Risk assessments were brief, did not always contain sufficient information and were not updated regularly. This promotion is being run by Leicestershire Partnership NHS Trust. Some wards and community teams did not store or manage medicines safely. Every team we spoke with knew who they reported to and what to report. We were concerned that information management systems did not always ensure the safe management of peoples risks and needs. We found multiple internal waiting lists where the longest wait for young people was 108 weeks. Risk management in services required improvement. Mobility and healthcare equipment took up space in The Gillivers and 3Rubicon Close. The136 suiteis a place of safety for those who have been detained under Section 136 of the Mental Health Act. The teams did not have waiting lists for care coordinators at the time of inspection. Find out more Knitting therapy keeps cats and dogs warm 23 Dec 2022 News A dual paper and electronic recording system meant that some information was not accessible to all of the staff that might need it. Therefore, staff could ensure accurate measures of blood pressure were being recorded. Staff held multidisciplinary team meetings weekly and these were attended by a range of mental health professionals. The trust had not fully articulated their vision for how they operated as a trust. They and their carers were kept informed and involved in their treatment and care. Creating high quality, compassionate care and wellbeing for all. Staff usually met patients in their homes or in the community. Assessed risks were well-managed and staff showed a good awareness of individual needs and how to respond to them. Staff identified this was due to the management of change process and current work being undertaken by an outside organisation to identify more effective ways of working. They contained items which could pose a danger to staff and patients. On Heather ward patients said that there was not enough ventilation on the wards. The service was not safe. Medication management had improved significantly across the services. the service is performing exceptionally well. On one ward, female shower rooms did not contain shower curtains. Services were planned and delivered in a way that met the needs of the local population, for example the Diana Service and the Family Nurse Partnership. At this inspection, we looked at adult liaison psychiatry services at the Leicester Royal Infirmary site. 9 August 2019, Leicestershire Partnership NHS Trust: Evidence appendix published 27 February 2019 for - PDF - (opens in new window), Published Within mental health services the quality of care plans was variable. Staff completed detailed individualised risk assessments for patients on admission and updated these regularly and after incidents. The community nursing service could not measure its performance in relation to response times for unplanned care. We heard from most teams, positive examples of teamwork and multidisciplinary working within teams and services, and with external agencies and key stakeholders. Staff carried out physical observations in public areas in one service, and staff did not always record or explain why some observations of patients were required. Incidents and near misses were reported and learning from these was shared. Some key outcomes for children, young people and families using the service were regularly below expectations. The trust had developed new processes and redesigned and improved data validation. Staff recognised and responded to the changing needs of patients with anticipatory medications readily available and care needs assessed and reviewed appropriately. The trust lacked a framework for co-ordinating, endorsing and therefore learning from the very many positive quality projects taking place. One patient told us they did not know they could leave the ward to seek medical attention. Home - Leicestershire Partnership NHS Trust Creating high quality, compassionate care and wellbeing for all. Staff said this made them feel safe whilst visiting patients at home or whilst undertaking activities with patients in the community. 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. Apply. We spoke with five patients on long stay or rehabilitation wards; they told us they felt very well supported, and staff and were kind, caring, and respectful. Leicestershire Partnership NHS Trust provides mental health, learning disability and community health services across Leicestershire, England.. 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. Staff consistently demonstrated good morale. In rehabilitation wards, staff did not always develop and review individual care plans. Staff on the acute wards were not consistent with searching patients upon return from unescorted leave as some patients had managed to take lighters onto four of the wards. Managers had introduced a duty clinician to manage caseload sizes and reduce patients risks. Some care plans were not holistic, for example they did not include the full range of patients problems and needs. We're here for you Learn More Scroll We've got you covered Use our service finder to find the right support for your mental health and physical health. 