Download B1 Ward Final 1 11 12 - revised version - Final v 2

Ward B1 - Clumber Unit
Information: Patient, family, carer
The information provided is designed to give you, your
family or carer basic information about the ward and the
service we provide. We aim to make your stay in hospital as comfortable and short as possible.
Ward B1 - Clumber Unit
Mental Health Services for Older People
Ward B1 consists of two units, our aim is to provide a
range of specialist services to those who present with
mental health concerns.
The Unit where you will be staying contains five assessment beds, the accommodation consists of five individual side rooms. You have access to showers and
toilet facilities, TV lounge / dining room, a small garden
(following assessment by the nurse in charge ) and activities under the guidance of an activities coordinator.
On the Clumber Unit we treat each individual regardless of race, culture, spirituality, gender or sexuality
with privacy, dignity and respect at all times, and an environment that is free from discrimination.
We believe it is our responsibility to be able to meet the
needs of you and each individual for whom English may
not be the first language.
The Multi-Disciplinary Team (MDT) are involved in your
care, to ensure that the highest standard possible is
reached by using skills in assessing, planning, treatment and reviewing, to meet your individual needs.
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Clumber Unit offers
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Nutritional Intake
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Information and support for carers
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Physical state including mobility
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A caring and therapeutic approach, a safe and
supportive environment which respects the dignity
and rights of you the individual
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Sleep pattern
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Effects of medication.
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The allocation of a named nurse on admission
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An assessment of needs
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A coordinated approach to a planned discharge.
The Multi-Disciplinary Team (MDT) includes:
The ward manager, deputy ward manager, staff
nurses, health care assistants, physiotherapist, activities coordinator, doctors etc.
Qualified nurses:
The Assessment of needs
Are on duty at all times, they will admit and coordinate your care with you while you are in hospital,
your individual needs will be identified and discussed
with you and other Multi-Disciplinary Team members.
Clumber Unit:
We will be assessing the following and how they affect
your ability to cope with your daily life.
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Mental capacity
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Confusion
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Social skills
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Behavior
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Dressing and personal hygiene.
Observation levels:
From admission you will be placed on nursing observations for the initial 24 hour period. This means that
staff will visually observe you either constantly or at
regular intervals. This is for your safety as part of
your care. Nursing observations will be reviewed by
the MDT Team after the 24 hour period.
Staff are available at all times to discuss any concerns or issues that you may have.
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Mental Health Act 1983
Telephone
You may be admitted under a section of the Mental
Health Act 1983 / 2007, the nurse in charge will give
you written information regarding this, they will also
read you the information if required to enable you to
receive a better understanding. The nurse in charge
will also assist you to appeal against your section if
you so wish.
Your relatives or carers can call the ward if they have
any concerns. If your relatives or carers wish to speak
to you please ask them to make arrangements with
the nurse in charge prior to phoning.
Your relatives should ring after 10.00am as this is a
busy period on the ward and if they can be aware to
avoid ringing at meal times.
Informal patients
If you are informal you have the right to withdraw consent to treatment. Due to the concerns the MultiDisciplinary Team (MDT) would be contacted for your
safety to try and resolve the issue. If you still wish to
leave the ward against doctors medical advice, documentation will be completed in line with the ward policy and procedure. If the MDT Team felt you needed to
be in hospital a mental health act assessment may be
arranged.
If you have a mobile phone all charges will need to be
P.A.T. tested. We request that you hand in your phone
charger to staff for safe keeping. In consideration to
other service users we request that all mobiles are on
silent when not in use and for them all to be switched
off before 10.00pm.
Leave from the ward
All leave from the hospital and time off the ward will
be discussed and negotiated with yourself, and the
MDT or the nurse in charge.
If for any reason you do not comply to the above requests, due to the breach of confidentiality the nurse in
charge will confiscate your phone and this will be put
in safe keeping.
Handover
Confidentiality
Handover takes place at the beginning and end of
each shift. This ensures that each change of staff are
fully informed about the care you and others may
need and ensures the continuity of care provided.
Personal information relevant to your care is held safely on the ward. The Multi-Disciplinary Team (MDT) has
to have access to this information to discuss your individual plan of care. The NHS has strict guidelines
about keeping personal information confidential.
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Confidentiality is important to all, for this reason no
pictures must be taken on the ward.
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Violence / verbal abuse
Fire procedure
The Trust operates a zero tolerance policy. The following are some examples of behaviors that are NOT acceptable while you are on Trust premises and may lead
to action under the policy.
If the fire alarm sounds the staff nurse in charge will
give directions immediately.
An intermittent sound indicates we do not need to
evacuate and a continuous ring indicates that the ward
needs vacating safely and promptly.
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Violence
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Threats or threatening behavior
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Theft
The fire assembly point is the outside car park area.
The nurse in charge will coordinate any evacuation.
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Willful damage to Trust property
Smoking
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Offensive sexual gestures or behavior
A non smoking policy is in operation for all staff and
visitors.
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Derogatory racial or sexual remarks
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Threatening or abusive language involving excessive swearing or offensive remarks
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Excessive noise e.g. loud or intrusive conversation
or shouting.
