Clinical Quality Group

Transcription

1 Clinical Quality Group Pastoral Spiritual and Cultural Care Report Quarter 4, Purpose: This report is for the CCGs to provide evidence that CNWL is meeting the requirement of SC14: The provider must take account of the spiritual, religious, pastoral and cultural needs of Service users and must liaise with the relevant authorities as appropriate in each case. J nelle James (Interim) Head of Equality Diversity and Inclusion

2 A Mapping Chaplaincy and Faith Support 1. Harrow 2. Kensington & Chelsea 3. Westminster 4. Brent 5. Hillingdon 6. Epsom, Surrey B. Meals provision C. Miscellaneous Activities A Mapping Chaplaincy and Faith Support 1. Harrow Northwick Park Mental Health Centre There is a Volunteer who co-ordinates and supports the group of faith visitors who attend and hold regular drop-in events on both wards in Northwick Park Mental Health Unit. There are allocated faith and spirituality leads on the ward. One of the Occupational Therapists on the wards acts as the routine point of contact for the faith visitors. She attends faith visitor review meetings, raises awareness with staff and service users, creates posters to promote events, hands out leaflets and posters to service users and makes sure faith visit dates are in staff diaries. She has also provided a basic induction for faith visitors including fire awareness and relational security. A faith visitor review meeting takes place every 3 months, when they all congregate, share experiences, plan events and look at practicalities such as publicity, training, Trust identity badges, etc. The Faith Visitor Project is composed of 6 volunteer faith visitors from the Muslim, Jewish, Hindu and Christian faiths (Cliff, Pauline, Bharti, Pramila, Brian and Adil). The Faith Visitors come to the 2 acute mental health wards at Northwick Park Hospital and run drop-in groups on the 2nd Tuesday of the month on Fernley and 3rd Tuesdays of month by on Eastlake. In addition, Bharti and Pramila visit Fernley and Eastlake Wards once a month. Faith visitors have also been attending the wards weekly community meetings to promote their visits and any upcoming religious events. They have a system whereby service users can request a one-to-one visit from a faith visitor. They also provide the wards with religious texts, which are kept in an office on site. All the faith visitors are trained in a multi-faith approach. This training was provided by the Volunteer Faith Coordinator when she was previously employed by CNWL in a clinical management role. The faith visitors have a very positive approach, are trained to listen in a calm way so that people open up. They also report that it has taken a long time but the staff at the wards are now very welcoming and now recognise them and appreciate what they do, as the service users wellbeing is improved. There is no chaplaincy although there is a multi-faith chapel on the main site of Northwick Park Hospital, which service users can access if they are able to leave the

3 wards. There is currently no faith room within the Mental Health Unit itself. The faith visitors mark occasions such as Christmas, Easter, Diwali etc. with special events in the wards. They have invited local religious resources such as JAIME, a Jewish community charity, to the wards to raise awareness of certain aspects of their religion. The link below is the leaflet available to patients regarding the faith visitors in Harrow. Rosedale Court - Mental Health Inpatient Rehabilitation 3 rd Tuesdays of month Pauline from the Faith Visitor project, visits the unit. Also clients who are discharged from Kenton Ward, Kingswood Centre, when discharged to Rosedale, continue to attend sessions at All Souls Church in Harlesden each Tuesday (see details under Brent). Roxbourne Complex & Annex - Mental Health Inpatient Rehabilitation Patients get asked at their initial assessment what cultural and spiritual needs they may have. Staff take patients every Tuesday to the drop in session at St Paul s Church in South Harrow. For other religions, patients relatives take them out to the mosque/synagogue of their choice. There is an interview room that is available as prayer/faith room and there are bibles available. Patients have individual rooms and use them for their own praying but can also put images of icons to pray to in their own notice boards within their rooms. There are also two TV rooms where patients can watch their own religious/spiritual videos. 2. Kensington and Chelsea (K&C) St Charles Hospital There is a faith room on site and allocated faith and spirituality leads identified on the wards. The Lead inpatient Occupational Therapist at the mental health unit acts as the routine point of contact for issues arising related to faith and spirituality needs. They raise awareness with staff and service users, identifying resources available and promoting events such as the Recovery College Spirituality course or local faith events within the local community. In line with the philosophy of recovery and social inclusion the chaplaincy service in K&C has been reduced, but to ensure local links are maintained and developed the ward Occupational Therapists and Activity Coordinators are available to escort and support those residing at the mental health unit to engage with their local faith organisations in order that an individual's faith and spirituality needs are continually and effectively met. A list of such organisations where links have been made is attached. In addition

