PROFILES OF LEARNING CHILDREN AND YOUNG PEOPLE S SERVICES. Forensic Inpatient Services

PROFILES OF LEARNING

CHILDREN AND YOUNG PEOPLE’S SERVICES

Forensic Inpatient Services

Stephenson

House

at

Prudhoe

Hospital,

Prudhoe

(low secure unit for young males with learning

disabilities and mental health needs)

Lennox unit

within Roycroft Clinic, St Nicholas

Hospital (

medium secure ward for young males with learning

disabilities and mental health needs

)

Roycroft

Clinic

at

St

Nicholas

Hospital,

Newcastle

(medium secure unit for young people with mental

health needs)

Important information

Please note if you are allocated a placement within inpatient forensic, children and young people’s services, at Roycroft clinic, Lennox unit or Stephenson House please contact one of the following occupational therapists prior to the placement starting

Susan Graham (Team Lead) Prudhoe Hospital OT department – 01661514460 Sam Gibson – OT, Lennox unit, Roycroft Clinic, St Nicholas Hospital –

01912232664

Marie-Helene Joyce - OT, Roycroft Clinic, St Nicholas Hospital - 01912232664

As the OT service delivers assessment and treatment within both medium and low secure environments, we feel it is important to discuss the experience of working within the placement settings with an individual prior to the

commencement of the placement. This is to allow for appropriate preparation for the placement, in that the student is fully aware of what the placement entails and is prepared for the secure environment, but also to ensure the placement can offer appropriate opportunities for that person.

We therefore like to invite students who have been allocated a placement with us to contact us and arrange to visit us at the Roycroft Clinic, St Nicholas Hospital, Newcastle as soon as possible.

Occupational therapy service - who we are…

Tier 4 Learning Disability CAMHS and Forensic

Susan Graham Team Lead OT Prudhoe hospital Sam Gibson Marie Helene

This profile of learning opportunities is a document that details learning

opportunity

within your placement. This file is a growing and dynamic document, with staff and students being responsible for keeping it updated and relevant for their clinical area.

It is intended that practice placement educators and students utilise this resource to select appropriate learning opportunities to help students meet their specified competencies. It is expected that students will use this file as a resource and be proactive in identifying their learning needs.

Many of these learning opportunities will take place with a variety of

professionals including other allied health professionals, as well as Nurses, Psychologists, Social workers, Creative Art Therapists, Teachers and

Psychiatrists.

This resource gives an overview of the inter agency and multi professional contacts which students may encounter during their placement, however not all of these opportunities will be accessible.

On the first day of practice placement the student will have an induction into their practice area. They will be introduced to this file within this induction.

CLDT Voluntary

Sector

AREA NAME: Occupational Therapy, Children and young peoples service, forensic inpatient services

LEARNING ZONES

Resource Centre

Social Worker

Dentist GP Podiatrist Parents/Carers Juvenile Justice Workers Solicitors

Finance Department Dietician Junior Medical

Staff Teacher Consultant Child & Adolescent

Psychiatry

Education Speech & Language

Therapist Wards in Service Area Creative Arts Department Psychology Activities Co-ordinator Advocate Service Night Clinical Co-ordinator Ward Support Nursing Staff Lead Nurse O.T. SERVICE Involvement Lead

KEY ELEMENT

LEARNING OPPORTUNITIES RESOURCE / RELEVANT PERSONNEL Attendance at -

CTM

Referral Meeting (Local and National) Care Coordination – Meetings

MDT members Referral minutes Nursing CTM sheets Nursing reports

Team Brief Time

Team brief facilitator Ward Meeting – both qualified and

unqualified

Agenda

All ward based staff / chairperson Meeting minutes

Children and Young People’s Staff Meetings

C.A.S. Meetings – Prudhoe and LROT – Roycroft

Staff Meeting File (CAS + LROT) Standards File – Referral File All O. T. Staff

Admission and Discharge Procedure Registered nurse

Admission and discharge policy Relevant proformas

Assessment and Treatment System Individuals’ assessment and treatment files

MDT assessment and treatment plans Care Plan

CPA

All other relevant proformas

Department and Strategy Meetings Team Lead Occupational Therapist Meeting minutes

O.T. Office based Communication Systems

Diary

Communications Book Supervision Notes

Staff Meetings (CAS + LROT) Ward Based Communication Systems Diary

Ward Notes Off duties Handover book Parents

Statutory agencies

Community Learning Disability Team Audit / Research / Quality Clinical governance

