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Taylor Rehabilitation Unit
Patient Information
Leigh Infirmary
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Med 003
4
Taylor Rehabilitation Unit
January 2016
January 2018
Taylor Unit
Our mission statement
We provide effective and appropriate individualised rehabilitation for each patient, using a
holistic approach and taking into consideration the hopes and expectations of the patient
and their relatives/carers.
We aim to provide an environment where our patient’s self-esteem and dignity are
maintained and enhanced so that they can be encouraged to achieve their optimum
potential for living.
What is rehabilitation?
Rehabilitation aims to help people to recover as fully as possible from illness. Where this
is not possible, rehabilitation aims to help people achieve quality of life through maximising
their capabilities.
Neurological rehabilitation offers a service to people who have suffered from a
neurological illness, which involves the impairment of the brain, spinal cord and nerves.
Rehabilitation is provided by a team to ensure that all aspects of care are considered. As
part of this team you and your relatives/carers will be involved in discussions regarding the
nature of your condition.
Therapeutic recovery can vary from weeks up to many months. Discharge arrangements
are focused on the individual needs of the patients, which range from minimal to highly
complex care packages.
In some exceptional circumstances a patient may need to be transferred to Royal Albert
Edward Infirmary, Wigan for medical emergencies. This will only be considered if essential
to maintain an individual’s health and wellbeing. We are unable to transfer to any other
hospitals in this emergency situation.
Goal setting and rehabilitation planning
Therapy will take both formal and informal styles and both are essential. When you first
arrive on the Unit we will spend time assessing your needs and potentially establishing
goals for treatment. The length of time that this may take will vary from person to person
and the length of your rehabilitation will also vary.
You will be invited to attend a goal setting/rehabilitation planning meeting soon after
admission. This is where you will be given the opportunity to discuss your expectations
with the rehabilitation team and set goals for your treatment.
We aspire to provide therapy input regularly and punctually. However, while patient needs
across the Unit can change rapidly, staffing levels remain constant, and we therefore have
to be flexible with our input to best meet the changing needs of our patients.
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Patients and family are always welcome to approach a staff member for any clarification or
concerns.
One family member will be identified as the main contact for passing on information about
your care and progress (with your consent). This means that we are not dealing with
multiple requests for information from relatives.
Discharge planning will be addressed with all concerned when the rehabilitation process
has reached a plateau or your needs can be met in the community.
What to bring with you
Upon admission to the unit you may want to bring the following items:
Clothing (day & night)
Outdoor coat
Well fitting shoes/trainers
Toiletries (including bath/shower gel, toothbrush, toothpaste, deodorant, razor, shaving
foam, denture adhesive & pot if required, comb, etc)
Photographs/meaningful objects
You are asked to keep personal belongings to a minimum and not to bring valuable items
on to the unit unless absolutely necessary.
Mobile phones are allowed on the unit, although you are asked to use them with respect.
Taking of photographs and video on the Unit is discouraged.
Patients are asked to make arrangements with relatives/carers for personal laundry to be
done at home.
The team system
When you first come to the unit you will be allocated to one of 2 teams.
Each team will consist of a Rehabilitation Medicine Consultant, along with a small team of
Doctors, Psychologists, Nurses, Occupational Therapists, Physiotherapists, Speech and
Language Therapists and Support Workers.
Treatment is an ongoing process and all staff and patients are actively involved.
You may hear the term “inter-disciplinary/multi-disciplinary” – this refers to the members of
the team, and how they work together in order to provide the most effective treatment
possible.
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The team
Medical Team
The medical team comprises consultants, who specialise in neuro-rehabilitation, as well as
other doctors at different levels of training.
A medical ward round takes place once a week, where you will have the opportunity to see
the consultant and doctors to discuss any medical aspects of your care.
Medical cover on the ward is from 9:00 am – 5:00 pm weekdays, excluding bank holidays.
If any medical problems arise out of these hours patients are referred to the doctors on call
at the Royal Albert Edward Infirmary.
After discharge most patients are given a follow-up appointment with their consultant in the
out-patient Rehabilitation Clinic.
Nursing Team
The nursing team is available to assist and advise on most matters twenty four hours a
day.
