundry room was used to store cleaning equipment. We saw an example of an SI investigation and also action taken from lessons learnt. Webleicestershire partnership nhs trust values. There was no performance data dashboard to gauge the performance of the service. The trust had begun the process of replacing some beds with more suitable options for the patient group. Six further patients across Beaumont, Ashby and Heather wards told us that not all staff were caring or respectful. Role based at either Rotherham, Coventry or Nottingham. We want to hear from you on how to improve our service and provide the best care possible. The vacancy rate for the service was 12.9% and for band 5 and 6 nurses was 18.9%. As part of each inspection, we look at the way health services provide care and treatment to people. We did not rate this inspection. Staff told us they felt supported by their line managers, ward managers and matrons. employer and support hybrid working arrangements. Patients own controlled drugs were not always managed and destroyed appropriately. Most patients spoke positively about their care and said they were involved. Beaumont ward did not have a poster displayed around informal patients and rights as a patient had ripped it down. They did not have alarms or vision panels in the door. Staff completed risk assessments that were thorough and had been reviewed following incidents. We rated long stay/rehabilitation mental health wards for working age adults as requires improvement because: The environment in some areas was very poor, particularly at Stewart House. This was a significant improvement since our last inspection which reported 171 out of area placements lasting between two and 192 days. We found evidence that patients, at the Bradgate Mental Health Unit, and in some instances, staff, smoking in ward areas. Support workers were being trained in phlebotomy to improve timely blood testing. Staff were kind, caring and respectful towards patients. Staff were positive about the level of support they received, including regular supervision and line management. There were problems with access to the electronic system owing to ongoing building works. Health Act administrator and medical scrutiny of staff was encouraged the risk of reoccurrence had not been addressed or! 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