On admission a person can expect to be welcomed warmly to the unit and for them and their accompanying family and friend carers to be offered a private room and made comfortable.

An assessment of the person’s risk on the ward, their needs and discussion of wishes and views about hospital admission. This should be carried out jointly by the assessing Nurse and Junior Doctor and information transferred to the unified record on SystmOne.

Trans people should be accommodated according to their presentation: the way they dress and the name and pronouns they currently use. Non-binary individuals, who do not identify as being male or female, should also be asked discreetly about their preferences, and allocated to the male or female ward according to their choice.

The person can expect to be given a tour of the ward and their bedroom, in relation to how they go about accessing staff, where basic amenities are located and information regarding the ward routine. Each bedroom will also be supplied with a folder with the necessary information to refer to.

The ward staff will assist the person in unpacking belongings, paying attention to items which might be valuable or unsafe to keep in the person’s bedroom

Following initial assessment, the admitting Nurse should consider the person’s immediate risks and a management plan prior to completion of record keeping or alternative task. An assessment of risk of self-harm and suicide must also be completed if indicated.

A physical examination is also required to be carried out to rule out infection, a physical disorder or any underlying physical conditions which a person may have. This is an opportunity for professionals to consider a person’s lifestyle and physical wellbeing and offer nicotine replacement therapy if a person smokes, or general health promotion advice on diet, alcohol reduction and exercise. The person’s medication regime will be reviewed and discussed.

Record keeping standards following assessment include the Admission Record form, Inpatient Care Pathway Admission document, Care Plan and Risk Assessment of SystmOne, supportive observation records if appropriate, the unified assessment and HoNOS. Documentation relating to a person’s legal status, their rights and capacity must also be completed if applicable, as well as details on a person’s allergies.

As soon as possible after admission further assessments such as the Rethink Tool, MUST, Waterlow, and Skin bundle should also be attempted if indicated.

Where a person is too unwell or is unable to engage in assessments they will continue to be completed until the person is able to be fully involved in the process, and a rationale will be documented in the clinical record for a follow up plan.

A person can expect to have their mental health reviewed by a senior medical professional e.g. A Consultant Psychiatrist or their deputy within 72 hours of admission. Where a person’s mental health needs may require more urgent senior review the on-call consultant should be contacted.

Each person is screened within 48 hours of admission to identify if Occupational Therapy specialist assessments or interventions beyond the group programme are required, taking in consideration reason for admission, current presentation, risk (current and historical), function and occupational performance, accommodation, physical health, and social environment/inclusion.

The Occupational Therapy team then aims to meet with the person and introduce the service, therapeutic activities, and resources available within 48 hours of admission if presentation allows. They also aim to gather information about occupational history, current interests, future goals, values, strengths facilitating and barriers to engagement in meaningful occupations.

The discharge team will also aim to meet with the individual within the first 48 hours to determine what support the individual will need prior to discharge in terms of housing, finances and other social circumstances.

The Glenbourne Hospital has a Locked Door Policy. The doors will be locked from the main Reception.

Staff will check the identify of those coming or going and will intervene if there is attempted tailgating.

All patients require a leave assessment by a registered nurse before leaving the hospital.

On returning to the hospital, patients use the call bell at the main door- outside of reception hours (08.30-19.30), it may take longer for staff from the ward to attend reception to let patients down to the wards

We have a ward garden; these are accessible from the main ward area at any time.

If on enhanced observations staff will be required to supervise use of the garden.

To ensure the safety of everybody in hospital, we will adhere to the search policy.

All patients bringing items into hospital will be searched, we have a dedicated search room in reception with a metal detector.

The level of search will be agreed as part of the persons care plan, however it will range from nursing staff looking in bags, to going through each item and pocket with a metal detector. We also complete regular ward sweeps where 2 staff search each person’s bedroom to ensure there are no restricted items. Patients are encouraged to let staff know if you would like to be present during the search of their bedspace. Staff will inform them if items have been removed and why. We understand being searched could be frustrating for however staff will treat patients with respect and dignity during our search process and expect that staff are also treated with respect

Visiting times are between 13.00 – 18.30pm

We have a family room in reception, available for visits from relatives or friends. Children accompanied by an adult are permitted for visits in the family room.

Mealtimes are:

Breakfast: 08:00-09:00 (Mon-Sat) – 08:00-09:30 (Sun)

Lunch: 12:00-12:30 (Everyday)

Dinner: 17:00-17:30 (Everyday)

Supper: 20:30 (Everyday)

Patients will be asked about allergies and dietary requirements on admission e.g. vegan, halal, lactose free etc and the domestic team will order and organise meal options accordingly.

There is a daily menu visible in the dining room, if a patient does not like the options that day, they are asked to inform domestic staff in the morning who can provide an alternative.

Tea, coffee and cold drinks are available 24 hours a day.

Personal food items can be brought in to the unit, labelled and stored in the kitchen in the patient fridge and cupboard.

Patients are encouraged to identify daily groups they wish to attend both on the ward/off the ward and in the OT department:

• Physical health – such as physical activity groups, use of OT gym, discussion-based health promotion, local walking groups, gardening
• Life skills – such as cooking groups, graded exposure on public transport or shopping
• Creative groups – such as Art-based activities, Creative Writing, and Music
• Linking with community-based services – such as social inclusion groups, third sector services, and volunteering
• Psychoeducational – such as goal setting, Mindfulness/Relaxation skills, and Wellness Recovery Action Plans

If patients do not feel able to attend groups or do certain activities given their current stage of recovery they can utilise ward based activities reading, writing, colouring, pool table, we also have access to other physical/movement games and garden activities, listening to music, utilising TV-3 different TVs in separate rooms-1:1 time etc.

Patients also have access to a room which has been devised alongside our patient group-this is our rest and recovery room which offers a calmer environment for patients to utilise sensory activities, mindfulness, positive affirmations etc. patients can also utilise therapeutic 1:1 time in this room with ward staff, this room also hosts an Interactive board which is great for movement, response and a great energy release also helps with coordination.

Patients may use their mobile / laptop / tablet etc.

There is NHS Wifi to connect to. Only short charging cables can be used in patient’s bedspace which will be provided for them on the ward.

It is essential that patients do not take pictures or record others, due to confidentiality.

Patients found taking pictures of others may have their phones stored away.

Patients are encouraged to take phone call and video calls in their bedspace both to offer them privacy and protect the privacy of peers.

On rare occasions mobile phones may be temporarily removed for specific safeguarding concerns, this would be individually care planned.

Aftercare will vary dependent on the patient locality and level of support required on discharge and may involve multiple services-community mental health teams, social support, care agencies, rehab placement etc.

This will be discussed with the patient and family/carers (with consent) throughout admission

Often patients will be discharged with the Home Treatment Team (HTT)who attend the ward weekly to offer in reach work prior to patients’ discharge

The HTT consists of a range of health professionals that assist patients in leaving hospital at the earliest opportunity and continuing their recovery at home, they assist the patient in identifying goals and help them continue to work towards their recovery.

On discharge patients will be sent a text message reminding them of the support available and the relevant contact details