Lincolnshire Partnership NHS Foundation Trust

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• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

Patients told us they had free access to their bedrooms via and electronic fob, this also controlled the vision panel in their bedroom window to provide privacy and dignity. One patient told us they had been recently supported by staff to attend a hairdressing appointment in their local area in the hospital vehicle. Care records reviewed showed evidence of significant input from a multi-disciplinary team, staff and patients to ensure successful discharge into the community. Patients had weekly community meetings and were able to access independent advocates. The independent advocate attended the service weekly for drop-in sessions and patients could also access this service independently through contacting the service via the phone or through video conferencing. The service responded to feedback and displayed monthly “you said, we did” posters, showing the feedback received and actions taken in response to these.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Kindness, compassion and dignity during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Treating people as individuals during this assessment. The score for this quality statement is based on the previous rating for Caring.

Patients told us they had free access to their bedrooms via and electronic fob, this also controlled the vision panel in their bedroom window to provide privacy and dignity. Food was provided in frozen form and reheated on site, we saw there were several options for people with preferences for dietary or religious reasons. Access to hot and cold drinks was available as were snacks. Patients could access fresh air and informal patients were free to leave the ward at any time. All bedrooms had a washbasin and there were adequate supplies of bathroom and toilet facilities, as well as two bedrooms that were suitable for patients requiring adaptations for disabilities. The ward had 2 spacious lounge areas, a family room, a quiet de-escalation room, fitness suite and a multi faith room. One patient told us they had been recently supported by staff to attend a hairdressing appointment in their local area in the hospital vehicle. We attended one multidisciplinary meeting where care coordinators and external agencies were invited to participate. One care record reviewed showed evidence of significant input from a supported housing provider with both staff and the patient to ensure a successful discharge into the community.

Staff told us they were immensely proud of the work they did to promote choice, independence, and control for patients. They told us they worked hard to build therapeutic and trusting relationships with patients and were very positive of the support from senior leaders, both clinical and others. We were told of the work around a different way of working with patients to enable them to take power to manage their emotions and the effect on them and that Ash Villa was the only inpatient ward in the trust undertaking this work.

We saw a wellbeing noticeboard which contained information on maintaining a healthy weight, stopping smoking and the effect of exercise on wellbeing. We saw staff were visible, approachable and acted with respect when interacting with patients. Staff knocked on patient bedroom doors before entering and responded to patient need in a timely manner. The ward's power, threat, meaning framework meeting attended by nurses, doctors, support staff, psychology, occupational therapy, and other professionals aimed to help patients create more hopeful narratives or stories about their lives. Prior to the meeting the patient was supported to complete a questionnaire which identified broad areas for discussion.

The service had weekly community meetings in place where patients could raise concerns or discuss items with the ward staff. The notes from these meetings showed where patients had asked for information or raised concerns. There was no update or actions taken logged on these meeting notes. However, the service had regular "you said, we did" updates clearly showing how feedback given by patients had led to service change. Patients had access to an independent advocacy service. The independent advocate attended the service weekly for drop-in sessions and patients could also access this service independently through contacting the service via the phone or through video conferencing. The advocacy service felt the service and staff were approachable and patients they worked with felt supported and able to speak up at ward rounds.

We did not look at Responding to people’s immediate needs during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Workforce wellbeing and enablement during this assessment. The score for this quality statement is based on the previous rating for Caring.