We were concerned that the trust was not meeting all of its obligations under the Mental Health Act. The rating had improved from the November 2016 inadequate rating. Care plans reviewed were not personalised, holistic or recovery orientated. Senior managers were aware of the bed pressures in their acute and PICU service and had raised concerns with their commissioners. 87 of the total patients had been waiting over a year to begin treatment. There was no fridge to keep medicines cool when required. They provided feedback to staff via monthly ward meetings, MDT meetings supervision and handovers. All assessment rooms had good visibility. All the people who used services and the carers spoken to were happy with the service they had received and spoke positively about their interactions with staff. Adult liaison psychiatry services are provided by Leicestershire Partnerships NHS Trust (LPT), the mental health trust in the Leicester, Leicestershire and Rutland Integrated Care System. This left patients without access to treatment when they needed it most. We had concerns about the environment but noted the service was due to move locations within two weeks. Staff did not always follow trust policies and procedures when they needed to search patients or their bedrooms to keep them safe from harm. People that were referred to the service were waiting for a care co-ordinator to be allocated. The trust employed registered general nurses (RGN) to assist with assessment and management of physical healthcare needs for patients. HBPoS and crisis resolution and home treatment (CRHT) team toilets were not visibly clean. We found damaged fixings on one ward; that posed a risk to patients. Patients were happy with the care they received and were very complimentary about the staff who cared for them. However, they were not updated regularly or following an incident. Mandatory training provided to Advanced Nurse Practitioners did not cover end of life care, and these professionals received little support from trust doctors with a specialism in palliative care. View more Profession Occupational Therapist Grade Band 5 Contract Type Permanent Hours Full Time. long stay or rehabilitation wards for working age adults. The needs of people who used the service were assessed and care was delivered in line with their individual care plans. One patient told us they did not know they could leave the ward to seek medical attention. Leicestershire Partnership NHS Trust (LPT) provides a range of community health, mental health and learning disability services for people of all ages. However, they did not always meet the required skill mix for the nursing teams. A lack of availability of beds meant that people did not always receive the right care at the right time and sometimes people were moved, discharged early or managed within an inappropriate service. Medication management had improved significantly across the services. It shows how we will work together to create an inclusive culture, where there is no discrimination or bullying. Some wards did not meet the Department of Health and Mental Health Act Code of Practice requirements in relation to the arrangements for mixed sex accommodation. The acute mental health wards had two and four bedded dormitories which did not promote privacy and dignity. Staff communicated with patients in a calm, professional way and showed an understanding of patients needs. We do not put off making difficult decisions if they are the right decisions, We set common goals and we take responsibility for our part in achieving them, We give clear feedback and make sure that we communicate with one another effectively, We encourage and value other peoples ideas, We recognise peoples achievements and celebrate success. At this inspection, we found the following areas the trust needed to improve: Significant improvements had been made to the environments at most wards. There was a full complement of staff with no vacancies. Patient had individualised risk assessments. At least one standard in this area was not being met when we inspected the service and The service was not well led. The trust could not be sure that all staff. o We are one team and we are best when we work together. Updated 22 June 2022. There had been several serious incidents (SI) within this service in the last year. The patients did not consistently have their physical healthcare monitored or recorded, unless there were identified problems. Managers used a tool to identify and review staff numbers in accordance with need. Staff and senior leaders could not articulate the trusts direction of travel and how this was co-ordinated. Derby, However, we were concerned that ligature risks remained in these bedrooms. However, Griffin did not. Patients had their own copies of care plans and were involved in their care plan reviews. The trust had no psychiatric intensive care unit (PICU) for female patients. Staff did not ensure that mental capacity assessments and best interest decisions were consistently documented in care records. Acute patients had been sent to rehabilitation wards inappropriately. There had been an increase in the number of CAMHS referrals over the last two years. There were inconsistent practice around conducting searches onpatients. Let's make care better together. There was a good working relationship between the Mental Health Act (MHA) administration team and the wards, community teams and the executive team. The trusts Board Assurance