4 since the tragic incident of Grenfell the Head of OT for the borough has met with local faith leaders from all domains and continues to meet with them on a regular basis in order that effective links are maintained. For those individuals who have limited mobility and are unable to leave the unit such as our residents at Beatrice Place on the Older People Continuing Care wards visits are organised by priests from the local churches. This is purely informal and noncontractual Beatrice Place - Older People Continuing Care Residents are often visited by priests from the local churches. This is purely informal and non-contractual. They do not have a prayer/faith room on site. Leaflets about the service at 3 Beatrice Place cover issues of faith and spirituality. Collingham Child and Family Centre The unit is for children under the age of 13, so parents are very involved and visit and take children out on Wednesdays and state if anything is needed regarding faith support. Screening at admission is with parents, so faith and spiritual support might be discussed. A room is available for prayers if needed; the Centre is attached to a school which children have to follow as part of their treatment. Religious Education is taught there as a subject, following the curriculum and if it is Easter, Ramadan, etc then this is celebrated. Vincent Square Inpatient and Day-Patient Eating Disorder Service This service is based in Nightingale place next to the Chelsea and Westminster Hospital, therefore service users access Chelsea and Westminster Hospital s Multifaith Chaplaincy Team through an SLA. The Chaplaincy Team visits the in-patient service on Wednesday mornings and offer to speak with service users if neededthe Chaplaincy is reported to be very supportive and can always be called to offer support to the unit s service users at any other times and will take Holy Communion to clients on Sundays if they are unable to attend the chapel on the Chelsea and Westminster Hospital site. The Clinical team strive to ensure clients are asked on admission if they require religious or spiritual support and try and support them so they can have their own religious/spiritual leaders visit the ward at appropriate times. Below is the leaflet on the Multi-Faith Chaplaincy. Multi-Faith Chaplaincy Jan 2014 C 3. Westminster The Gordon Hospital The Gordon Hospital has an SLA with Imperial Healthcare NHS Trust s Chaplaincy Service which was reviewed in As part of the local review carried out by the

5 Matron and Lead Chaplain, the service was reduced from 15 hours per week, to 7.5 which reflect the needs of the service. However it is agreed that any chaplaincy needs identified in excess of these hours will be met on an ad hoc individual basis. There is a multi-faith room on site, and the matron continues to meet regularly with the chaplaincy group.below is the leaflet on the Multi Faith Chaplaincy. Spiritual and pastoral support team poster g Bluebell Lodge - Mental Health Inpatient Rehabilitation Rev d Neil Bunker provides Anglican Chaplaincy for Bluebell Lodge and attends there regularly. This is a formal, unpaid, arrangement between the Diocese of Westminster and the Director of Services in Westminster but with no Service level Agreement. Referrals for Reverend Alan Haines, a superintendent Methodist minister based in North Westminster, go via Reverend Bunker. Service users attend the local mosques and the Catholic Church Our Lady of Lourdes and St Vincent DePaul Roman Catholic Church, in Harrow Road. (no formal arrangement, people signposted there if that is what they require). When service users are admitted to the unit they are asked if they would like a specific religious organisation to support their spiritual needs. Staff then make contact with that particular group to arrange pastoral visits. There is a multi-use room that can be used as a prayer/faith room; however patients can use their rooms to attend to this need. They have a religious festive calendar, which contains Reverend Bunker s timetable for Bluebell Lodge. 4.Brent Fairlight - Mental Health Inpatient Rehabilitation Each Tuesday, accompanied by the unit s Senior Occupational Therapist (OT) a group of service users make their way to All Souls Church in Harlesden (leaflet attached below). The morning is divided into two sessions: a reading session which the OT facilitates (poems mainly relating to faith, belief, and spirituality) and then a spirituality / faith session which is facilitated by Father Michael and other church leaders there. On site at Fairlight clients religious needs are addressed during initial assessment and in a one-to-one sessions and the OT provide a variety of religious and spiritual resources. She also takes clients to visit religious settings or purchase religious and spiritual books. The Unit s time table includes spiritual hour on Sundays and the Occupational Therapy care plan includes an assessment of faith / spirituality needs. The site does not have a designated prayer room Prayer mats are purchased for gives to each service user who needs one. If a family member or visitor needs to pray they are allowed to use the Occupational Therapy activity room. The OT provides information about mosques, temples, churches and other religious settings and information regarding all religious festivals and events is displayed on the notice board. They also support clients to attend or celebrate religious festivals. The multidisciplinary clinical team accommodates for religious festivals such as fasting and

