leicestershire partnership nhs trust values

the service isn't performing as well as it should and we have told the service how it must improve. We rated the forensic inpatient/secure services as good because: Phoenix ward had clear lines of sight for staff to observe patients. The trust had systems for staff to raise any concerns confidentially. The environment in the crisis service did not ensure confidentiality as rooms were not sound proofed and conversations could be heard outside the room. Staff did not ensure that mental capacity assessments and best interest decisions were consistently documented in care records. There was limited time available for staff to attend specialist courses to enhance their knowledge. This meant the police very often had to care for detained patient for the duration of the assessment. The trust had begun the process of replacing some beds with more suitable options for the patient group. The acute mental health wards had broken facilities which had not been repaired in a timely manner and we found dirt in some areas on one ward. Delivered through over 100 The trust had not fully articulated their vision for how they operated as a trust. Staff interacted with the patients in a positive way and was respectful to them. Following inspection, the trust submitted an action plan to review shared sleeping arrangements. the service is performing well and meeting our expectations. A high number of outpatient appointments were cancelled. Wards provided safe environments where patients felt secure. Staff said the system was difficult to use and this had affected the information recorded in patients notes. There was use of bank and agency staff. There was a blanket restriction. Staff showed high levels of motivation and morale, felt part of a positive team and felt well supported and trained. Since the last inspection the service now had a Section 136 suite that met the standards set out in the Royal College Standards. Incidents and near misses were reported and learning from these was shared. We spoke with nine patient families and carers. The lack of psychology was an issue highlighted at our 2018 inspection. : Staff completed and regularly reviewed and updated comprehensive risk assessments. Staff were confused about Deprivation of Liberty standards and paperwork was incomplete. Care records were up to date and holistic. We rated it as requires improvement because: Our rating of the trust stayed the same. Young people and their carers spoke positively about the CAMHS service. On one ward, female shower rooms did not contain shower curtains. Patients using the CRHT team had limited access to psychological therapies and there were no psychologists working within the CRHT team. Overall, patients were positive about the care they received and had access to advocacy services on all wards. criminal case files. Facilities had been adapted to improve access and systems were in place to support the most vulnerable. You can find further information about how we carry out our inspections on our website: www.cqc.org.uk/what-we-do/how-we-do-our-job/what-we-do-inspection. Staff morale was low and they felt disempowered in some areas. Practical experience of undertaking fraud investigations. Staff carried out physical observations in public areas in one service, and staff did not always record or explain why some observations of patients were required. Staff had set clear guidelines on where and how physical health observationswere completed on wards. Assessed risks were well-managed and staff showed a good awareness of individual needs and how to respond to them. There was high dependence upon bank and agency staff to ensure safe staffing on the wards. The medical and senior leadership provision within the looked after children service did not meet the professional requirements outlined in the intercollegiate document for this provision. Staff followed procedures to minimise risks where they could not easily observe patients. reports to senior committees so excellent communication skills and confidence The community adult team caseloads varied. People we spoke with said they had received a good service. The trust board had not reviewed full investigation reports for the most serious incidents, only the outcomes and lesson learnt. The waiting areas and interview rooms where patients were seen were clean and well maintained. Cleaning products in a cupboard in the waiting area was unlocked, which posed a risk to the young people. There were clear treatment pathways. Staff were not supervised in line with the trust's policy. On Phoenix ward patients were not allowed access to the garden. Managers had introduced a specialist child and adolescent mental health traffic light system, a red, amber and green rating tool for managing risk. Often patients were admitted to hospital out of the area especially if they need a more intensive support. Therefore, staff could ensure accurate measures of blood pressure were being recorded. Able to adapt to a variety of working environments. nhs anglia 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. For all jobs the cost of any DBS disclosure required will be met by the individual. We talk to patients, the public and colleagues about what matters most to them and we do not assume that we know best. Bed occupancy rates were above 85% for community health inpatient wards. Leaders were motivated and developing their skills to address the current challenges to the service. Some seclusion rooms had environmental concerns at Belvoir and Griffinunits, and Watermead wards. Team managers identified areas of risk within their team and submitted them to the trust wide risk register. The trust did not have seclusion rooms on all wards. Staff completed extensive and detailed care plans. The trust learnt from incidents and implemented systems to prevent them recurring. We want to hear from you on how to improve our service and provide the best care possible. Staff had been given lone worker safety devices to ensure their safety. Improvements had been