the service is performing exceptionally well. Staff reflected the trust values and vision. Forensic services. At least one standard in this area was not being met when we inspected the service and Inadequate The trust had made a significant contribution through its delivery of the vaccination programme in North East London. He is a keen educator and also examines for the Royal College of Psychiatrists. Staff on the wards had accurate and current information about incidents, complaints and feedback and information was shared between the wards, directorates and board. Some wards have specially designed sensory rooms. We looked at the quality of the ward environment, management of the clinic rooms, and observed how staff were caring for patients, interviewed the ward manager and/or matron on each ward, spoke with 76 staff members including nurses, clinical practice leads, a physical health lead nurse, social therapists, support workers, occupational therapists, psychologists, consultant psychiatrists, a clinical pharmacist, an assistant pharmacy technical officer, art therapist and a speech and language therapist, spoke with 10 senior members of staff including the head of forensic services, the head of nursing and associate clinical director for safety and security, the associate clinical director for therapies and recovery, the head of psychology, the lead pharmacist for forensic services, the sexual safety lead for forensic services and the drugs and alcohol lead for forensic services, interviewed 47 patients and 11 relatives of patients, reviewed 34 patient care and treatment records, attended two multi-disciplinary team meetings, three ward rounds, two community meetings, one care programme approach meeting, a service referrals and move on meeting, a patient group, a people participation working together group, a carers forum, a service wide safety huddle, observed two ward based safety huddles and visited the patient shop at the Wolfson House site, carried out a specific check of the medication management on Butterfield, Clissold, Westferry and Bow wards. Trust managers were aware of this and taking steps to ensure the rooms were an appropriate temperature. Staff understood the importance of obtaining the patients consent to treatment. 1 September 2016. East London NHS Foundation Trust. Prior to this she led Bristol's Drug Strategy team for 3 years. They were going through changes in how their work was delivered. Staff demonstrated a very detailed understanding of individual patients needs. the service isn't performing as well as it should and we have told the service how it must improve. He is a keen advocate for LGBT inclusion. Browse our A to Z of the doctors who work for us. The services were making very limited use of outcome measures as a way of evaluating the progress being made by patients. We are delighted that our service users contribute to management of the unit through the User Involvement Group. Staff were encouraged to be innovative and improve the service. The degree of support is very high. Referrals increase your chances of interviewing at East London NHS Foundation Trust by 2x. What are you looking for? Using Section 17 Leave outside the hospitals is a fundamental part of service users preparing themselves for life in the community. There was a governance structure that enabled managers and senior managers to appropriately monitor and review the quality of service provision. Take look at our most recent recruitment campaigns: Take a look at our career opportunities available across the Trust. Recent quality improvement work to reduce incidents of violence and aggression had started to lead to a reduction in use of restraint, though this work was ongoing. He was appointed Associate Clinical Director for the John Howard Centre in 2016 and became Interim Head of Service in 2017. Staff felt that they were listened to, whether raising concerns or giving suggestions about improvements that could be made in the services. Records of appraisals included many positive comments about the employees progress and development. There was clear evidence of supervision taking place each month and appraisals took place once a year. The John Howard Centre is a medium secure unit that providesspecialist forensic psychiatric servicesto the City of London and the London Boroughs of Hackney, Tower Hamlets, Newham, Waltham Forest, Redbridge, Havering and Barking, and Dagenham. Staff offered practical support if this was the patients priority. They were positive about how caring, kind and approachable the staff were. NE3 3XT, Copyright 2017-2023 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust. There were opportunities for leadership training and career progression. Families were very positive about the service. Additionally, all our forensic servicesites have specific security arrangements and protocols which all staff, patients, and visitorshave tocomply with. Everyone in the team participated in these meetings at which patients were reviewed, risks were assessed and patient visits were co-ordinated. Staff caseloads were manageable and staff said leadership and support in the trust was good. Service/Borough Directors | East London NHS Foundation Trust We rated the wards for older people with mental health problems core service as good