Framework (BAF) was lengthy, was combined with a corporate risk register and had overdue actions. The CRHT team did not have lockable bags to transport medication to patients homes; staff told us they transported medication in their handbags. Mental health crisis services and health-based places of safety had an overall mandatory training compliance rate of 82%. We saw patients were treated with kindness and compassion. Patients reported that they felt safe on the wards. The service had not delivered timely care to a significant number of patients. Staff actively participated in clinical audits. Across the teams, we found up to date ligature audits in place. Maintenance teams did not undertake repairs in a timely way and not all areas used by patients were clean. Facilities had been adapted to improve access and systems were in place to support the most vulnerable. Staff did not demonstrate a good understanding of the Mental Health Act (MHA) and Mental Capacity Act (MCA). Until then there is a danger information is not shared or fully available to all staff seeing a person. Jan 4. This was in breach of the Mental Health Act Code of Practice guidance on mixed sex accommodation. By: Miraj Vaghadia | Tags: A project to improve patient care by making best use of capacity across Leicestershire Partnership NHS Trust (LPT) District Nursing teams has been shortlisted for the prestigious Nursing Times Awards. Shifts were not always covered with sufficient staff, or with staff who had the appropriate qualification and experience for the role. Thy are entitled to receive a remuneration of 13,000 per annum each and have . Capacity assessments were not decision specific. There some gaps in staff receiving regular supervision. The trust provided newsletters, quarterly serious incidence bulletins, regular emails from matrons about incidences and lesson learnt. Staff were visible in the communal ward areas and attentive to the needs of the patients they cared for. Creating high quality compassionate care and well-being for all | Leicestershire Partnership NHS Trust - We provide mental health, learning disability and community health services for a population of more than a million people in Leicester, Leicestershire and Rutland. The trust did not always manage the admission of patients into mixed sex environments well. By doing this it will help us achieve our vision of creating high quality, compassionate care and wellbeing for all. Emails and the trust intranet also provided staff with this information. criminal justice and liaison services and triage teams had good morale and worked well with internal and external colleagues. We rated it as requires improvement because: Our rating of the trust stayed the same. A dashboard of key performance indicators was being developed. This employer has not claimed their Employer Profile and is missing out on connecting with our community. The room used to administer medication on Arran ward at Stewart House was not appropriate; the room was a bedroom and still had a toilet in. 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. It was clear to see the difference the investment and improvements had made since our last visit. The teams were able to respond quickly when patients or carers telephoned with problems. Your information helps us decide when, where and what to inspect. Curtains were missing from bed spaces and staff did not wait for an answer from patients before entering rooms on acute wards. We rated families, young people and children services as good because: There were systems in place for reporting incidents and the service was able to demonstrate learning and sharing following incident investigations. Improvements had been made to seclusion areas at The Willows Acacia and Maple wards. Lone working policies and procedures were in place for staff to follow to ensure patient and staff safety. We did not inspect the following areas of this core service: We did not rate this service at this inspection. The local managers monitored the environment for staff, carried out local audits and checked performance of staff on a regular basis. We did not rate this inspection. Services had complied with guidance on eliminating mixed sex accommodation. The trust needs to take steps to improve the quality of their services and we found that they were in breach of seven regulations. Patients knew how to make a complaint or raise a concern and complaints were taken seriously. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding We found a high number of concerns not addressed from the previous inspections. We had concerns about the safety of some of the facilities where care was delivered. We're always looking for the best. There was a high vacancy rate of 12.9% for band 5 and 6 nurses in community based mental health services for adults of working age, 18.9% for band 5 and 6 nurses in crisis service and 17.3% across community health services for adults. Staff documented seclusion well in most services, compared to our last inspection. Staff reported they felt supported by their colleagues and managers. Adult community health patients did not always have timely access to routine appointments. 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. This was because the EDU batch refer sending four or five referrals at a time rather than when they arrive. They were supported to have training to help them to develop additional skills and expertise. 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