87 of the total patients had been waiting over a year to begin treatment. It is about making a real and sustainable difference for our patients and supporting our staff to deliver safe, high quality care every day. NHS Improvement is pleased to announce the appointments of Alexander Carpenter and Hetal Parmar as Non-executive Directors of Leicestershire Partnership NHS Trust from 1 June 2022 to 31 May 2025. Whilst staff were working hard to identify and manage individual risks, some ward environments were unacceptable. We work in partnership with a range of NHS organisations, local government and other bodies and are ultimately accountable to the secretary of state for health. Staff did not always follow trust policies and procedures when they needed to search patients or their bedrooms to keep them safe from harm. Patients privacy and dignity had been addressed at The Willows, Cedar and Acacia wards with changes made to male and female wards. Staff followed up on all people seen in by phone, post or face to face to help with any ongoing issues such as housing or benefits. Assessments took place using nationally recognised assessment tools and staff provided a range of therapeutic interventions in line with National Institute for Health and Care Excellence (NICE) guidelines where staffing allowed this. We rated Community health services for adults as good because: We gave an overall rating for community based mental health teams for adults of working age as good because: We rated the community mental health services for children and adolescents overall as requires improvement because: Overall rating for this core service Requires improvement l. We rated community inpatient services as requires improvement because: Overall rating for this core service Requires Improvement l. We rated this core service as requires improvement because: We rated this core service as good because: We rated wards for people with learning disabilities and autism as requires improvement because: Leicestershire Partnership NHS Trust (February 2016) for - PDF - (opens in new window), Leicestershire Partnership NHS Trust (June 2015) for - PDF - (opens in new window), Leicestershire Partnership NHS Trust (November 2014) for - PDF - (opens in new window), Leicestershire: Children's Services Inspections Reports (2012) for - PDF - (opens in new window), Leicester City: Children's Services Inspections Reports (2012) for - PDF - (opens in new window), Rutland: Children's Services Inspections Reports (2011) for - PDF - (opens in new window). The trust had systems for staff to raise any concerns confidentially. Due to this staff could not observe all parts of wards due to their lay out and the risk had not been mitigated. We had concerns about how environmental risks at CAMHS community sites were being assessed and managed. Adult liaison psychiatry is categorised under Mental Health Core service of Mental Health Crisis and Health Based Places of Safety (HBPoS), as it is provided by the mental health trust, Leicestershire Partnership NHS Trust. The trust had made progress in oversight of data systems and collection. We observed clinicians working with young people were skilled and very positive. These included the Older Peoples Unit at Loughborough Hospital, the Hand Injury Service, the splitting of planned and unscheduled community nursing services with a single point of access, podiatry and the specialist management of long term conditions. Staff were up to date with mandatory training and had regular supervision and appraisals. Five of the six services in this core service were in breach of these targets. CAPTRUST for Institutions. For example relating to assessment of ligature points at Westcotes. Local audits were not completed regularly. The trust also collected feedback from patients in a variety of ways, including surveys, iPads, community forum meetings and the Friends and Family Test. We rated community based mental health services for adults of working age as requires improvement because: Access to the service was delayed due to variable caseloads and waiting times. Some improvements were seen in seclusion documentation and seclusion environments. There was a strong, person-centred culture. Detention renewal paperwork had been signed by a doctor prior to them seeing the patient. The service still had challenges in recruiting sufficient staff which meant that the service, in particular community nursing, was understaffed at times impacting on staff satisfaction and compromising patient care. 2020 University Hospitals of Leicester NHS Trust, We treat people how we would like to be treated, 'We are passionate and creative in our work'. This employer has not claimed their Employer Profile and is missing out on connecting with our community. long stay or rehabilitation wards for working age adults. We found a total 40 breaches of the six week referral and seven breaches of the five day urgent referral. there are some services which we cant rate, while some might be under appeal from the provider. Supervision and appraisal compliance of three teams fell below 75%. Staff were quick to sort out requests and problems for patients. Patient involvement in planning care was now in place and the voice of the patient in changes to services had been considered. Therefore, patients were not always actively engaged in decisions about service provision or their care. Many staff we spoke with knew who their chief executive was and mentioned them by name. Wards provided safe environments where patients felt secure. Staff were visible in the communal ward areas and attentive to the needs of the patients they cared for. 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