Manthorpe Ward Patient and carer information Safe Supporting Caring Collaborative Working together www.lpft.nhs.uk
Contents Introduction 3 Our philosophy of care 3 What to expect when you arrive A multi-disciplinary approach to your care How will your care be reviewed and managed Standards you can expect from us 4 5 8 10 Therapeutic engagement 11 Things you will find helpful 13 Items you can t bring 13 Visiting times 14 Meal times / patient protected time 14 Valuables 15 Smoking 16 Nurse call alarms 17 Privacy and dignity / same sex accommodation 15 Safeguarding 16 CCTV 17 Compliments, comments & complaints 17 Manthorpe Ward Grantham Hospital 101 Manthorpe Road Grantham Lincolnshire NG31 8DG Tel: 01476 464848 2
Introduction Manthorpe ward is an 18-bedded specialist assessment and treatment unit for people with dementia experiencing complex problems and needs. The ward is not an isolated service, but links with our communitybased services to provide short-term intervention at times of crisis, that cannot be safely managed in a community setting. The purpose of admission to the ward is to enable the safe and timely assessment and treatment by specialist staff, and the development of a long-term plan of care. The aim is to return you to a community setting as quickly and effectively as possible. Our philosophy of care The team value everyone as individuals. We strive to enable this by working to identify, engage and enhance an individual s psychological, spiritual, social and physical needs, strengths and potential. The safety, dignity and respect of those we care for are our priority. The team actively support collaborative engagement of both patients and carers in the design, planning and delivery of care. We promote an open and honest approach wherein the support of carers is essential and feedback on service quality is valued. 3
What to expect when you arrive When you arrive a member of the nursing team will spend time with you and your family members or friend(s), if also present, to discuss and explain: the reasons for your admission the purpose and nature of the ward how we will deliver your care. They will answer any questions you may have and they will show you around the ward. They will also need to check key bits of information around events leading up to your admission and any past or current history that is important to your care. With your permission we will also ask if family and/or friend(s) can work with us to assist in your care. A partner in your care We feel that the best outcomes in care are achieved by working in close partnership with you and your family and/or friends. Examples of this two-way process of care include your input into Life-Story and Memory Box therapeutic work, both of which benefit from personal input. A doctor will also introduce themselves to you. They will talk to you about your current health and needs, and prescribe your medication (if required) as well as carrying out a physical examination, such as listening to your chest and heart and takeing your blood pressure. 4
A multi-disciplinary approach to your care Manthorpe ward applies a collaborative multi-disciplinary team approach to care. This is the participation of people from a number of professional disciplines to provide comprehensive treatment and care. The members of the multi-disciplinary team: Nurses Nursing staff (registered mental health nurses) are available 24-hours a day and have continuing responsibility for assessment and planning of your needs for nursing care. A named nurse will be identified who will be responsible for your care and any of your concerns. When they are not on duty, an associate nurse will be available. You will also be allocated a nursing assistant whilst on the ward. Nursing Assistants You will be allocated a nursing assistant whilst on the ward. Nursing assistants work closely with the trained nursing staff to support them to provide essential nursing care input that we have identified with you and/or your carer. Doctors The ward has consultant and junior doctors responsible for providing your medical care. 5
Occupational Therapists (OTs) OTs are trained to assess capabilities in managing activities of daily living and to provide continual promotion of independence. They also organise therapeutic activities (both group and individually) on the ward. Activity Coordinator In addition to OTs, the activity coordinator is a role dedicated to the provision of appropriate and meaningful therapeutic activities and enhanced social engagement, as part of your care. Other members of the multi-disciplinary team who may contribute to your care (but are not ward based) are: Physiotherapist They provide a range of assessment and treatments to help reduce pain, improve mobility and maximise physical abilities. Pharmacist & Pharmacy Technicians The pharmacy staff provide specialist advice and support with any issues relating to medication. Social Workers Social workers help arrange services to support discharge such as housing, care-packages and placements. They can also help with financial matters. Community Psychiatric Nurse (CPN) A CPN may have been involved with your care prior to admission and will continue to support you during your in-patient stay and following discharge. 6
