the service isn't performing as well as it should and we have told the service how it must improve. The trusts own recent deep dive had recognised this and identified actions to improve. Browse our A to Z of the doctors who work for us. His particular interest lies in reducing restrictive practices within healthcare settings and has been commissioned by ELFT to review these in other organizations. There was clear evidence of supervision taking place each month and appraisals took place once a year. For example, throughout the inspection we heard about the use of trauma informed care and about work to improve the sexual safety of people using services. Staff understood their roles in regards to patient consent and capacity. Effective governance processes were in place. The Health & Justice Directorate is one of eleven directorates within the Trust providing clinical services. In rating the trust, we took into account the current ratings of the mental health and community health services which were not inspected this time. Teams had access to clear information, showing trends and identifying when improvements needed to take place. Management team City & Hackney Centre for Mental Health. A comprehensive psychological assessment leads on to formulation of the individuals risks and areas of need, which then leads on to strategies for future care planning with the service user. The quality improvement programmes running on the wards in London and starting in Luton and Bedfordshire had led to quantifiable improvements in the patient experience and had improved patient and staff engagement with the service. A chief digital officer had been appointed, a digital strategy was in place and work to improve the connectivity of teams and wards was underway. Patients, carers, staff and external stakeholders were encouraged to give feedback through a range of mechanisms and these were used to make improvements. Staff were flexible and responsive to support patients to engage with their services. They met each of these with sensitivity. Some patients were waiting a long time to receive a service from the wheelchair team, although this had been identified on the directorate risk register and actions to improve the service were in place. Michelle is a registered nurse and has extensive mental health commissioning experience as well as having clinical experience of working in Learning Disability services for Bedfordshire. the service is performing badly and we've taken enforcement action against the provider of the service. This made it difficult for staff to evaluate the progress patients were making in some areas. We saw evidence of this in care planning and meetings which were in place to ensure that the patient voice was heard. For example, analytics tools to measure how you use the website so we can improve it based on user needs. The senior leaders including the non-executive directors were open, friendly and approachable. Details of latest vacancies, apprenticeships and how we look after our staff. For example they were looking at developing a smartphone application . An example of this were patient led audits which had led to improvements in food and how ward rounds were conducted. The Luton wards were too warm. Through partnership with social care, the voluntary sector and most critically co-production with those with lived experience, the experience of mental health care for thousands of adult service users and hundreds of staff within the ICS will be greatly enhanced. Day qualified as a Mental Health Nurse in 2003. He went on to hold various local authority management roles and continued practicing as an Approved Social Worker, until transferring to the NHS, when NHS and Local Authority Mental Health services in Bath & North East Somerset integrated in 2001. Community & mental health inspection reports for Forensic Services Directorate can be found at East London NHS Foundation Trust. E1 4DG. Wards were clean and staff carried out regular infection control audits. There was strong working relationship between Bedfordshire CAMHS and the family nurse partnership (FNP). The trust sought feedback from people using the service and engaged them in work to improve services. the service is performing badly and we've taken enforcement action against the provider of the service. For example the team supporting patients with sickle cell had initiated and hosted an annual conference for several years to share good practice. At the time of the inspection some service redesign was taking place as a result of decisions made externally to the trust and a few staff felt that the engagement and consultation linked to this could be improved. For more details please go to Disability Confident . Newcastle upon Tyne Whilst achieving targets for assessments and diagnosis for memory clinics were being robustly tackled with action plans in place, there was still work to do to consistently provide a responsive service especially across the Bedfordshire teams. Also, staff at 105 London Road had not completed a risk assessment of all detained patients immediately before they took section 17 leave. Not all staff had completed safeguarding children levels 2 and 3training although safeguarding practice was good and further training was planned. We also inspected the well-led key question for the trust overall. He is a keen educator and also examines for the Royal College of Psychiatrists. Trust managers were aware of this and taking steps to ensure the rooms were an appropriate temperature. He is a keen advocate for LGBT inclusion. Staff morale was very good. Patients had access to appropriate spiritual support. The ELCFS was commissioned following the successful pilot of the Specialist Community Forensic Team (SCFT) model in East London. Information about visiting our wards can be found here. We were inspired by the work being undertaken by the trust on race and privilege. Tackling Unmet Need on Victoria Ward >>(2 mins), Self Catering on Woodberry Ward >>(5 mins), Life Style Changes on Woodberry Ward >(7 mins), Shoreditch Ward Safety Huddle >>(30 seconds). Staff were encouraged to be innovative and improve the service. Please note: This website is best viewed in a modern browser like Chrome, Edge or Firefox. Bailey joined the Trust in 2016 as Deputy Borough Director in the Newham Adult Mental Health Directorate. Patients were supported to self-medicate at 105 London Road. There were recurring themes linked to serious incidents. However, some staff lacked confidence in using the Mental Capacity Act. Incident thresholds were consistent across the service and all staff knew how to report them electronically. the service is performing well and meeting our expectations. There is also some working into Tees, Esk and Wear Valleys NHS Foundation Trust as part of the Provider Collaborative. Staff morale was positive and staff told us that they were