1 Rehabilitation Services Welcome & Information Pack St Andrew s Place 271 St George s Road Hull HU3 3SW Tel:
2 Mission Statement/unit philosophy Our service aims to provide support and encouragement to people to regain autonomy and control throughout their individual journey to recovery and social inclusion. Welcome This Welcome pack provides information you may find useful during your inpatient stay. The pack contains information about the unit, staff and the treatments and therapies available to you. Staff are happy to discuss the pack with you and clarify any issues you may have.
3 Contents Admission What does admission to St Andrews Place involve? Why am I here? How will my needs be assessed? What will I need during my stay? What am I not allowed to bring? What choices do I have? What does the Mental Health Act 1983 mean to me? What are Advance Decisions? Stay Can you tell me about the unit? Who are the staff members working on the unit? What is life like on the unit? What is the rehab flat? What is expected of me? Equality and Human Rights Zero Tolerance Residents Agreement
4 Practical things to think about What happens to my benefits while I am on the unit? What about my religious and cultural needs? Will I be safe on the unit? How do I make a complaint? Who can provide me with advice? Discharge How will my discharge be planned? Other useful contacts
5 Admission What does admission to St. Andrew s Place Involve? Being in hospital can be distressing for you and your family and friends. We understand that this can be a difficult time for you and will support you as much as possible during your stay. Why am I here? You have been admitted to St Andrews Place for assessment of your mental health, functional ability and rehabilitation needs. The aim of admission is to support you in the recovery process and help you to return to your everyday life. Wherever possible, you will be involved in the decisions about your care. When you arrive, you will be welcomed by a staff member who will show you around the unit and allocate you a bedroom. You will be informed of the name of your primary nurse and given this welcome pack. Your personal belongings will be stored in a safe place for you. How Will I Be Assessed? During your stay a series of assessments will be made so that we can fully assess your needs. These will include: an assessment of your mental state. This involves talking to staff who will also monitor your activity an assessment of your social situation to look at your housing, employment, leisure and financial needs A risk assessment to maintain your safety A physical health assessment which will involve being examined by a doctor. This assessment may include blood pressure monitoring, blood tests and urine sampling.
6 within 72 hours, the team will carry out a detailed assessment of your needs. A care plan will then be prepared for you which will set out the care and treatment you require during your stay. You will be fully involved in decisions about your care plan and will be entitled to receive a copy. What will I need during my stay? You will need to bring your own clothes and toiletries to include: soap shampoo toothbrush and tooth paste deodorant hairbrush/comb flannel or sponge nightdress or pyjamas dressing gown underwear slippers indoor and outdoor clothes shoes coat You may bring electrical items onto the unit. Their safety will be assessed (PAT tested) before you are allowed to use them. What am I not allowed to bring? Alcohol Unprescribed medication Illegal substances Weapons Offensive literature Jewellery, valuables or more money than you need. If you can t avoid bringing valuables please give them to your primary nurse for safe keeping.
7 What choices do I have? If you have come into hospital voluntarily, you are free to leave the ward as and when you choose, however it would be beneficial to you to stay on the unit to participate in therapeutic activities as detailed in your care plan. If you are sectioned under the Mental Health Act, you may be prevented from leaving the unit. Staff may also insist that you take prescribed medication. Decisions will be made in your best interest. What is the Mental Health Act 1983? If you have been detained in hospital under the Mental Health Act, you must be informed what the Act means for you. You will be provided with information to help you understand your rights. Your Primary Nurse will advise you on any questions you may have. What are Advanced Decisions? Advanced Decisions are about making choices about your healthcare while you are well. In mental health this means that your wishes can be taken into account if you ever become mentally incapable of making decisions during a crisis. An advance decision can be spoken or written and should be regularly reviewed. You will not be able to demand certain treatments but you can state your preferred options. If you would like to make an advance decision, the paperwork and assistance needed, will be offered and available to you. Please ask your primary nurse for further information.
