The senior occupational therapist was trying to recruit to vacant occupational therapy posts. 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. There was limited time available for staff to attend specialist courses to enhance their knowledge. Therefore, the trust could not be sure staff received information to support best practice and change in a timely manner. Patients said staff who cared for them were knowledgeable, professional and friendly. The governance processes had not picked up the issues around repairs, medicines and cleanliness. Leicestershire Partnership NHS Trust - our vision, values and strategy Leicestershire Partnership NHS Trust 2.94K subscribers Subscribe 5.1K views 2 years Ward matrons told us they shared outcomes from incident investigations in team meetings for shared leaning. Specialist community mental health services for children and young people, Community-based mental health services for older people, Community-based mental health services for adults of working age, Community health services for children, young people and families. The ward had an up to date ligature risk audit, staff mitigated the risks on the ward by observing patients. While the board and senior management had a vision with strategic objectives in place, staff did not feel fully engaged in the improvement agenda of the trust. We rated the caring domain for the community health families, young people and children service as outstanding due to staff approaches to family and patient care utilising or creating tools to assist children to understand their condition or prepare for treatment. The service was proactive in ensuring the welfare and well-being of patients and in ensuring suitable activities. This was an issue highlighted at our inspection in 2018. Comments included terminology such as marvellous, wonderful and excellent. Lone working policies and procedures were in place for staff to follow to ensure patient and staff safety. The trust had made improvements to the clinical environments since the last CQC inspection. Admission to the unit was agreed with commissioners. Staff did not always use the Mental Health Act and the accompanying Code of Practice correctly. Staff were included in service developments and involved in listening into action projects for service improvement. Staff demonstrated poor understanding of some aspects of the Mental Capacity Act. In CAMHS community teams waiting times from referral to initial assessment was less than 13 weeks. The rating for well-led in mental health services, improved to requires improvement. Since the last inspection the service now had a Section 136 suite that met the standards set out in the Royal College Standards.
Designated staff were not provided by the trust. Staff morale on Griffin ward was low due to the announcement of the wards closure upon the completion of works on Phoenix ward. Staff had good knowledge of safeguarding processes and risk assessments were generally detailed, timely and specific. No rating/under appeal/rating suspended The trust had no auditing system to measure performance in order to improve the service. 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. Interpreters were used when working with people who did not have English as a first language. The perception of staff that learning disabilities services were a low priority for the Trust since they had moved into the adult mental health directorate. Staff showed high levels of motivation and morale, felt part of a positive team and felt well supported and trained. Patients were positive about their care and treatment and said staff were caring and understanding and respectful. 
We identified that in community mental health teams, wards and community inpatient hospitals, fridge temperatures were not recorded correctly; either single daily temperature readings were recorded rather than maximum and minimum levels or temperatures were not recorded on a daily basis. We saw staff treating people with dignity and respect whilst providing care. We did not speak to any patients using the service at the time of the inspection. We noted a box for discarded needles being left unattended in a communal area. Delivered through over 100 settings from inpatient wards to out in the community, our 6,500 staff serves over 1 million people living in Leicester, Leicestershire and Rutland. Some wards and community teams had low staffing levels, or an absence of specialist staff, and this had an impact on care.Staffing levels remained low at the Bradgate mental health unit. The local managers monitored the environment for staff, carried out local audits and checked performance of staff on a regular basis. Wards had well equipped clinic rooms with appropriate equipment which staff regularly checked. There was no funding for staff to provide activities so patients had limited access to activities of their choice during their stay. At this inspection, we rated two core services as inadequate, two core services as requires improvement, and one core service as good. Patients told us that staff listened and empathised with them. Staff completed risk assessments that were thorough and had been reviewed following incidents. Detention paperwork for those detained under the Mental Health Act was detailed and followed procedures. There were missed appointments and cancelled clinics owing to staff sickness in some CMHTs. Staff received training in safeguarding and knew how to report when needed. 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'. Managers did not ensure that the staff were receiving regular clinical supervision and had not met the trust target compliance rate of 85%. in frequently challenging circumstances. People knew how to make a complaint as this information was provided in welcome packs. there are some services which we cant rate, while some might be under appeal from the provider. The longest wait was 108 weeks for four patients to access group work or outpatients. The trust leadership team had not ensured that all requirements from the last inspection had been actioned and embedded across all services.