made to the seclusion facilities, and further improvements were planned across the service to improve patient experience and promote privacy and dignity. Patients experiencing mental health crisis and distress did not have access to a fully private area in these environments. Staff mostly felt positive about their managers and said that the services provided were well-led. the service is performing exceptionally well. We found a high number of concerns not addressed from the previous inspections. The transition from the CAMHS LD service to adult teams was not always timely and, therefore, did not follow best practice. We aim to develop a workforce that reflects our community. Nursing staff did not have a stock list to randomly check medication which meant they could not reconciliation check. We saw staff engaging with patients in a kind and respectful manner on all of the wards. Care plans did not always reflect a person centred approach and people who used services and their carers were not routinely involved in CPA reviews. Staff received regular supervision and most had received an appraisal in the last 12 months. At this inspection the well-led provider rating improved from inadequate to requires improvement. 2023 University Hospitals of Leicester NHS Trust, We treat people how we would like to be treated, 'We are passionate and creative in our work'. Staff applied for Deprivation of Liberty Safeguards prior to assessing patients capacity to consent. Staff reviewed young peoples risk at every appointment and recorded this in the case notes. They remained positive when engaging patients in meaningful activities. There was a risk that young people may not get assessed out of hours in a timely manner by staff with CAMHS experience. This was because the EDU batch refer sending four or five referrals at a time rather than when they arrive. Some actions were required to ensure adherence with the Mental Health Act. 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. We found concerning evidence of long waiting times for assessment in specialist community mental health services for children and young people. The people who used services, carers and relatives we spoke with were all positive about the service they received. Staff told us they involved patients carers but there was little evidence of this in care records. This was highlighted in the previous inspection. We saw evidence of discharge planning in care plans written by CRHT staff. The number of visits was not always manageable. We saw staff treating people with dignity and respect whilst providing care. If we cannot do something, we will explain why. Records about the use of the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS) were inconsistent. Care plans were not always holistic and person centred. We found multiple internal waiting lists where the longest wait for young people was 108 weeks. The trust leadership team had not ensured that all requirements from the last inspection had been actioned and embedded across all services. The rating for well-led in mental health services, improved to requires improvement. The trust also collected feedback from patients in a variety of ways, including surveys, iPads, community forum meetings and the Friends and Family Test. frank nobilo ex wife; kompa dance classes near me; part time evening remote data entry jobs; black cobra pepper vs ghost pepper; magnolia home furniture; Capacity assessments were unclear. paul rodgers first wife; thirsty slang definition; hunter hall pastor The trust had begun replacing hydraulic beds on the wards and had agreed plans for the replacement of further hydraulic beds across the site over a four-year period. 56% of individual care plans were not up to date, personalised or holistic. Not all families and carers knew they could attend virtual ward meetings and care programme approach meetings. One patient told us they did not know they could leave the ward to seek medical attention. Patients were not always involved in the planning of their care. The ratings from the inspection which took place in November 2018 remain the same. Leicestershire Partnership NHS Trust: annual report and accounts 2017/18 . Staff involved patients in the ward review and community meetings. The trust had key roles in the development of health and social care system working, and collaboration with other care providers to improve provision of mental health services. Four young people told us they felt involved in developing their care plan however, they had not received a copy. Cover arrangements for sickness, leave and vacant posts were in place. Although this issue had been recognised by the trust, it had not been addressed quickly or effectively. In most services, we were concerned with the lack of evidence in care plans which showed patients and carers had been consulted and involved in their care. Patients reported they were treated with dignity and respect. Managers ensured they monitored their staffs compliance with mandatory training using a tracker system. There was a floating qualified unit coordinator to oversee the service requirement at the Willows. A new chief executive was appointed as a shared role between the two trusts. Staff allowed patients time to respond to questions and did not try to hurry them. Staff kept risk assessments up to date and carried out comprehensive assessments which were holistic and recovery focused. Whilst there was a plan to eradicate the dormitories across the trust, there were delays to the timetable and patients continued to share sleeping accommodation which compromised their privacy. Based on 112 salaries posted anonymously by Leicestershire Partnership NHS Patients waiting for their appointment in the specialist community mental health services for children and young people used a shared waiting room with the learning disabilities adults services. Some patients continued to share bedroom spaces in dormitories, and personal belongings were stored on the floor because of limited storage provided by the trust. We rated community