8 STAY Can you tell me about the unit? St Andrews Place is a 13-bedded inpatient mental health rehabilitation unit. It is in the city of Hull in the East Riding of Yorkshire. It has male and female beds. Male and female bedrooms are in separate parts of the building. Bedrooms are situated upstairs and are located on a female-only landing and a male-only landing. Bathroom facilities are shared (female only and male only). There is a communal TV lounge and a female and male only quiet lounge. There is also a communal dining room, pool room and games room. In addition there is a therapies room where arts and craft items are readily available. There are also laundry facilities available on the unit. In addition we have a pleasant, secure garden situated at the back of the unit. Who are the staff members working on the unit? The Unit Manager is responsible for running the unit and for dealing with any concerns you may have that have not been sorted out by other staff on the unit. Consultant Psychiatrist is the person who will be in charge of your treatment while you are on the unit. They will discuss your needs and your medical treatment with you. They will be able to answer any questions you may have about your medication. During your stay, you will also see junior medical staff who work with the consultant psychiatrist. Mental Health Nurses, one of which will be your primary nurse during your admission. Your primary nurse will co-ordinate your care based on your individual assessed need. They will negotiate with you what activities and interventions will be helpful to you and devise a written plan of your care. Occupational Therapists will help you to identify your functional skill level and work with you to support you to get back to everyday living.
9 They will encourage you to participate in activities that have meaning and value for you. Healthcare/Nursing Assistants will support you to increase your independent living skills and encourage you to actively participate in your recovery process. You will also have access to physiotherapist who can help you with any physical problems. If you are involved with any health or social care workers outside of the unit, they will be invited to visit you and attend multidisciplinary ward rounds. Students Humber NHS Foundation Trust supports the teaching of students of various professions. You may be asked whether a student can be present or be involved in part of your care. Your permission will be sought and you have the right to refuse. What is life like on the unit? Morning meetings take place at 9.30am every weekday morning in the main lounge. They give you the opportunity to meet with staff and other service users to discuss any concerns or issues you may have. They are also an opportunity for you to learn about activities which are happening on the unit and in the local community. You will be encouraged to plan and structure your time effectively. Ward Rounds Ward rounds take place on Mondays fortnightly. In these meetings you will be able to discuss your needs and progress with the consultant psychiatrist and other members of the team. Activities There are a wide range of activities on offer to you both on and off the unit. For example there is a regular badminton group held at the local sports centre, a dog walking group, a pamper group and an art group, to name but a few of the activities going on. A sample
10 timetable is enclosed. We welcome your ideas for alternative activities. Visitors Your relatives, friends and carers are welcome to visit you. There is a room where you can spend time with them or you may be able to go off the unit with them. You will need to check this with staff. Visiting hours are Monday to Friday, 6pm to 8pm Saturday to Sunday, 2pm to 8pm Telephones There is a payphone on the unit which can be used for personal calls. Office phones are available for essential calls to people like social workers or care coordinators. Mobile phones You may use your mobile phone whilst on the unit for making phone calls only. If you have a camera phone you are not permitted to take photographs of staff or service users. Please hand in your phone charger to your key nurse for safe keeping. Your phone will be charged at your request. Meals You will be provided with three meals each day and will be offered a choice of menu. Hot and cold drinks are also available throughout the day. You may also be offered the opportunity to prepare some meals for yourself as part of your rehabilitation care plan. Dietary Requirements Please inform a member of staff of any dietary requirements that you have from a religious, health or preference perspective.
11 Mealtimes are: Breakfast 7am to 9am Lunch 12 noon Evening meal 5pm Smoking Smoking is not allowed in the building. There is an allocated sheltered area in the garden. If you would like to give up smoking, support and advice are available. Please see a member of staff for further information. House keeping To keep the unit clean and tidy, a housekeeping service is provided daily. However wherever possible you are expected to keep your own room clean and tidy and to respect the living space of others. What Is the rehabilitation flat? If you have expressed a wish to live independently, you may be offered the opportunity to spend some time in the rehabilitation flat. The flat is located upstairs and is self-contained. It has its own kitchen, living room, bedroom and bathroom. You will be encouraged to keep the flat clean and tidy, manage an allocated budget, prepare a shopping list and shop for the groceries you will need to prepare your own meals. Staff will support you to structure your time so that you have a balanced range of activities to include personal care, domestic, relaxation, productivity and leisure. This time will be used to assess your independent living skills, so that appropriate support can be arranged for you on discharge.
12 What is expected of me? You have been admitted to St Andrew s Place for a period of rehabilitation. The staff here are dedicated to helping you on your way to good mental health and recovery. Your participation in this process is essential. You will need to work with staff as detailed in your care plan. Wherever possible you will be encouraged to do things for yourself. Appropriate help and support will always be available. During your stay you can expect to be treated with dignity and respect and we ask that you also treat others in this way. Equality and Human Rights The Trust is committed to promoting a positive and harmonious environment where everyone is treated with dignity and respect regardless of race, colour, nationality, ethnic or national origin, gender, married/civil status, sexual orientation, disability, physical characteristics, health, religion or belief. Zero Tolerance Staff working in the public sector should not be expected to accept personal injury, assault or threatening behaviour as part of their job. Humber NHS Foundation Trust will not accept violence or aggression of any form towards its staff, and will support them fully in pursuing prosecution and legal action, if this should occur.