You may be exempt with an agreement from the
Responsible Medical Officer (RMO). There is a designated area for smoking under supervision from nursing
staff.
Cigarette lighters are to be handed in on admittance to
the ward for safe keeping. (When required the staff will
provide you with a lighter which you may use upon negotiation and or supervision from the nurse in charge).
After acts of violence / verbal abuse, discussions and
decisions about your future care will be made in the
Multi-Disciplinary Team (MDT) review.
If you decide to stop smoking during your stay in hospital, smoking cessation, information and treatments
can be provided.
Any visitor who displays any of the above behaviors will
be asked by the staff to leave the premises.
Taken from Nottinghamshire Healthcare’s ‘Zero Tolerance Policy and Procedure’. The full policy is available
for anyone wishing to read it. Please ask a member of
staff.
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Visiting hours
Transfer of patient to a medical ward
Monday to Sunday
2.00pm to 4.00pm and 6.00pm to 8.00pm
If the Multi Disciplinary Team (MDT) are concerned
about your physical health, they will liaise with the
medical team, and if required you may be transferred
to the appropriate medical ward. Your relatives / carers
would be notified as soon as possible.
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Please note there are only two visitors per patient
allowed.
All relevant personal information is kept confidential
under the NHS Trust Policy, if you have any concerns
please ask the manager / deputy manager / nurse in
charge, please do not hesitate to ask we are there to
help.
There is a designated area for all visitors.
All visits by children to the ward should be discussed and
planned in advance with the ward manager or the nurse in
charge.
Children are not allowed on the ward but arrangements
can be made for a room off the ward for your safety and
comfort. Please ask your relatives to ring to make an appointment. Children should remain under the supervision
of an adult at all times.
Mixed gender
Clumber Unit is a mixed gender ward. There are five
individual side rooms, private facilities showers, toilet
etc. Any preference you may have regarding privacy
will be respected and catered for as far as the environment will allow.
You, your relatives and carers are invited to make an
appointment to see the ward consultant / ward doctor
preferably after the first week of your admission. However
we are flexible, if you would like to see medical staff before then, please telephone the medical secretary for an
appointment.
If you have any concerns please do not hesitate to
contact the nurse in charge.
Clothing requirements
We encourage you to wear your own clothes during
your stay on the ward, we would therefore ask you to
bring a suitable supply of clothes and foot wear
shoes / slippers for this purpose. We ask that you have
a clean set of clothing for each day. If you have no
clean clothes it may be necessary for you to be
dressed in hospital attire until the clothing issue has
been resolved.
Tel: 01909 502002
If you or your relatives or carers have any queries or require information regarding your condition, then the
named nurse or the nurse in charge will be glad to discuss
these issues with you .
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Female
Please do not hesitate to contact a member of staff
and express any concerns you may have. Although
we do try to keep check on your property, unfortunately this is not always possible. Please be aware the
ward has no washing facilities available. Please note
the ward is not responsible for clothing that is lost or
mislaid.
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We would like to thank you for your cooperation in this
matter.
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Valuables
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Due to the nature of the ward, we recommend that
any money or valuables which you may have are:
Shower gel
Hairspray
Liquid soap
Face cream
Shampoo
Brush / comb
Perfume
Deodorant
Nail file
Talcum powder
Toothbrush and toothpaste or denture cleaner
and pot.
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Kept by your relatives
The hospital does not provide any items of toiletries.
Please bring with you an adequate supply.
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Handed over to the nurse in charge and locked in
the safe
Electrical items
The ward cannot accept any responsibility for any
property lost (including clothing), which has not
been safeguarded in this matter.
Any electrical item (shavers, radios, etc) brought in
for use in hospital must be booked in to be P.A.T.
tested for safety by the hospital estates department.
The item cannot be used until this procedure has
been carried out.
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Patient toiletries - Male
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Shower gel
Shaving equipment/razor (disposable)
Liquid soap
Deodorant
Shampoo
Aftershave
Brush/comb
Toothbrush and toothpaste or denture cleaner
and pot.
Protected mealtimes
The purpose of protected mealtimes is to protect
your meal time from unnecessary and unavoidable
interruptions, this should ensure an environment
conducive to eating. Staff can then provide you with
support placing food first at meal times.
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Research shows that patients who are not interrupted and receive appropriate service and support during meal times are happier more relaxed and eat
more. The better nutrition a patient receives, the
higher your chances are of recovering.
Rest periods
Rest periods have been initiated to enable you to take
rest without interruptions. We have found that it helps
with calmness and relaxation.
Translator
Food
There is a translator available for any patient whose
first language is not English. This service is available
throughout the day and night if required. There is a
leaflet on this service, please take one, any problems
see the nurse in charge who will gladly help.
Food that may be bought in includes, fruit, sweets,
biscuits, these must be wrapped and in date. Any
perishable goods you may wish to bring should be
handed to staff so they can be stored in the kitchen.
No other food should be bought in unless you have
sought agreement from the nurse in charge. You can
bring non-alcoholic drinks.