Physical Health Care Nurse The physical health care nurse provides specialist advice and guidance in the management of physical health care issues. Chiropodists Chiropodists are specially trained to treat or advise on all problems related to feet. Chaplain Chaplains provide a service of spiritual care to all patients, their carers, friends, family and staff. Dieticians Dieticians look at dietary needs of each person on the ward. They may advise staff on any specific individual needs. Speech & Language Therapists (SALT) SALTs are specialists who assess and advise on the management of problems with speech, language and swallowing. A photo-board Photos of the key members of the multi-disciplinary team are on display as you enter the ward. This is to help you identify who the individual members of the team are. 7
How will your care be reviewed & managed Collaborative working and involvement in key care decisions are supported by regular ward rounds and the application of a process called the Care Programme Approach (CPA). Ward Rounds Ward rounds are regular collaborative meetings between you, your family and/or friends and the multi-disciplinary team involved in your care. Ward rounds aim to discuss and agree decisions about your care, treatment and discharge plans. The Care Programme Approach (CPA) The CPA provides a framework for effective care for people with complex needs. All individuals admitted to one of our inpatient beds receives care and treatment through the CPA process. Manthorpe 1950s room CPA ensures that you, or someone acting in your best-interest, are enabled to participate as fully as possible in all aspects of the assessment process, and actively collaborate in the development and review of your plan of care. 8
Our Carer-set CPA Standards To support this process you can expect the following: be given information so that you understand how we will assess and plan your care and treatment feel able to approach any of our staff for assistance and reassurance to have the full support of a team of professionals we will explain the different team members and their roles to be involved in the assessment process, helping us to understand who you are and more about you to be invited to attend ward and other meetings about your care, and given the opportunity to ask questions about the things that are important to you offered the opportunity to help put your plan of care and treatment together To be involved in any important decisions that are made, taking into account your preferences and choices as far as possible. 9
Standards you can expect from us We aim provide care that meets the standards required by the Care Quality Commission. The Commission s leaflet, Standards for Hospitals will help you understand the standards of care you have a right to expect whilst in hospital and what you should do if you receive poor quality care. Please speak to a member of our staff for a copy or you can download one from the Commission s website: www.cqc.org.uk Notice boards displaying the CQC standards are visible on the ward and include current ward plans to address particular issues. 10
Therapeutic engagement On the ward a number of therapeutic approaches are promoted to enhance mental and physical activity and engagement. These interventions play an important role in improving and maintaining well-being. These include: Activities - a weekly timetable of activities is implemented; these include: Seated exercise class Word games and quizzes Art and crafts Baking Singing Bowling Walking Gardening Life-story work personal information about you that underpins the delivery of person-centred care. It allows care to be tailored to your specific needs and history. Memory box memory boxes stimulate reminiscence and conversation, important in promoting well-being. They are also a great way for staff to learn significant and meaningful things about your life in the past. Animal assisted activities - Pets-as-Therapy dog and rabbits Sensory stimulation - hand massage 11
These are all provided within the overarching ward approach of person-centred care where all patients are treated like VIPs. Person-Centred Care: VIPs Person-centred care encompasses four main elements: V I P S A value base that asserts the absolute value of all human lives regardless of age or cognitive ability. An individual approach, recognising uniqueness. Understanding the world from the perspective of the person in receipt of care. Providing a social environment that supports psychological needs. Taken from Brooker (2007) Bradford University 12
Things you will find helpful Usually admission to hospital is planned and you have had time to bring clothing and toiletries with you. However if you have been admitted in an emergency the following list may help friends and relatives to know what to bring the next time they visit you. The ward can provide emergency toiletries if required. A list of basic items required are as follows: glasses, hearing aids, etc pyjamas / night dress and dressing gown slippers and shoes soap, toiletries and toothbrush shaving materials hairbrush or comb socks and underwear a small amount of cash a coat - so you can enjoy outside activities. Items you can t bring Lighters Knives Needles Other items considered sharp Weapons Plastic bags Alcohol Non-prescription medications/drugs Glass containers 13
