leicestershire partnership nhs trust valuesleicestershire partnership nhs trust values

We found that staff across the service were committed to providing good quality care to the patients and showed care and compassion.

Suspended ratings are being reviewed by us and will be published soon. Staff reported incidents, which were discussed and reviewed by line managers within the teams. There was a good working relationship between the Mental Health Act (MHA) administration team and the wards, community teams and the executive team. including taking witness statements, carrying out interviews and preparing Webleicestershire partnership nhs trust values. Care and treatment was planned and delivered in line with current evidence-based guidance, standards, best practice and legislation. Staff knew the vision and values of the trust and agreed with these.

The trust had high numbers of vacancies for registered nurses. 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. There was an effective incident reporting process which investigated and identified lessons from incidents which were shared in most teams. People knew how to make a complaint as this information was provided in welcome packs. Staff supported patients to raise concerns when needed. This could have resulted in an increased risk of incorrect safe and secure handling of medicines and unsafe practice in relation to the administration and prescribing of medicines. The electronic prescribing system which the trust had implemented supported the safe administration of medicines to patients, with staff reporting very few medication errors as a result of this. Patients occasionally attended the service. The transition from the CAMHS LD service to adult teams was not always timely and, therefore, did not follow best practice. Suspended ratings are being reviewed by us and will be published soon. 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. The matron opened some vault windows via a remote. investigations to nominated clients and will be required to work to tight We rated end of life care services as good overall because: The trust had worked collaboratively with local partners to develop an end of life care strategy for the region as a whole which had incorporated a health needs analysis. Patients were full of praise for staff and the care and support they offered. Staff gave examples of working with people with diverse needs considering their ethnicity, gender, age and culture. The trust had made improvements to the clinical environments since the last CQC inspection. Click here to submit your comments to us. The trust did not always manage the admission of patients into mixed sex environments well.

Emails and the trust intranet also provided staff with this information. This was done by sliding signs to the door as needed. Concerns in regards to Mental Capacity Act were identified at the last inspection as a breach of the HSCA regulation 9. base to undertake work and therefore a driving licence and car availability are The successful candidate will deliver specialist fraud Full driving licence and access to a vehicle for travel between NHS and other locations across the East and West Midlands and South Yorkshire (dependence on public transport is not suitable for this role). The adult psychiatric liaison service provides assessment and treatment for adults between the ages of 16 to 65, who experience mental health problems in the context of physical illness. Care plans did not always consider the patient views, and were generic did and not all were recovery focussed. Staff who delivered training had been redeployed away from training during the COVID-19 pandemic, but face to face training had restarted and not all staff who had out of date training had rebooked. There was a risk that staff did not receive adequate support or that their capability was not reviewed. The community therapy rehabilitation unit at Hinckley did not have a defibrillator in the unit for staff to use in an emergency despite staff having been trained how to use one. criminal case files. We did not speak to any patients using the service at the time of the inspection.

Some actions were required to ensure adherence with the Mental Health Act. Staffing levels were not consistent across the two sites. We observed some very positive examples of staff providing emotional support to people. In community based mental health teams for older people five of six services breached national targets from referral to assessment. The number of incidents reported by the trust had decreased since the last inspection and serious incident figures remained comparable. We rated Leicestershire Partnership NHS trust as requires improvement because: Environmental risks in the Health Based Place of Safety (HBPoS) identified in our previous inspection remained. As part of each inspection, we look at the way health services provide care and treatment to people. Record keeping at Stewart House was disorganised. 10 July 2015. There was effective multidisciplinary working.

The high demand for services, high levels of staff sickness and staff vacancy rates had not been managed effectively. Overall, the trusts compliance rates for mandatory training was 87%. The waiting areas and interview rooms where patients were seen were clean and well maintained. There was a range of large therapeutic areas and rooms for art therapy plus other interventions. Smoking cessation had been successful across most wards in the Bradgate Mental Health Unit.The trust had re-drafted the smoke free policy following on patient and staff consultation. At this inspection the well-led provider rating improved from inadequate to requires improvement. Managers had a recruitment plan in place to increase the number of substantive staff for the service. We found concerns with the environment in all five core services we inspected.

WebLeicestershire Partnership NHS Trust (LPT) continues to break new ground in ensuring the physical health of its patients and service users is cared for as well as their mental health, There was little evidence that staff supported patients to understand the process, no involvement of family or independent mental capacity advocate in most mental capacity assessments. The acute service contained large numbers of beds in bed bays accommodating up to four patients. There were inconsistent practice around conducting searches onpatients.

We found significant issues with trust level governance, oversight of environments, a failure to address keys issues and a lack of pace with delivering essential improvements. There was a full complement of staff with no vacancies.

Through the development of researched and bespoke training programmes that target emotional deadlines and often with little supervision. There was an effective duty system in place to provide rapid access to support. Staff followed infection and prevention control practices and the community inpatient wards were visibly clean. Administrative staff had not received specific mental health awareness training to assist them when taking calls for people who were acutely unwell and in crisis.

We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding Staff did not routinely complete detailed, person centred, individualised or holistic care plans about or with patients. For example, issues found in risk assessments, care plans and environmental concerns had been addressed in some services, but not all since our last inspection. The trust had not met all the required actions to reduce and mitigate ligature points across wards following the previous inspection in March 2015.

Managers did not successfully cascade information down to all ward staff in acute mental health services. Crisis and relapse care plans were in place for the people that used services. There was high dependence upon bank and agency staff to ensure safe staffing on the wards. Overall we saw good multidisciplinary working and generally peoples needs, including physical health needs, were assessed and care and treatment was planned to meet them. Cover arrangements for sickness, leave and vacant posts were in place. We rated wards for older people with mental health problems as good because: The wards complied with the Department of Health 2015 guidelines on single sex accommodation. Another patient said on their comment card they did not see enough of the occupational therapist. 27 February 2019. A positive culture had developed since our last inspection. The role will require you to

The trust provides adult end of life care services in community in-patient wards and community nursing services seven days per week. Staff were open about their poor understanding around the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. The trust had made significant improvements to develop a strengthened vision and strategy. The trust experienced high demand for acute inpatient beds. Where patients did not access multimedia, families and carers said there was less communication with the service. Some local leaders were visible and approachable however, some staff did not know who directors linked to their service were or did not feel engaged with the trust. Engagement and joint planning between departments was well developed. The trust confirmed that these were reinstalled after the inspection had taken place. The trust had maintained patients privacy and dignity at Short Breaks Services. We rated community based services for people with learning disabilities or autism as good because: Staff worked well as a team and morale was high. Excellent verbal and written communication skills. Staff documented seclusion well in most services, compared to our last inspection.