Hearing
If you have trouble with your hearing an audiology
appointment can be made for you while you are on the
ward. Any problems please speak to your named
nurse. Please ask your relatives or carers to read the
notice board for information.
Infection control
When entering or leaving the ward we ask that you
use the alcohol gel located on the wall just outside
the main door. Good hand hygiene helps reduce infection being brought onto the ward. To help reduce
infection control we request that no flowers be
bought on to the ward.
Health and safety
For the safety of the patients we operate an intercom
system with a webcam in place where ward staff can
check and identify all personnel wanting to gain access to the ward.
Medication
Red aprons are used when administering medication. In order to promote best practice, if you see a
nurse wearing a red apron please do not approach
him / her unless it is specifically relating to the drugs
being administered, or in the case of an emergency.
To ensure you receive the full attention you deserve
please approach another member of staff.
Any sharp objects / razors need to be handed in on
admittance to the ward for safe keeping (you may access the items when required by requesting them from
staff).
All type of medication you are on must be handed to
the nurse in charge. Any type of plastic bags need to
be handed to the nurse in charge.
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Church services
Helpful local contacts
There are services available every Sunday. Please ask
the nurse in charge for more information. You would
need to be escorted by a family member or carer.
Bassetlaw Mind
6-6a Hardy Street
Worksop
S80 1EH
Spiritual needs
There are bibles available, please ask the staff. If you
have other spiritual needs please ask the nurse in
charge.
Activities
We have a variety of ward activities to accommodate
your individual needs, organised by the ward activities
coordinator on a daily basis. We are able to provide a
number of alternative therapies such as reiki, aromatherapy etc.
Car park
There are a number of ticket machines available
around the hospital grounds.
The car park facilities are Pay on foot / DISABLED
PARKING for badge holders.
There are disabled bays at the front of the entrance of
the hospital.
Refreshments available
There are number of places that your relatives and or
carers can buy refreshments when they visit you. There
is a WRVS coffee shop which offers snacks and drinks
away from the ward. The hospital also has a shop
which is just through the main entrance to the hospi15
tal.
Tel: 01909 476 075
Age UK Nottingham and NottinghamshireWorksop Age Concern
To care for the needs of the elderly. Housebound and
Elderly Mentally Ill - providing cooked lunches and
refreshments. Offering social activities and keep fit.
Information
Tel: 07872839630
Community Outreach Advisor Service
The Community Outreach Service is a free and
confidential service for people over 50 to help them to
remain safe and independent in their own homes.
The advisor will usually visit the person at home to
assess their situation and needs. They can then offer
advice and information on a range of topics such as
home safety and security, home adaptations, mobility
aids, transport, social activities and benefits.
Referrals to the service can come from individuals,
their family or carers, or professionals such as GPs.
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Mental Health Services for Older People
Advocacy
Modern Matron
Your guide to independent Advocacy in Nottingham and
Nottinghamshire. Tel: 0300 020 0093
www.nottinghamshire.gov.uk/independentadvocay
Modern Matron, MHSOP
Highbury Hospital
Nottingham
NG6 9DR
Tel: 0115 8542257/ Internal 12285
User / carer groups
If your relative or carer needs help with issues arising
from caring for someone mental health issues your GP
should be their first port of call. They can also go to:
Inpatient Service Manager - North
General Management Suite
76 Portland Street
Kirkby in Ashfield
Nottinghamshire
NG17 7AG
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Bassetlaw Mind offers a range of services for people with mental health issues. Services include information, support groups and befriending
schemes for service users and carers.
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6 Hardy Street, Worksop, Nottinghamshire, S80
1EH
Phone: 01909 502949
Website: http://www.bassetlawmind.org
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The Citizens Advice Bureau has lists of organisations which offer support and advice.
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Social Services can help with benefits for you and
your carer.
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Essential reading is ‘The Pensions Guide’, making
the most of Government help (Ref page 1). It is
available free from the Department of Works and
Pensions on Tel: 0845 065 065
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Age UK Sheffield. Tel 0114 250 2850. Email
address: [email protected]
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Carers Direct- Information and advice for carersNHS choices. www.nhs.uk/carersdirect. Tel: 0808
802 0202 for free confidential information and
advice for carers.
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Help the Aged. Tel. No: 0808 800 6565
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Carers UK: Information and advice. Tel: 0800 808
7777
This document is also available in other languages and formats upon request
Making a Complaint
If you have any concern about any aspects of your care
here, you can raise this with your named nurse or the
manager or deputy manager. If you do feel your
concern has not been resolved and you wish to take
this matter further, you can contact:
The Patient Advice and Liaison Services (PALS)
PALS work with the staff to ensure you, your relatives
and carers have information and a way of resolving
issues and concerns you may have. You can contact
PALS on
Tel. No: 0800 015 3367 or
email: [email protected]
Ward B1- Clumber Unit
Bassetlaw Hospital
Blyth road
Worksop
Nottinghamshire
S81 OBD
Tel. No: 01909 502949
For further information please ask the Nurse in Charge,
alternatively there are leaflets on the ward.
www.nottinghamshirehealthcare.nhs.uk
NH128viiii
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May 2013