There are laundry facilities on the ward and our staff can assist you, alternatively your friend/relative can refresh your laundry for you. Please ensure items of clothing are clearly marked with your name. Visiting times 1.30pm to 4.30pm 6pm to 8pm If these times are difficult or inconvenient, your friends/family members can speak to the ward manager to make and agree other arrangements. We will try to be flexible to meet your individual needs. Children Due to safeguarding concerns, we advise against children visiting the ward. There is a family room just outside the ward which can be booked for family visits with young children. Please speak to a member of staff on the ward about booking this room. Meal times / patient protected time Breakfast: 8am to 9am Lunch: 12-noon to 1pm Tea: 5pm to 6pm Light supper: 8pm Additional refreshments are available throughout the day. 14
We can cater for a range of dietary requirements, including diabetic, gluten free, requirements, including diabetic, gluten free, vegetarian, vegan, halal and multicultural food. Please inform a member of staff if you or the person you care for have any special requirements so that we can order this for you. If you miss a meal or require fruit or a snack, please tell a member of staff. You will have access to hot and cold drinks throughout the day. We have limited ability to store personal food on the unit but please speak to a member of the nursing team. The ward operates a protected meal times policy to support patients having time to eat their meals with support and free from interruption. There may be occasions where a family member will be able to attend to support you at meal times but this must be agreed with the nursing team and form part of your care plan. We will offer you: a choice of dishes to suit your individual dietary needs a choice of portion size any help you may need at meal times. Valuables We cannot accept any responsibility for the loss or damage to your personal property during your stay. Jewellery and other items of value should not be bought onto the ward. If you do have valuables, staff can secure them in the ward safe. Your bedroom door is lockable; if you want your door locked when you are not in your room, please speak to a member of staff. 15
Smoking Our Trust operates a no smoking policy on inpatient units. If you are a smoker, you will be offered smoking cessation services. You can smoke outside, within the ward garden area. For safety reasons, all lighters and matches have to be kept in the ward office. All visitors must refrain from smoking. Nurse call alarms There is a nurse call system on the ward, which allows anybody to call for help from all areas of the ward. Call buttons are available throughout the ward and in your bedroom, and can be used if you need any help or assistance. Privacy and dignity/same-sex accommodation Manthorpe Centre is a mixed sex ward. However we are committed to making sure that all patients receive high quality care that is safe, effective and focused on their needs. Men and women are cared for separately in different areas. Bathrooms and toilets are designated male or female with appropriate signs. The nursing staff will ensure that your privacy and dignity will be maintained throughout your stay. If you have any concerns about this, please talk to a member of the ward staff. We will try to provide care in surroundings that take account of your personal and/or religious needs. 16
Safeguarding The Trust is committed to ensuring that people who use services are protected from abuse and neglect. You will be asked whether you have or are experiencing abuse or neglect. Should you tell us that you have then our staff are trained to support and advise you on what can be done to ensure that you are safe and which other agencies can work with us to support you. CCTV For the purpose of crime prevention and public safety 24 hour CCTV monitoring is in place on the Manthorpe Unit in the corridor areas. Compliments, comments & complaints Should you have any questions about your care and/or treatment, or if you would like to compliment or make a complaint about any aspect of the ward environment, in the first instance please speak to a member of staff. If your concerns are not resolved at ward level you can contact the Patient Advice and Liaison (PALS) and complaints team, where our advice and liaison officer may be able to resolve your concern. You can contact the PALs officer at our Trust by using the following contact details: Freepost RSAZ-SJHU-CKYK PALs & Complaints Team, Lincolnshire Partnership NHS 17
Foundation Trust, Unit 8, The Point, Lions Way, Sleaford, Lincs NG34 8GG T: 01529 222265 E: PALS@lpft.nhs.uk Complaints Ombudsman If you remain unhappy after local resolution you can complain to the health service ombudsman. The ombudsman is completely independent of the NHS and government. You can contact the ombudsman at: Health Service Ombudsman Millbank Tower, Millbank, London SW1P 4QP T: 0345 015 4033 E: phso.enquiries@ombudsman.org.uk www.ombudsman.org.uk 18
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Contact us Leaflet designed and printing sourced by the Trust s communications team. Lincolnshire Partnership NHS Foundation Trust Unit 9, The Point, Lions Way, Sleaford, Lincs NG34 8GG E: communicationslpft@lpft.nhs.uk Every effort has been made to ensure that the information in this leaflet was correct at the time of print. However, changes in law may mean that in time some details in this leaflet may be out of date. Anyone using our services will be treated with dignity at all times and their faith and cultural needs will be accommodated where practically possible. The Trust is fully compliant with the Data Protection Act and the NHS Code of Conduct Published by Lincolnshire Partnership NHS Foundation Trust - March 2017 LPFT Dementia Service is a member and supporter of the DAA