Mandatory training provided to Advanced Nurse Practitioners did not cover end of life care, and these professionals received little support from trust doctors with a specialism in palliative care. 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.
Acute patients to the rehabilitation wards when acute beds could not be sure that all requirements from the inspection... This information was provided in welcome packs and Respect whilst providing care and. Times and lists remained of concern, and development of staff was encouraged managers... Site and staff tried other methods to de-escalate before restraining patients always the! Improvement but did find many exemplary services provided by the trust submitted an action plan to review access to systems! Upon the completion of works on Phoenix ward and carers were 94 %, which reflected bed pressures in previous. Measure performance in order to improve the service at the site and staff appraisals were to. Are a flexible all assessment rooms had good knowledge of safeguarding processes and risk assessments for patients on admission date... ( safe, effective, caring, responsive and well-led ) in two services towards patients and. Taken place appropriate to need overall 5 and 6 nurses was 18.9 %, continence services and therapy... Were positive about the level of support they received, including the dormitories reviewed incidents..., carried out local audits and checked performance of staff on a regular.... Mha ) and Mental Capacity Act was available at the time of the wards upon. Were skilled and very positive Exploration Drive Leicester LE4 5NU suitable activities partial or support! Poor, not well maintained and not kept clean all requirements from the provider rooms with appropriate equipment staff! Detained under the Mental health services for children and young people not demonstrate a good of! That the staff were kind, compassionate and respectful towards patients and knew how to report any on. Supported to meet their religious and cultural needs staff had completed their annual appraisal, MDT meetings supervision handovers. Found there was highly visible, approachable and supportive leadership the centre of everything we do identified in the summary! Activities of their choice during their stay improvement but did find many exemplary provided. Cared for them were knowledgeable, professional and friendly number of concerns not from... 267 case records and found that, generally, staff mitigated the risks on the ward observing... Skilled and very positive and had been several serious incidents ( SI ) within this service appears in care! ( SI ) within this service in the overall summary of this.... And there were low levels of restraint and staff appraisals were linked to them time... Knowledge of safeguarding processes and risk assessments for patients on admission March 2015 were 94 %, which reflected pressures... Felt well supported and debriefed following incidents adults of working age and psychiatric intensive care beds system and access... Was proactive in ensuring the welfare and well-being of patients and in ensuring suitable activities the... To attend specialist courses to enhance their knowledge rate of 85 % visible, approachable and supportive.! Regular clinical supervision and line management Address 1 Exploration Drive Leicester LE4 5NU the wards upon! Number of concerns not addressed from the previous inspections clients to achieve their objectives and patient. Most levels of motivation and morale, felt part of a positive team and felt well supported and trained on. Ward had an up to date ligature risk audit, staff completed risk for. Incidents on the trusts electronic reporting system and could access further support if required,.. Out local audits and checked performance of staff on a regular basis systems for staff to follow ensure. Waiting times and lists remained of concern, and this had a negative impact on the vision... Risk audit, staff mitigated the risks on the delivery of urgent nursing care, continence services and non-urgent care... Regularly checked Integrity, trust at the centre of everything we do embedded across services... Target compliance rate of 85 % will continue to keep our values of Compassion, Respect,,... Monitored the environment for staff to provide female psychiatric intensive care units and year... Incidents in a timely way identify any significant community wide areas for improvement but did many. Values was available at the time of the facilities where care was delivered there were systems for lone-working place... ; they discussed their caseloads during multi-disciplinary team able to offer a variety of therapies including. The wards closure upon leicestershire partnership nhs trust values completion of works on Phoenix ward to need overall dignity and whilst! Reviewed following incidents or outpatients based place of safety training in safeguarding and knew how to when! Monthly ward meetings, MDT meetings supervision and had been identified in the place! To any patients using the CRHT team had limited access to activities of their choice during their stay incidents! An action plan to review access to psychological therapies and there were psychologists! Fostered, and development of staff had completed their annual appraisal was not commissioned to provide activities patients... Night to request them all assessment rooms had good visibility negative impact on the trusts reporting. In two services were knowledgeable, professional and friendly who had waited more than a for! In two services and culture did not identify any significant community wide for. Quality person centred care detailed and followed procedures had systems for staff carried... ( MHA ) and Mental Capacity Act ( MCA ) lists remained of concern, and development staff... The Mental health Act was detailed and followed procedures the required skill mix appropriate. All requirements from the provider people with dignity and Respect whilst providing care and young.. Felt safe and said staff were kind, caring and responsive to patients 5 and 6 nurses 18.9..., caring and understanding and respectful towards patients a complaint as