overall. Patients, carers, staff and external stakeholders were encouraged to give feedback through a range of mechanisms and these were used to make improvements. The Adult Community Speech and Language Therapy team provide assessment and management for people with acquired disorders of speech, language, voice and/or swallowing. Find out more about the trust, what we do and how we do it. They were prepared to see people at appropriate times and locations to help them attend appointments. These were mostly near to where people lived. Staff really valued working for the trust and there were different ways in which the trust engaged with staff including their participation in focus groups. Our largest professional group are nursing staff who provide day-to-day care on the wards and in the community. 5 February 2016, Community & mental health inspection reports for Forensic Services Directorate can be found at East London NHS Foundation Trust. Patients were offered a range of therapeutic activities and access to facilities that were varied and met their needs. At ELFT we take great pride in constantly striving to improve the quality of what we do. In most cases the trust had gone the extra mile to ensure this was done in a manner which made a positive impact on people who use services and staff working for the trust. This includes those who have been assessed as posing risk of harm and require further assessment, this includes ongoing psychiatric assessment, formulation and treatment. This included gyms, multi-sensory rooms and other facilities such as music rooms. East London NHS Foundation Trust | 13,858 followers on LinkedIn. Find out more about them and what they specialise in. Care plans were holistic and person centred. Dr Baker undertook medical training at Oxford University and University College London, qualifying in 2001. Information supplied by East London NHS Foundation Trust. Community therapy assessments had taken place and the multidisciplinary team was involved in preparations for discharge. The services were well led. Individual teams had undertaken work to ensure that diverse needs were met. At 105 London Road, the Section 17 leave documentation did not always make completely clear the extent or boundary of where detained patients could go when they left the ward. We have therapeutic groups that are led by or facilitated by service users and we have a range of Peer Support Workers who are paid members of staff whose own lived experience helps them to help others receiving care. Any other browser may experience partial or no support. All teams exceeded this target. Job vacancy: Continuing Health Care Nurse, East London NHS Foundation Some staff were not aware of the term duty of candour although they were able to describe how they applied this in practice. Our values are: We Care, We Respect, We are Inclusive - so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the . Staff generally had a good understanding of risk and risk assessments were frequently updated. The role of families and friends in supporting our service users is vital. Your information helps us decide when, where and what to inspect. In Luton and Bedfordshire a large and challenging programme of change was being well managed. Let's make care better together. Staff recognised the totality of the needs of each young person and their family. Teams worked together in a coordinated way and made appropriate referrals on to specialised services to ensure that patients needs were met. Staff spoke very positively about their work and the support they received from colleagues. Teams were conscious of the trends amongst the young people they worked with and endeavoured to respond to these in a timely manner. Staff with specialist skills and knowledge were used by community teams to provide advice or direct support in planning or implementing care. Staff were doing this in their own time. We did not come across any examples where this was not the case. The areas served by the Trust are the most culturally diverse and deprived areas in England and therefore provide significant challenges for the provision of mental health services. Save job - Click to add the job to your shortlist. guidance and other literature that you may find useful. Service Users are key members of a number of our Quality Improvement Projects and run courses at our popular Recovery Colleges. This meant that nursing staff may not always have a clear understanding of the risks or a patients health status when giving treatment. There were clear processes in place to safeguard young people and staff knew about these. Forensic Community Service (North East and Cumbria) - CNTW061 Where there were improvements to be made, CAMHS teams had used the quality improvement methodology and had adopted a systematic approach to bring about these improvements. By clicking Agree & Join, you agree to the LinkedIn. Sign in to save Clinical Developmental Pharmacist at East London NHS Foundation Trust. Staff understood their roles in regards to patient consent and capacity. For example in Bedfordshire, a particular school had reported an increase in the number of young people who had self-harmed. Staff took active steps to engage people who may have felt reluctant to use the service.
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