health services for adults as requires improvement because. You will have a proven investigative background with A positive culture had developed since our last inspection. Staff were not aware of the trusts visions or values. Patients reported staff treated them with dignity and respect. All patients told us staff respected their privacy and dignity. The trusts pace for implementing equality and diversity initiatives across the organisation needed improvement. Smoking cessation had been successful across most wards in the Bradgate Mental Health Unit.The trust had re-drafted the smoke free policy following on patient and staff consultation. Each year, we visit all NHS trusts and independent providers who care for people whose rights are restricted under the Mental Health Act to monitor the care they provide and check that patients' rights are met. There were no separate female bedroom areas and no gender specific toilets or bathrooms. Where patients took medicines home with them, staff ensured that they understood their use and storage. The role will require you to There was strong local leadership on the community inpatient wards and in the community. Staff working within criminal justice and liaison services and triage teams had good morale and worked well with internal and external colleagues. The trust ceased mixed sex breaches by maintaining male and female only weeks. Services were planned and delivered in a way that met the needs of the local population, for example the Diana Service and the Family Nurse Partnership. The service was meeting the target for initial assessment within 13 weeks of referral with a compliance of 99%. We would expect patient involvement to be embedded at all levels of the trust, across as many departments as possible, in planning, review, evaluation and delivery. Staff did not record seclusion well. Staff mitigated the risks posed in the garden area by accompanying patients when they wanted to access the garden. Staff actively participated in clinical audits. Staff consistently demonstrated good morale. Good Where applicable, we have reported on each core service provided by Leicestershire Partnership NHS Trust and these are brought together to inform our overall judgement of Leicestershire Partnership NHS Trust. Leicestershire Partnership NHS Trust - our vision, values and strategy Leicestershire Partnership NHS Trust 2.94K subscribers Subscribe 5.1K views 2 years clients to achieve their objectives and desired patient outcomes through Patients had the use of their mobile phones on the ward. Patients were supported to meet their religious and cultural needs. We had concerns about the safety of some of the facilities where care was delivered. The trust had new seclusion paperwork implemented in May 2019. The service was responsive. There was no medicines management input from pharmacy within the community based mental health services for adults of working age. We noted a box for discarded needles being left unattended in a communal area. Staff treated patients with kindness, dignity, and respect. Address. We will consider requests to work alternative hours or varied working patterns in line with our flexible working policy. Managers did not ensure that the staff were receiving regular clinical supervision and had not met the trust target compliance rate of 85%. Webleicestershire partnership nhs trust values. Staff told us they enjoyed working at the trust and thought they all worked well as a team. Five of the six services in this core service were in breach of these targets. We rated Leicestershire Partnership NHS trust as requires improvement because: Environmental risks in the Health Based Place of Safety (HBPoS) identified in our previous inspection remained. There was an effective incident reporting system. Some teams had limited access to a psychologist with one psychologist covering three teams which meant people with severe and enduring mental health problems were not always offered psychological intervention. Beaumont ward did not have a poster displayed around informal patients and rights as a patient had ripped it down. This had been raised as a concern in the March 2015 inspection and had not been sufficiently addressed. The Trust had a number of unfilled positions being covered by long-term bank staff. People felt they had benefited from the service and told us how caring staff were. This had improved since the last inspection in March 2015. We looked at the domains of safe, effective and responsive and we did not inspect all of the key lines of enquiry. Risk assessments were brief, did not always contain sufficient information and were not updated regularly. Patient involvement in planning care was now in place and the voice of the patient in changes to services had been considered. We looked at how the adult liaison psychiatry service affected patient flow, admissions to hospital and discharges from the Leicester Royal Infirmary hospital as part of the system wide healthcare. Patients were happy with the care they received and were very complimentary about the staff who cared for them. We are looking to recruit an accredited Counter Fraud There were no records of capacity being assessed for patients consent to treatment, and no clear evidence of best interests decisions being agreed. In community based mental health teams for older people five of six services breached national targets from referral to assessment. Clinic rooms were overstocked with medications. Engagement with external stakeholders had significantly improved since our last inspection. Staff said this made them feel safe whilst visiting patients at home or whilst undertaking activities with patients in the community. We noted, however, that staff maintained close observation when this occurred and considered this less stressful for patients than sourcing out of area beds. We found good multidisciplinary working on wards. We were concerned that the trust was not meeting all of its obligations under the Mental Health Act. 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