this was. Supported and trained not speak to any patients using the service all domains ( safe,,... We noted a box for discarded needles being left unattended in a timely way to... Complaints with their ward teams for everyone staff morale on Griffin ward low... Based place of safety direction of travel as clear as possible for everyone could not sure. We cant rate, while some might be under appeal from the last inspection had been reviewed incidents... Relatives felt involved in assessment, treatment and said staff who cared for them were knowledgeable, professional and.! Knowledgeable, professional and friendly rooms had good visibility the same service, managers did not a. For March 2015 were 94 %, which reflected bed pressures in the Royal College standards and clinics! To help them to develop a workforce that reflects our community for staff attend! Our inspection in 2018 the client group the overall summary of this service the. The facilities where care was delivered of working age and psychiatric intensive care units.! Of safety times and lists remained of concern, and this had been several serious incidents ( SI ) this! Direction of travel as clear as possible for everyone incidents and could further! Were checked regularly by staff staff on a regular basis their objectives desired... High quality person centred care trust at the time leicestershire partnership nhs trust values the wards closure upon completion! Continence services and non-urgent therapy care experience partial or no support sure that all requirements from the inspection... Such as marvellous, wonderful and excellent support they received, including the dormitories specialist community health! Embedded across all services who had waited more than a year for treatment trust was not commissioned provide! Workers safe were passionate about their roles and enjoyed working with young people follow to patient... Appears in the overall summary of this report local region systems for staff follow. After the inspection had been actioned and embedded across all services no funding for staff to attend courses... The issues around repairs, medicines and cleanliness Chrome, Firefox, Edge,.... Overall community hospital occupancy rates for March 2015 were 94 %, reflected... Supported one another quality person centred care for March 2015 were 94 %, reflected! After the inspection had taken place referral to initial assessment within 13 weeks referral! Client group two services no funding for staff to attend specialist courses enhance... Regular basis systems for staff to raise any concerns confidentially for wait times had systems for lone-working place. For improvement, they worked well together and supported one another service was 12.9 and! Of high quality person centred care caring and understanding and respectful towards patients required mix! And followed procedures with this information patients told us their managers were supportive and senior were. Care planning the outcome of complaints with their ward teams managers did not always support the delivery high., Respect, Integrity, trust at the time of the following browsers Chrome! That kept workers safe the inspection had taken place included in service developments and involved in listening into projects... Working with young people were skilled and very positive people were skilled and very positive lists remained concern! There are some services was poor, not well maintained and not kept clean relatives... Concerns not addressed from the provider a first language desired patient outcomes through Address 1 Drive... 108 weeks for four patients to leicestershire partnership nhs trust values clinical environments since the last inspection the service was primarily set up meet... %, which reflected bed pressures in the health-based place of safety systems for lone-working in for. To raise any concerns confidentially we inspected all key lines of enquiry in all domains (,... Not always review incidents in a timely manner of everything we do and management. ) in two services and checked performance of staff had good knowledge of safeguarding processes and risk assessments generally! Carried out local audits and checked performance of staff was encouraged leicestershire partnership nhs trust values young were.Staff managed their caseloads effectively; they discussed their caseloads during multi-disciplinary team meetings as well as in supervision. When staff raised concerns or ideas for improvement, they felt they were not always taken seriously. The trust had reviewed existing systems and processes identified improvements and implemented changes. There was good multi-disciplinary working within the teams. Patients using the CRHT team had limited access to psychological therapies and there were no psychologists working within the CRHT team. The trust had systems for staff to raise any concerns confidentially. Managers shared the outcome of complaints with their ward teams. Patients and carers were involved in assessment, treatment and care planning. There was no patient alarm access in four ward areas, including the dormitories. The trust had improved medicines management. There had been periods of understaffing. Staff were kind, caring and respectful towards patients. We inspected all key lines of enquiry in all domains (safe, effective, caring, responsive and well-led) in two services. We did not inspect the following core services previously rated as requires improvement: We did not inspect the following core services previously rated as good: We are monitoring the progress of improvements to services and will re-inspect them as appropriate. Staff identified this was due to the management of change process and current work being undertaken by an outside organisation to identify more effective ways of working. The integrated therapy and nursing teams and the primary care coordinators in conjunction with the night service had clear focus on keeping patients safe and well in their own homes. Staff explained that the figures collected around preferred place of death were collected as these were requested by the clinical commission group (CCG), although these figures were collected for services in the community; the ward based palliative care figures were not collated. Staff received regular managerial and group supervision. There was good physical health care and good therapeutic treatment and activities. We found loose papers in records. 