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WQ.542/2019
WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY DEPUTY K.G. PAMPLIN OF ST. SAVIOUR
ANSWER TO BE TABLED ON TUESDAY 10th DECEMBER 2019
Question
Will the Minister update the Assembly on any improvements that have been made to Orchard House in 2019 as a result of the most recent health and safety report and, furthermore, on any changes made in terms of the therapy provided there?
Answer
Health and safety improvements to Orchard House
There is extensive and detailed work planning in place in relation to improvements to Orchard House. I will provide an overview of the main areas covered, but my department can provide any extra detail that is required.
• Flooring, decoration and internal renovation: this is broadly on track to be complete this year. Some slippage has been caused by managing extreme pressure on the ward in November.
• Personal alarms: the new personal alarm system for staff has been introduced and is being reviewed for effectiveness.
• MAYBO training: All staff at Orchard House are now MAYBO trained. This is training which aims to reduce the risk of behaviours of concern and workplace violence through the provision of engaging, outcome-focused training programmes.
• Additional management of violence and aggression: the policy for managing violence and aggression is in place. We are in the process of completing a standard operations procedure for this policy to ensure that it translates into effective working on the ward.
• External: scoping works for the installation of external CCTV have now been completed. A planning application has been submitted.
• Infection control and Legionella: all necessary items from the risk assessment have been addressed.
Changes in therapy provision
The service is working towards more formalised activity planning and provision. An activities co-ordinator role, dedicated to the ward, is to be advertised shortly. At the moment, the qualified Occupational Therapist on the ward engages patients on a 1:1 basis to complete assessments of need. Currently there is input from a clinical psychologist on two half-days each week. The offer includes:
• Psychology assessments and formulation to inform care plans and treatment plans
• Staff supervision groups
• Staff training.
Therapeutic activities are offered in the form of green activities (exercise and walking). Ward staff and community social workers have also begun some activity groups such as baking and meditation sessions. There is one full-time social worker based on the ward to support discharge and the provision of therapeutic interventions. In addition, there is now a psychology assistant based at Orchard House who is engaging people on a 1:1 basis four days per week focusing on psycho social education. We are now offering Decider skills groups on three days each week. [Teaching the skills to enable people to understand and manage their own emotions and mental health.] We are also working to develop bibliotherapy resources on the ward.
We will be asking the nursing and therapy team to document what activity is offered to people and whether or not it is being accepted. Using a recovery-based co-produced approach to care, everyone is offered the opportunity to work through the My Journey' resource with staff support.
There is also an increasing amount of work with outside agencies. An individual who works with MIND recently came onto the ward to talk about their own mental health journey. Going forward, we hope that MIND can provide a regular part of the offer to inpatients. Jersey Recovery College is visiting the ward and doing sessions with both patients and staff to ensure that both groups are aware of the services it provides.
My Journey
Name: |
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Your named nurse: |
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Your consultant or responsible clinician: |
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Staff can help you complete this book
The aim of this My Journey' workbook is to help you develop an understanding of the difficulties which have brought you into hospital, your strengths, and significant life experiences. This is to help you plan your journey towards recovery.
This book belongs to you. You can use it to express your ideas, thoughts and feelings about your life and what has brought you to hospital.
Include things which are important to you such as:
• Your life story
• What support you want
• Things you find difficult
• Things you want us to do
Only write what you are comfortable with. While you can keep this private if you wish, sharing this book with your clinicians will help them to get a better understanding of who you are and how they can support you.
You can keep the workbook with you during your admission and then take it home when you are discharged. It includes details of things you need to do once you get home.
You might find it helpful to share this book with your family and community care teams.
A member of staff can help you complete this book.
The feelings, thoughts and behaviours that brought me to hospital (presenting factors)
My understanding of why I have come into hospital |
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How my care team can help/support with these problems? |
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My important early life experiences (predisposing factors)
Important things from my childhood and teenage years including family, friends, school, employment and relationships
Things that have upset me recently (precipitating factors)
Thoughts and feelings that have upset me recently |
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Things that have happened recently that have upset me |
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Things I've done recently that have upset me |
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(perpetuating factors)
My biggest difficulty is |
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I notice I feel worse when |
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When I feel distressed, angry, frustrated or overwhelmed I tend to think |
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(perpetuating factors)
I try to make myself feel better by |
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Other people try and help me by |
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My strengths and achievements |
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How I like to spend my time, what do I like to do |
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Things I do to keep me well |
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People, animals, activities and other things which help me cope |
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Groups, agencies and services which help me cope |
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What are my goals? What do I want out of life?
Things I would like to do or learn while I am in hospital
What support I need to be ready to leave hospital, including specific tasks
My journey to recovery will continue when I leave hospital
Going home information
On-going health problem or clinic appointment | Action needed (e.g. contact GP) | Date | Location |
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Medication | Action needed (e.g. repeat prescription) | Review date and who by |
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My Safety Plan (can be completed with the support of staff)
Patient TRAK Label
What is the risk?
Step 1: Identify the early signs or indicators that a risk may arise
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Step 2: Do what has helped me manage these successfully on my own in the past.
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Step 3: Spend time with people and be socially involved/connected with others
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Step 4: People who I can ask for help about my thoughts/feelings/ problems
1. | Name: | Contact details: |
2. | Name: | Contact details: |
3. | Name: | Contact details: |
4. | Name: | Contact details: |
Step 5: Contact professionals or other agencies
1. | Named Clinician: | Contact details: |
2. | Other Clinician: | Contact details: |
3. | Samaritans: | Contact details: |
Ensuring you make your environment safe
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Completed by: |
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Date: |
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Agreed by: Date:
Useful Contact Numbers
Orchard House (01534) 443360
Mind Jersey
0800 7359404
Email: help@mindjersey.org
Independent Patient Advocate Services 07797716447
Email: p.winchester@mindjersey.org
Samaritans
08457 909 090
Website: www.samaritans.org
Relate
(01534) 734980
Email: relatejersey@jerseymail.co.uk
Community Bereavement Service
(01534) 876555/285144
Email: bereavement@jerseyhospicecare.com
Alcohol & Drug Service
(01534) 445000
Email: a&dservice@health.gov.je
Alcoholics Anonymous (01534) 726681
Email: info@aajersey.org
Narcotics Anonymous 0800 735 7810
Website: www.ukna.org
Victim Support
(01534) 440496
Website: www.victimsupportjersey.co.uk
Citizens Advice Bureau (01534) 724942/617508 Email: advice@cab.org.je
Useful Contact Numbers (continued)
Social Security
(01534) 445505
Email: socialsecurity@gov.je
Andium Homes
(01534) 500700
Email: enquiries@andiumhomes.je
Shelter Trust Jersey
(All age homeless projects) Homeless Helpline: (01534) 730235
Women's Refuge
0800 735 6836
Email: info@jerseywomensrefuge.org.je
YES (Youth Enquiry Service) (01534) 280530 yes@youthservice.yc.je
Independent Domestic Abuse Service 07797818324 / 07797818327
Victim Support
(01534) 440496
Website: www.victimsupportjersey.co.uk
Sanctuary House (men's shelter) (01534) 743732
Silkworth Lodge (Addiction Specialist Centre) (01534) 729060
Email: info@silkworthlodge.co.uk
TOPS (Triumph over Phobia) (01534) 608008