Audit department Senior nurse

Library resources / personnel QNIC

KEY ELEMENT

LEARNING OPPORTUNITIES RESOURCE / RELEVANT PERSONNEL

Assessment and Treatment Systems

PPE – Observation, teaching, study

Individuals’ assessment and treatment files MDT assessment and treatment plans Care Plan

All other relevant proformas Clinical Risk Assessments

Organisational policy and procedure Risk assessment proformas

Control and restraint training / instructors Anger management care plans

Clinical Team Meeting

Registered nurses M D Team

Organisational policy and procedure Ward based medicines

Audit / Research / Quality

Clinical governance Audit department Senior nurse

Library resources / personnel QNIC

Standards group Participation

Champions Groups

KEY ELEMENT

LEARNING OPPORTUNITIES RESOURCE / RELEVANT PERSONNEL Attendance at –

CTM

Referral Meeting

Case Reviews – ward and community based MDT members Referral minutes O. T. Reports Team Brief Time

Team brief facilitator

O. T. Staff Meeting

Agenda

Team Lead Occupational Therapist Meeting minutes

Admission and Discharge Procedure

Registered nurse

Admission and Discharge Policy Ward working procedure

Relevant proformas Assessment and Treatment Systems

Individuals’ assessment and treatment files

MDT assessment and treatment plans Care Plan

PPE/O.T. Department and Strategy Meetings

PPE/O.T.

Meeting minutes

O.T. Office based Communication Systems

Diary

Communications Book Supervision Notes

Staff Meetings (CAS + LROT) Education / LEAF/ASDAN, Duke of

Edinburgh Nursing staff Activities Co-ordinator Teachers Other MDT members Educational establishments Educational psychologist Audit / Research / Quality

Clinical Governance Group Audit Department

Senior Nurse

Library resources / personnel QNIC

Standards Group Budget Management / Patients Monies

Organisational policy and procedure O. T. Secretary

KEY ELEMENT

Health Development Opportunities

LEARNING OPPORTUNITIES RESOURCE / RELEVANT PERSONNEL

Child and Adolescent Physiology

Medical staff/GP

Height / weight monitoring proformas

Epilepsy Medical staff Registered nurses Pharmacology information Pharmacy staff EEG outpatient Nutrition Care Plan Dietician

Dietetic / height & weight monitoring proformas

Normal Child Development

Medical staff/GP/O.T.

Developmental milestones information Activities Co-ordinator / Development Through Play

Audit / Research / Quality

Clinical governance Audit department Lead Nurse

Library resources / personnel QNIC

TQM group Personal Health and Hygiene

PPE/O. T MDT

CARE MANAGEMENT OPPORTUNITIES

LEARNING OPPORTUNITY RESOURCE/PERSONNEL

Use of computer to access patient information both written and electronic if available

Access to medical files. OT files and own IT account.

Patient/Client handovers/information sharing both written & verbal between

teams.

Attendance at Care Co-ordination Meeting. Programme Approach Meetings.

CTM Core Groups. Referral Meetings.

Undertake assessment based on patients/clients holistic needs.

Using a variety of tools eg. Movement ABC, Sensory Profile, HALO, Self Image

Profile, B.A.D.S, MOHO Tools.

Participate in ongoing assessment of holistic needs,

Considering physical, emotional and behavioural needs.

Patient documentation/care

assessment/planning/implementation and evaluation.

OT Files.

Care Co-ordination documentation. RiO.

Identify the role of non professional, voluntary and statutory agencies in patient care.

E.g. Advocacy Groups.

Analyse and interpret information to inform care delivery and take appropriate action.

Review of previous interventions and individuals needs and wishes.

Additional Information Appendix 1

OCCUPATIONAL THERAPY SERVICE Roycroft Clinic

Areas of intervention include

Promotion of functional independence in activities of daily living

Assessment and intervention regarding functioning areas of self maintenance productivity and leisure

Preparation for discharge – including specific recommendation for young person’s accommodation needs/support in relation to functioning

Self esteem and confidence building intervention regarding functioning

Sensory processing assessment and intervention regarding promotion of independent functioning

Assessment and intervention regarding specific skills e.g. motor coordination skills etc Social skills training

Assessment and intervention related to emotional needs, mental health needs and behaviour of young person

(In conjunction with the multi disciplinary team)

Low key engagement to improve motivation and engagement in education Self esteem assessment and interventions

Coping strategy work

Sensory processing assessment and interventions Social skills training

Sam Gibson

Occupational Therapist 20/10/10

Appendix 2

Getting Started

When you first start working here you will need to arrange the following

things:

Key & Alarm Induction – As you are going to be working in the clinic you will need to go through a key and alarm induction before you can work here alone. To organise this telephone the Roycroft reception on 32210 and arrange a time to do this. This will usually take about an hour to complete.