On admission a named nurse will be assigned to you.
The Taylor Unit is an established area for the training of student nurses and other allied
health professions who may work with you under supervision.
Therapy Team
Therapists are available on Taylor Unit between the hours of 8:00 am – 4:00 pm each
weekday.
Occupational Therapy
The specific role of the occupational therapist includes the assessment and relearning of
daily living skills. These may include washing and dressing, meal preparation and
shopping. Road safety and money skills could also be assessed.
The occupational therapists work closely with you and your family, and may carry out
home visits to assess the environment to which you may return on discharge. If equipment
or adaptations to your home are required the occupational therapists will work with you to
organise this.
Physiotherapy
The physiotherapists will assess you to identify any physical impairments and will
implement an appropriate programme of physical therapy; this may be completed within
daily activities or individual therapy sessions. Relatives may be encouraged to observe
and join in therapy sessions where appropriate.
It would be helpful if you could bring with you any aids you are using such as walking aids,
wheelchairs and any other splints or appliances that have been given to you.
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Speech and Language Therapy
The speech and language therapists will assess any communication difficulties you may
be experiencing. They can help you and your family or carers to overcome and/or adapt
to a range of communication problems. They also assess swallowing problems and advise
on safe ways to eat and drink.
If you are currently using a communication book/chart, or have an electronic
communication aid, please bring it with you onto the Unit.
If you wear glasses or hearing aids, please also bring them with you.
Clinical Neuropsychology
The clinical neuropsychologist aims to help patients and their families recognise,
understand and cope with changes in cognitive functions and common emotional reactions
associated with a neurological illness or injury, such as difficulties with memory, thinking,
concentration, feelings of anxiety, anger, and frustration or depression.
The clinical neuropsychologist can assess and provide advice and rehabilitation for
managing problems with memory or other cognitive functions. They can also explore the
possible effects of illness on a person and their relationships with others. Emphasis is
placed on encouraging independence while planning positively for the future.
Therapy and Nursing Assistants
The assistants work with the therapists and nursing staff on the unit. The assistants will
continue treatments already established by the Multi-Disciplinary Team.
Social & Educational Facilitator
The SEF co-ordinates activities on the unit, to encourage social interaction and
participation. They may also assist therapists in community activities.
Your daily timetable
In the morning you will be given the opportunity to complete your personal care routine by
a member of your team. This may be incorporated into your rehabilitation programme.
Treatment is focused around “normal movement” principles. This encourages you to
relearn “normal patterns” of movement and incorporate your affected limbs as normally as
possible. A personal plan will be developed to meet your individual needs.
Some treatments used will focus on teaching you alternative ways to increase your
independence and ability to carry out daily tasks. Your rehabilitation may include taking an
active role in daily household tasks and joining in with group activities which may include
community activities for social and treatment reasons.
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Mealtimes
We operate a protected mealtime policy, and do not allow visiting at these times.
8:00 am – 11:00 am
12:45 pm – 1:15 pm
4:45 pm – 5:15 pm
There is a selection of meals available each day. Catering staff can be approached if you
have any special dietary needs.
Some of our patients may need modified diets or fluids for medical reasons. You and your
relatives are therefore asked not to give food or drink to other patients on the Unit.
If you wish your relatives to bring food in for you, it must be clearly labelled with your name
and the date it was brought onto the Unit. The food must be easily prepared and stored in
accordance with Health and Safety regulations. Food cannot be reheated and will be
disposed of when expiry/use by date is reached.
It is not the responsibility of staff to prepare patients’ own food.
Dietitian
The dietetics department may be contacted if any concerns are raised about weight or
dietary intake. A dietitian visits the Unit once a week to give advice to patients. If you wish
to see the dietitian, please inform staff and a referral will be sent.
Visiting times
Visiting times are as follows:
2:00 pm to 4:00 pm and 6:30 pm to 8:00 pm 7 Days a Week
Although the number of visitors is not restricted, we would ask that you recognise that
large numbers of people can pose a hazard on the unit due to the limited space available.