13 Rehabilitation Services St Andrew s Place/Hawthorne Court RESIDENTS AGREEMENT Name: Date of Birth:. Date of Taking up Residency:.. I understand that whilst resident at St Andrew s Place I have to live alongside other people and am subject to the policies and procedures of Humber NHS Foundation Trust. I have read and understood the list of items not allowed in the building. I am also aware of the policy regarding non-prescribed drugs and illicit substances and the use of alcohol. I understand that it is not acceptable to insult others because of their age, race or cultural background. I will not harass, sexually or in any other way, residents or staff. I understand that violence is unacceptable and that I adhere to the zero tolerance policy. I understand to keep my room and communal areas clean and tidy and understand the level of cleanliness reflects the Trust s standards, not necessarily my own. I understand that I will be required to hand in my cigarettes/tobacco and lighter on an evening prior to retiring to bed, as per unit policy. I understand that should I consistently fail to meet the standards set out above, I may be asked to leave St Andrew s Place. Signed:..Resident. Signed:..Member of Staff cc: Resident Medical Notes
14 Practical things to think about You may have some practical things to consider when coming into hospital. These may include: making arrangements for the care of your children/family members paying urgent or outstanding bills cancelling or rearranging appointments arranging for someone to take care of your pets making sure your property is safe Staff on the unit can help you sort out these issues. What happens to my benefits while i am on the unit? Staff will help you to find out and understand your benefit entitlements. They will work with you to talk to the appropriate department. Some benefits can be affected by an inpatient stay so the Department for Work and Pensions (DWP) need to be informed. What about my religious and cultural needs? Where possible, rooms where people can practice their faith can be made available. Chaplaincy services are available, if requested and access to representatives of most faiths can be arranged. Please ask your primary nurse for advice and assistance. Will I be safe on the unit? We will occasionally have fire practices on the unit, where we will evacuate the unit or ask you to move to a specific area. Usually you will be told before the alarm rings. On admission you will be informed where the emergency exits are on the unit and where to gather if the building is evacuated. All staff carry personal safety alarms and can alert other staff members in an emergency. If you have any concerns about your safety, please discuss this with your primary nurse.
15 Infection control We are working hard to make sure we provide a safe and clean environment for everyone. All staff have regular training on infection prevention and control We promote and monitor the use of alcohol gel and hand washing. Managers work closely with the infection prevention and control team and the ward cleaning staff to maintain high standards of cleanliness. Whilst you are here as an inpatient you are expected to wash your hands before meals and after going to the toilet. Maintain good personal hygiene, such as daily washing, changing clothes, frequent showers or baths. Tell a member of staff if the bathrooms or toilets are dirty. Don t be afraid to ask staff if they have washed their hands before any procedure, such as taking a blood sample. How do I make a complaint? Firstly talk to a member of staff. Ask to speak to the person in charge of the unit. They will try to sort out the problem straight away. If you do not get a satisfactory explanation you can talk to the local complaints officer or the local Patient Advice and Liaison Service (PALS) Their telephone number is or PALS will be able to provide you with further advice and support. PALS would welcome your opinions of our service (good or bad) please feel free to give them a call. Who can give me advice? Advocates You will have access to an independent advocate who will support you to: express your views and concerns access information and services defend and promote your rights and responsibilities
16 explore choices and options your primary nurse can arrange for an advocate to come and meet you to discuss your concerns/wishes with you. DISCHARGE How will my discharge be planned? Before you leave the unit we will arrange a Care Programme Approach (CPA) meeting with yourself and your carer/advocate to find out what ongoing support you may need when discharged. If you have been under the care of a community mental health team prior to your admission we will work closely with them to ensure you have appropriate on-going support when you leave the unit. If you have not received support from community teams previously, we will refer you to an appropriate team to provide you with support when you leave. You may need ongoing support to look at housing opportunities, returning to work or finding activities of interest to provide you with purpose and structure. Your GP will be informed of your admission and progress. We will endeavour to do our best to ensure you have a safe and timely discharge.
17 Useful Contacts PALS Independent Complaints Advocacy Service Independent Mental Health Advocate Service IMHA Hull & East Yorkshire Mind Housing Support Team Alcohol & Drug Service Crisis resolution service NHS Direct
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