6 medication changes. Clients are encouraged to and have invited their church leaders to their clinical care reviews. The Hub all souls church poster from fa Kenton Ward - Mental Health Inpatient Rehabilitation on the Kingswood Centre site Each Tuesday, the Senior Occupational therapist takes a group of up to five service users from Kenton Ward to All Souls Church in Harlesden by minibus. Please see details given for Fairlight above as the same applies to Kenton Ward. Preston House and Carlton House - Learning Disabilities inpatients at The Kingswood Centre The service meets people spiritual needs on an individual basis so they would support service users to access the community facilities. They give packs to patients when first there and they tell them that they have links with local churches, mosques and synagogues but if possible they try first to accommodate the patient s regular place of worship. The site has a faith room which has been adapted with neutral decoration and bare walls, a chair, the faith calendar, and a sign indicating the direction of Mecca. Resources for all faith are kept locked although the key is held locally. The site also holds carers events every 3 to 6 months, with an Equality and Diversity theme, a recent successful one was on meditation. The leaflet attached below My Religion and Me is a questionnaire for patients to identify their religious and spiritual needs. My Religion and Me LD kingswood ctr.docx Coombe Wood Perinatal Mental Health Unit Patients are able to access the faith room in Park Royal Centre for Mental Health and are also welcome at the Central Middlesex Hospital prayer room as well as being encouraged to invite their own faith support network to the unit. The unit holds a variety of multi-faith resources such as Bibles, a Koran and prayer mats. Park Royal Centre for Mental Health The service has a faith room on site and access to faith books and other resources. The Lead Acute Occupational therapist is currently launching a faith project: to make more and better use of the faith room on the 1 st floor, to set up regular drop in sessions for different faiths and make contact with local chaplaincy more frequent. Local volunteers from Hindu, Christian and Muslim faiths come in and offer service user support, usually at the weekend. Regular visitors from local places of worship include:

7 Reverend Ronald Herbert, St Michael s Stonebridge once a month Doreen Paris, volunteer faith visitor, one Sunday a month Desmond Hall, Pentecostal City Mission Church, once a month, Pam Stewart, Restoration Revival Fellowship, Harlesden Isham, Islamic volunteer faith visitor 5. Hillingdon Riverside Centre and The Woodland Centre There is an service level agreement with Hillingdon Hospitals NHS Foundation Trust for Chaplaincy services for Riverside and Woodland Centres (see below). In addition there is a volunteer Chaplain who visits the older adult wards on Fridays and Sundays spending 3½ hours on each ward and who runs a service at the Riverside centre every Sunday. She has been associated with the Hillingdon Mental Health Unit for 20 years. In addition, Sam Kollipai, a Hillingdon chaplaincy volunteer takes religious services in the Woodland Centre on alternate Thursdays. There is a multifaith room in the Riverside Centre. Hillingdon Hospital Chaplaincy leaflet fro Colham Green Road - Mental Health Inpatient Rehabilitation Being located very near to the Hillingdon Hospital site, service users can access the services held at the Riverside Centre on Sundays as well as accessing the Hillingdon Hospital Chaplaincy Service through the Trust s SLA with Hillingdon Hospitals NHS Foundation Trust The Rehabilitation Unit has a multi faith room on site and a designated link nurse for spirituality. 6. Epsom, Surrey Horton Mental Health Rehabilitation Service The centre has a prayer / multi-purpose room which people can use. They also take patients out to the local church where they attend services and groups. B. Meeting religious-based dietary requirements CNWL has a contract with OCS Ltd to provide catering services to around 900 inpatients per day across nearly 20 locations spread over a large geographical area. The contract stipulates that the catering service provided by the supplier should be flexible, appropriate and considerate to individual patients needs. The contract also stipulates that the supplier is required to provide menus which include a choice for patients who have particular needs or requirements, and cater for, at each meal, the Trust s culturally diverse patients groups, which include many

8 ethnic and religious groups. Menus for lunch, dinner and snacks need to be produced in a variety of formats suitable for the patient group, including different in languages and in Braille. For both lunch and supper the supplier shall provide Halal (European style and traditional), African Caribbean, Kosher (including special meals for Passover), Asian Vegetarian and Vegetarian options for those in patients with ethnic origins and/or certain religion-based dietary needs and Vegetarian and Vegan options for those with this personal preferences. This alternative menu needs to be operated on a menu cycle agreed with the Trust and its patients. Moreover the supplier should ensure that patients following religious/cultural/ethnic diets meet their nutritional needs from the menus by selecting the appropriate foods, and that if needed to be texture modified this is also provided. A variety of standard ethnic meals should be available to all patients, who can make their choice either by the main menu or by using separate menus. The supplier has been provided with the minimum number of meals to be served when all beds per site are occupied, however it is stipulated in the contract that this number will fluctuate and that the supplier is expected to work with local teams to agree an ordering process, which still allows for choice for patients at the point of service. OCS Ltd is also contracted to provide appropriate festive and religious fare at the appropriate seasons and also provide at least one theme or cultural style meal each month. They are also required to be flexible in terms of mealtimes to accommodate service users needs, for example on religious days/periods such as Ramadan. C. Miscellaneous Activities End of Life care The Trust has a provider offering end of life and palliative care service, it is called ELiPSe. This is based at UCH and deals with issues allowing patients and their relatives and carers to make culturally sensitive decisions about care and treatment. They have recently published a booklet entitled Supporting excellent care in the last days of life at home The Trust-wide Faith and Spiritual Support Policy outlines the Trust s commitment to faith and spiritual support. and affirms that the Trust expects staff, when carrying out assessments, to discuss faith and spiritual support needs with service users and to ensure these are included within care planning. It also: Clarifies the Trust position on staff praying with or for service users. Identifies and defines four categories of Faith Visitor and when DBS checks will be required Clarifies governance arrangements for the recruitment and support of Faith Visitors This Policy is currently under review.