Visitors are asked to ring the bell at the entrance to the Unit and wait to be admitted. We
may not always be able to answer the bell straight away due to being involved in patient
care.
Flexible visiting may be pre-arranged due to family circumstances. Please ask the nurse
in charge.
Planning your discharge
To ensure a smooth, trouble free discharge, planning for your return home will begin on
admission. If it is necessary you will be referred to a social worker and screened for
Continuing Health Care. This will be discussed with you at the time.
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Discharge needs are assessed on an individual basis. Discharge will always be discussed
and planned with you, your relatives/carers and team members. Discharge planning may
include plans for day leave or overnight stays at home.
If you have ongoing rehabilitation needs which can be met in the community or as an
outpatient, you will be referred to the appropriate service on discharge. There may be a
waiting list for these services.
Parking
The car parking available is Pay & Display. Concessionary parking is available for your
visitors if you have been on the unit for more than two weeks. Please see staff for details.
Bus services
The 597 bus travels from Leigh bus station and brings you into the hospital grounds. For
more information, telephone Greater Manchester Public Transport Information Ltd. 0161
228 7811.
Chaplain and Church Services
Chaplain services are available on request. The hospital chapel is situated on the main
corridor, and a chaplain visits the Unit regularly. People of all religions, faiths and beliefs,
or none at all, are welcome.
Smoking
Wrightington, Wigan and Leigh NHS Foundation Trust operates a “No Smoking” policy,
which is strictly enforced within all its buildings.
Illegal substances
Use and/or storage of illegal substances in the unit are strictly forbidden. If such
substances are discovered, legal advice will be taken and patients will be asked to leave
the unit.
Alcohol
The consumption of alcohol in the unit is also strictly forbidden. Alcohol following head
injury can be potentially lethal and may induce convulsions. It may also exacerbate the
reaction to certain medications given to prevent epilepsy. Please ask the nurse in charge if
you are unclear on this matter.
Zero tolerance
Everyone has the right to be treated with dignity by those they come into contact with.
Unacceptable behaviours will invoke the use of the Trust’s zero tolerance policy.
Contacts
Taylor Unit
Leigh Infirmary
Contact Number: 01942 264516
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Community Team
Community Neuro Team, Leigh Infirmary
Contact Number: 01942 264255
0Wigan Council
Department of Adult Services, Progress House, Westwood Park Drive, Wigan, WN3 4HH
Contact Number 01942 244991 (Main switchboard who will direct you to the appropriate
department/contact number for Adult Services)
Central Duty Team: 01942 828777
Carers Support Team: 01942 705959
Active Living
Active Living Office, Robin Park Indoor Sports Centre, Loire Drive, Wigan, WN5 0UL
Contact Number: 01942 488481
Website: www.getactivewiganandleigh.co.uk
E-mail: [email protected]
Wigan and Leigh Housing
Unity House, Westwood Park Drive, Wigan, WN3 4HE
Contact Number 01942 705040
Age UK Wigan Borough
68 Market Street, WIGAN, WN1 1HX
Contact Number: 01942 241972
E-mail address: [email protected]
Website: www.ageuk.org.uk/wiganborough
Opening times: Monday to Friday 9.30 am to 4.30 pm
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Comments, Compliments or Complaints
The Patient Relations/Patient Advice and Liaison Service (PALS) Department provides
confidential on the spot advice, information and support to patients, relatives, friends and
carers.
Contact Us
Tel: 01942 822376 (Monday to Friday 9am to 4pm)
The Patient Relations/PALS Manager
Wrightington, Wigan and Leigh NHS Foundation Trust
Royal Albert Edward Infirmary
Wigan Lane
Wigan WN1 2NN
Ask 3 Questions
Become more involved in decisions about your healthcare. You may
be asked to make choices about your treatment. To begin with, try to
make sure you get the answers to three key questions:
1. What are my options?
2. What are the pros and cons of each option for me?
3. How do I get support to help me make a decision that is right
for me?
This leaflet is also available in audio, large print, Braille and other languages upon request.
For more information call 01942 773106.
© Wrightington, Wigan and Leigh NHS Foundation Trust
All rights reserved. Not to be reproduced in whole or in part without the permission of the copyright owner
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