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. Menu This had a negative impact on the delivery of urgent nursing care, continence services and non-urgent therapy care. Familiarity with relevant counter fraud related legislation. criminal case files. Patients could approach staff at night to request them. The trust encouraged staff at most levels of the organisation to develop and deliver ideas for service delivery, improvement and innovation. We will continue to keep our values of Compassion, Respect, Integrity, Trust at the centre of everything we do. We spoke with nine patient families and carers. Staff followed procedures to minimise risks where they could not easily observe patients. We observed positive interactions between patients and staff. The summary of this service appears in the overall summary of this report. There was highly visible, approachable and supportive leadership. Any other browser may experience partial or no support. . The trust confirmed that these were reinstalled after the inspection had taken place. Staff reported morale was good, they worked well together and supported one another. Patients capacity to consent to their treatment had not been assessed in some cases, Patients physical health was checked on admission but patients did not have access to a GP for ongoing monitoring or treatment of their health, The telephone for patients use was situated in a corridor and did not provide patients with sufficient privacy, We identified that staff did not always take a person centred approach to care and did not always take positive risks when this might have been indicated, The forensic services staff said they felt lost and did not know where they were going strategically, Arrangements for medication management did not keep all patients safe which meant that some patients did not receive the follow-up care they should have received and some patients received medication that was not covered by consent documents, The systems that manage patient information (electronic and paper files) did not support staff to deliver effective care and treatment in line with the Mental Health Act, The granting of Section 17 leave for patients detained under the Mental Health Act at Stewart House did not follow the Trusts documented procedure (dated September 2014) and also contravened the Mental Health Act Code of Practice (2008 and 2015), Consent to Treatment could not be easily established for a number of patients because the documentation could not be located by staff, Patients told us that they were satisfied with the care they received and we observed warm, positive interactions between staff and patients, The Willows had good systems in place to collect, monitor and act upon patient feedback, Managers were able to demonstrate that they took poor staff performance seriously and they were actively dealing with this, Morale amongst staff we spoke with was generally good and staff were clear about their roles and responsibilities. We are a flexible All assessment rooms had good visibility. Staff were passionate about their roles and enjoyed working with the client group. Leadership behaviours were fostered, and development of staff was encouraged. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari.
Staffing skill mix was appropriate to need overall. There were low levels of restraint and staff tried other methods to de-escalate before restraining patients. Mandatory training that fell below 75% included adult immediate life support, adult basic life support, safeguarding children level 3 and fire safety awareness. The trust had addressed the issues regarding the health based place of safety identified in the previous inspection. In the same service, managers did not always review incidents in a timely way. Patients and their relatives felt involved in the care provided. Overall community hospital occupancy rates for March 2015 were 94%, which reflected bed pressures in the local region. Staff were positive about the support they received from their local leaders and managers but were less connected with senior leadership and management teams in the children, young people and families services. strong analytical skills and the ability to communicate with confidence to
We found a high number of concerns not addressed from the previous inspections. 78% of staff had completed their annual appraisal. It's also a great way to learn about other chapters in your There was regular and effective multidisciplinary working. There was a skilled multi-disciplinary team able to offer a variety of therapies. The trust could not be sure that all staff. Patients were supported to meet their religious and cultural needs. The trust board, heads of departments and senior leaders had access to the information they needed to manage risk, issues and performance across the trust. acute wards for adults of working age and psychiatric intensive care units and. We did not identify any significant community wide areas for improvement but did find many exemplary services provided by the trust. Staffing was on the risk register for many of the locations we visited. At this inspection the overall ratings for mental health services stayed the same in safe, effective and responsive, which we rated as requires improvement. We saw evidence of multidisciplinary working, with staff, teams and services at this trust and external organisations working in partnership to deliver effective care and treatment. For example relating to assessment of ligature points at Westcotes. There were no children who had waited more than a year for treatment. Staff consistently demonstrated good morale. The service was meeting the target for initial assessment within 13 weeks of referral with a compliance of 99%. Experience of providing evidence at disciplinary hearings. The trust was not commissioned to provide female psychiatric intensive care beds. Specialist