Interpreters were available. Staff would still work with people who were on waiting lists so that they received some level of service. o We are passionate and creative in our work. Leicestershire Partnership NHS Trust | 5,409 followers on LinkedIn. Your information helps us decide when, where and what to inspect. Another relative said their relative was a changed person since going to the Willows and they were able to go home last Christmas. The service employed care navigators to help families and carers negotiate their journey through the various services provided. The learning disability community team had not met the six week target for initial assessment on average it was six days over. Suspended ratings are being reviewed by us and will be published soon. criminal justice and liaison services and triage teams had good morale and worked well with internal and external colleagues. 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. -Supporting a variety of Wards such as Cardiology, Respiratory, Urology, Stroke, Renal, Maternity and Vascular.Obtaining physical measurements such as blood pressure, heart rate, SPO2, Temperature,respiratory rates, blood sugars, pain . we have taken enforcement action. There were not always enough staff who were suitably qualified and experienced to safely meet patients needs. The service was not meeting its performance targets. Team meetings were not regular, or didn't take place.The sharing of lessons learnt remained inconsistent across some wards. 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 carried out this unannounced inspection of Leicestershire Partnership NHS Trust because at our last inspection we rated two mental health services provided by this trust as inadequate, four mental health services and one community health service as requires improvement. There were delays in maintenance and repairs in some areas. Not all of the patients felt involved in their care planning and not all had a copy of their care plans. We reviewed data and documentation including three patients care records and risk assessments. Regular team meetings took place and staff told us that they felt supported by colleagues. We saw numerous interactions between staff and patients with very complex needs and staff managed extremely challenging situations with knowledge and compassion. We will be supporting each other in the delivery of these leadership behaviours so we can all Step up to Great together. Between August 2015 and July 2016 the trust had a total of 372 delayed discharges. We found concerns with the environment in all five core services we inspected. This was: We also assessed if the organisation is well-led and looked at areas of governance, culture, leadership capability and improvement. 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. We were pleased to hear about the trusts investment in well-being events and initiatives for staff, such as valued star award, choir, yoga and time out days. A family member spoke about enjoying regular meetings in the service gardens with their relative. There were low levels of restraint and staff tried other methods to de-escalate before restraining patients. Staff said this made them feel safe whilst visiting patients at home or whilst undertaking activities with patients in the community. The number of visits was not always manageable. Staff received robust and detailed shift handovers, including information on patient risks, observation levels and physical healthcare concerns and how these were to be managed. You can find further information about how we carry out our inspections on our website: https://www.cqc.org.uk/what-we-do/how-we-do-our-job/what-we-do-inspection. Multi-disciplinary teams and inter agency working were effective in supporting patients. Find out more Knitting therapy keeps cats and dogs warm 23 Dec 2022 News Staff had good knowledge of safeguarding processes and risk assessments were generally detailed, timely and specific. The HBPoS did not have access to a dedicated clinic room. Staff had received specialist child safeguarding training and were able to make referrals when appropriate. Staff were not aware of how this might affect the safety and rights of the patients. Staff showed a good awareness of patient rights. Patients were able to access hot and cold drinks any time during the day. We saw patients that needed a PEEP had a plan in place. Ward teams did not hold regular team meetings. 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. Staff had access to quick guides in their clinical areas to ensure they were aware of how to manage risks. 42% of staff on Phoenix ward and 27% Griffin ward had received clinical supervision. Requires improvement Capacity assessments were unclear. 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. The trust had a dedicated family room for patients to have visits with children. Published Nursing staff had large caseloads. As part of each inspection, we look at the way health services provide care and treatment to people. Community mental health services with learning disabilities or autism, Wards for older people with mental health problems. Staffing levels were below the expected level. We talk to patients, the public and colleagues about what matters most to them and we do not assume that we know best. Families and carers said the wards were clean. The teams did not have waiting lists for care coordinators at the time of inspection. Staff told us they worked as a team and enjoyed their jobs. The majority of repairs and maintenance issues highlighted within the warning notice at the Bradgate Mental Health Unit had been fixed or resolved. The service is not appropriately commissioned to provide sufficient school nurses to meet the standard service recommendations of one nurse per secondary school and its associated primary schools. We use cookies to improve your experience on our website. Staff said the system was difficult to use and this had affected the information recorded in patients notes. Staff consistently demonstrated good morale. Apply. Some improvements were seen in seclusion documentation and seclusion environments. The trust had a range of information displayed on the ward and the hospital site relating to activities, treatment, safeguarding, patients rights and complaint information. At this inspection we found compliance levels with this type of training were still below the trusts target. Patients and their carers were not involved in care planning and care programme approach (CPA) reviews. The group established a deliberate self harm and suicide group in the last year to oversee specific incidents of this nature. There was effective multidisciplinary working. Clinical supervision was not taking place regularly across the service. Mental health crisis services and health-based places of safety had an overall mandatory training compliance rate of 82%. Restraint was used only as a last resort. If we cannot do something, we will explain why. Seclusion environments were not an issue of concern at this inspection. The use of restraint was low and staff used it as the last resort and if verbal de-escalation had not been successful. Staff received little support from trust specialist doctors in palliative care and contacted the local hospice run by a charity for support. Staff had set clear guidelines on where and how physical health observationswere completed on wards. Staff were suitably trained with the relevant knowledge and skills to carry out their work, had regular appraisals and had access to the information they needed to perform their duties. 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. Medication management across four of the five services we inspected was poor, despite reported trust oversight and audit. Managers had introduced a specialist child and adolescent mental health traffic light system, a red, amber and green rating tool for managing risk. We found good multidisciplinary working on wards. Patients were positive about their care and treatment and said staff were caring and understanding and respectful. However, staff told us they had little experience of incident reporting within the community childrens services. Interview rooms were unsafe. The trust encouraged staff at most levels of the organisation to develop and deliver ideas for service delivery, improvement and innovation. Staff interacted with people in a positive way and were person centred in their approach. 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. An escape plan was developed with patients (PEEP)who may not be able to reach an ultimate place of safety unaided, or within a satisfactory period of time in the event of any emergency. This impacted on staffs ability to assess and treat young people in a timely manner. When staff deemed a patient lacked capacity there was no evidence that the best interest decision-making process was applied. Our values are Compassion, Respect, Integrity and Trust, which we keep at the heart of everything we do. received 41 comment cards from patients that were available for patients to complete during the time of our inspection. Staff were not always recording room and fridge temperatures in clinical rooms and out of date nutrional supplement drinks had not been appropriately disposed of. The recording of discussions and assessments with people regarding consent to treatment was not always documented. Suspended ratings are being reviewed by us and will be published soon. 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