Parking Permit – Parking is at a premium on the St Nicholas’ Hospital site and is monitored 24 hours a day. If you do not display a parking ticket or a parking permit you will receive a parking fine regardless of your position within the trust. Therefore, as a member of staff you are entitled to a parking permit which can be collected from Reception at the clock tower. Take along some identification (Letter offering you the job, Identity Badge etc) and you will be issued one immediately.

Network & Internet Registration – If this has not already been organised for you please photocopy and complete the Network User Authorisation and Checklist (ITC1) form

attached. Once this has been checked by a member of the admin staff and signed by your Line Manager fax the completed version (all three sides) to IM&T on 0191 223 2954. If this is not set up within a few days ring them on 32999.

Identity Badge – Tony Gray will take a photo of you and print it onto a badge while you wait. His number is 28460 and his office is off the main corridor. If you enter the main corridor beside the chapel, there is a corridor immediately before Walters on the left. Half way down on the left is a flight of stairs and Tony’s office is at the top.

Admin Induction – Arrange a time to meet Caroline Kirk, Therapies Secretary who will complete the Admin Induction with you detailed in Part 2.

Email Updates – Email Christine Mason, Caroline Kirk and Caroline Johnson (Ward 4) or Julie (ward 1,2,3) and ask them to put you on the circulation list for all ward based emails such as meeting invites / minutes etc.

Supervisor Induction – Arrange a time to meet your supervisor who will check your induction to the service and organise introductory activities.

Appendix 3 Helpful Hints!

Dress Code

Important

Because you will be issued with a set of keys and a key strap, It is very important that you wear clothing that you can wear a belt with and it is also helpful if you have a pocket in your trousers/long skirt to tuck your keys into when not in use. The key strap will be attached to a belt and this is a security requirement.

Given the nature of the patient population within the Roycroft Clinic there is a policy on dress code for staff in the clinic. The simple purpose of this policy is two-fold:

for the policy to be broad enough to avoid any risk of uniformity in dress, and

to conform to Health and Safety at Work legislation and be appropriate with regard to presenting a professional appearance whilst avoiding dishevelment or lewdness.

Therefore, this in general is smart-casual, with items being adjusted to suit the formality of the daily activities. In general, clothing should adopt the following principals:

Not be tight fitting across either the top or the bottom of the body. Have necklines that cover the cleavage or chest area.

Be dense enough so that they cannot be seen through. Skirts should be long and not easily seen through.

Trousers should be full length and avoid having drawstrings. They should not contain any holes, tears or rips.

Midriffs should be covered at all times. Neck-ties or cravats should be avoided. Football shirts should be avoided.

PVC, plastic or leather indoor clothing should be avoided. Hats or caps should not be worn indoors.

Shoes should be suitable for running, not come off easily or have too high a heel. It is best to keep jewellery to a minimum especially items that might fall off easily or be easily grasped e.g. long earrings, necklaces and loose fitting bangles.

The above list is not exhaustive or subject to the vagaries of fashion, and may be

amended at the discretion of the Occupational Therapist to include any item he/she deems inappropriate.

These measures are to protect the young people as well as the staff and it is a sign of respect of the young people’s dignity and of professionalism to abide by this policy. Dressing modestly is a way of helping young people whose difficulties may include challenging sexualised behaviour.

3. Information on the Workplace

The main Roycroft Clinic opened in September 2000, as a result of a £1.4 million investment by Newcastle City Health Trust. The result was the development of an eighteen-bed medium secure adolescent unit that replaced the former six-bed interim unit (the Roycroft unit). The Roycroft Clinic was noted as one of three

national NHS forensic adolescent inpatient units providing greatly improved facilities for staff and patients. This was made up of Ward 1 (male only ward), Ward 2 (mixed gender ward) and Ward 3 (mixed gender ward). Howeve an attached 7 bedded medium secure unit (Lennox Unit) for young men with learning disability and mental illness was commissioned by the National Commissioning Group and part of the national network of Medium Secure Units for Adolescents and opened in May 2008. This is the only NHS unit of its kind in the UK.

Our present admissions policy provides inpatient services to young people who are aged 12-18 (especially those in the lower end of this age range). All patients are detained under the Mental Health Act 1983. Around two thirds of our patients are transferred for

assessment and treatment from the criminal justice system, with the rest detained under a 'civil section' of the Mental Health Act. These patients have often been admitted from other health settings or from local authority accommodation because of major mental health problems or behavioural difficulties that require treatment in a secure environment.