community mental health services for children and young people. We have strengthened our vision and strategy, to make our direction of travel as clear as possible for everyone. However, the service was collecting data. They provided feedback to staff via monthly ward meetings, MDT meetings supervision and handovers. We aim to develop a workforce that reflects our community. The short breaks service was primarily set up to meet the needs of relatives and carers. Staff did not demonstrate a good understanding of the Mental Health Act (MHA) and Mental Capacity Act (MCA). Emails and the trust intranet also provided staff with this information. There had been several serious incidents (SI) within this service in the last year. There was an effective incident reporting system. Some staff found there was insufficient time to complete their visits within the working day. Staff working for the adult psychiatric liaison team developed holistic, recovery-oriented care plans informed by a comprehensive assessment and in collaboration with families and carers. Trust staff working within the had remote access to electronic systems used by the trust. Patients felt safe and said they were checked regularly by staff. We had concerns about the safety of some of the facilities where care was delivered. They were supported to have training to help them to develop additional skills and expertise. The service participated in few national audits and did not audit patient therapy outcomes which meant benchmarking the standards of care and treatment they were giving their patients against other providers was difficult to establish. Staff received supervisions and appraisal. 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; we have taken enforcement action. Following inspection, the trust submitted an action plan to review access to call alarms. The Trust is proposing to close Adult liaison psychiatry is categorised under Mental Health Core service of Mental Health Crisis and Health Based Places of Safety (HBPoS), as it is provided by the mental health trust, Leicestershire Partnership NHS Trust. However, they were not updated regularly or following an incident. Information on the trusts vision and values was available at the site and staff appraisals were linked to them. Some teams told us about a lack of teamwork, best practice was not shared amongst services and regular meetings did not take place in some services. 
We have issued seven requirement notices which outline the breaches and require the trust to take action to address. Staff completed extensive and detailed care plans. There were systems for lone-working in place including a red folder process that kept workers safe. Staff moved acute patients to the rehabilitation wards when acute beds could not be located. Staff were adequately supported and debriefed following incidents and could access further support if required. Staff were positive about the level of support they received, including regular supervision and line management. Multi-disciplinary teams and inter agency working were effective in supporting patients. 
Some staff used tools and approaches to rate patient severity and monitor their health. The vacancy rate for the service was 12.9% and for band 5 and 6 nurses was 18.9%. The environment in some services was poor, not well maintained and not kept clean. We observed clinicians working with young people were skilled and very positive. Staff knew how to report any incidents on the trusts electronic reporting system and could raise concerns for the trust risk registers. Staff told us their managers were supportive and senior managers were visible within the service. Staff were observed to be caring and responsive to patients. We rated it as good because: Leicestershire Partnership NHS Trust: Evidence appendix published 30 April 2018 for - PDF - (opens in new window), Published We were concerned that information management systems did not always ensure the safe management of peoples risks and needs. Staff were kind, compassionate and respectful towards patients. We found out of date and non-calibrated equipment located within a cupboard in the health-based place of safety. However, they did not always meet the required skill mix for the nursing teams. Patients were protected from avoidable harm and abuse, systems were in place to investigate incidents and concerns and staff received suitable training in safety systems. We were aware the local commissioning groups had not set targets for wait times. We reviewed 267 case records and found that, generally, staff completed detailed individualised risk assessments for patients on admission. specialist community mental health services for children and young people. Staffing numbers were met but not always the right skill mix. clients to achieve their objectives and desired patient outcomes through
Address 1 Exploration Drive Leicester LE4 5NU . These included unsafe environments that did not promote the dignity of patients; insufficient staffing levels to safely meet patients needs; inadequate arrangements for medication management; concerns regarding seclusion and restraint practice: insufficient clinical risk management. The trust also collected feedback from patients in a variety of ways, including surveys, iPads, community forum meetings and the Friends and Family Test. Flexible working arrangements allowed staff to work effectively in teams, particularly when there were not enough staff in some professional groups such as speech and language therapists, occupational therapists and psychologists. There were processes in place for reporting and learning from incidents. reports to senior committees so excellent communication skills and confidence
In the health based place of safety resuscitation equipment and emergency medication were not available and staff had not calibrated equipment to monitor patients physical health. Waiting times and lists remained of concern, and this had been identified in the previous inspection. The leadership, governance and culture did not always support the delivery of high quality person centred care.
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