involved in developing the service to improve outcomes for patients. Medical Recordscan be contacted on:020 8510 2159/58, Search for services, conditions & specialities, How To Become an ELFT Foundation Trust Member. There were good links with primary care and key partners such as the police and housing organisations in each locality. How you can become a member, our Council of Governors, People Participation (PP) and volunteering opportunities. Find out more about our main sites, including directions At the heart of service delivery is the patient's . Our psychiatrists are registered medical practitioners and prescribe medications as well as overseeing care. By clicking Agree & Join, you agree to the LinkedIn. Our mission is to make a positive difference in people's lives by improving the quality of life for all we serve. Ravi has also worked extensively in Higher Education, both as an academic teacher and clinician, and continues to be involved in training and education. Staff did not always recognise the terminology of duty of candour although they understood and implemented an open, honest approach which acknowledged with patients when things went wrong. The trust was implementing a mandatory training programme on the MCA. The environment is specially adapted and care is tailored to meet individual service users needs, A community mental health team (CMHT) providing mental health care and treatment for adults in Ampthill with more complex and enduring mental health needs, Admission Avoidance and Discharge Service (Tower Hamlets), Adult Mental Health Management Offices (City & Hackney), Adult Speech and Language Therapy Service (Newham), Advanced Care Planning Team (Tower Hamlets Community Health Services), Search for services, conditions & specialities, How To Become an ELFT Foundation Trust Member. The teams worked well with GPs, the local authorities and other local services and groups. Some staff were not aware of the term duty of candour although they were able to describe how they applied this in practice. Staff sought patients consent to treatment and recorded this appropriately. It's National Apprenticeship Week 2023! CAMHS teams were aware of the diverse needs of people using the services. Our service users and former service users are uniquely well placed to improve what we do. He has a strong commitment to winning hearts and minds seeing that as a way to improve patients safety. Care plans were holistic and person centred. When expanded it provides a list of search options that will switch the search . Where there were improvements to be made, CAMHS teams had used the quality improvement methodology and had adopted a systematic approach to bring about these improvements. We rated them as outstanding because: There were however areas for improvement: During our inspection of the two core services, the inspection teams: You can find further information about how we carry out our inspections on our website: www.cqc.org.uk/what-we-do/how-we-do-our-job/what-we-do-inspection. The teams made very limited use of temporary staff which promoted good consistency of care. Any other browser may experience partial or no support. The trust was making data available to teams to help them use a structured approach to look at demand and capacity of services and develop individual plans to improve patient flow. There was a clear procedure for further visits, contacting family or friends with the patients consent, contacting the GP and asking the police to conduct a welfare visit. Staff caseloads were manageable and staff said leadership and support in the trust was good. All rights reserved. We were given examples of learning from incidents that had led to changes to improve the service. Sarah joined the Trust in August 2008. East London NHS Foundation Trust Location Luton Salary 33,706 to 40,588 a year Per annum Closing date 2 Apr 2023. Although it depends on which part of the Mental Health Act the individual is detained under, for most of our service users the Consultant cannot grant Section 17 Leave without also first seeking the permission of the Ministry of Justice, who have to be reassured about the rationale and risk assessment. The East London Community Forensic Service (ELCFS) is seeking a Senior Clinical/Counselling/Forensic Psychologist to join our multidisciplinary team. There was a dedicated phone line for current patients. Michelle lives in and has detailed knowledge of Bedfordshire. Staff worked hard to keep young people safe and to support them to improve their health, develop skills and progress towards discharge. Again, please use the contact details above if you do not know who to get in touch with. Bailey remains a warranted AMHP, qualified Social Worker and practice educator. Referrals increase your chances of interviewing at East London NHS Foundation Trust by 2x. Patients received adequate assistance to eat and drink. Staff were proactive in identifying trends amongst the young people they worked with and were working collaboration with other agencies to ensure that emerging needs were met. They were positive about how caring, kind and approachable the staff were. They meet with inpatients on a daily basis to explore their progress and support their recovery, often taking people out on leave into the community. The East London Foundation Trust (ELFT) provides a wide range of community, inpatient and primary care services to children, young people, adults of working age, older adults and. The systems, directorates and services had developed aligned annual plans on a page identifying their priorities and key milestones. Patients are admitted to forensic services from acute mental health services where specialist support is indicated, courts, prisons and by instruction from the Ministry of Justice. This leave is granted by the Consultant responsible for the patients care and follows careful risk assessment. Patient and carer information, including details of our services and where we provide care. Browse our A to Z of the different services we provide. Our values are: We Care, We Respect, We are Inclusive - so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the . Your information helps us decide when, where and what to inspect. There were good protocols in place for lone working. Systems to enable staff teams to access live data to inform their day to day work on screens and on mobile phones was due to happen shortly after the inspection was complete. Patients reported that their care and treatment needs were being met. The East London Foundation Trust (ELFT) provides a wide range of community, inpatient and primary care services to children, young people, adults of working age, older adults and. The degree of support is very high. The City and Hackney Autism Service offers diagnosis, brief interventions and advice to adults living in City and Hackney who have not had a previous diagnosis of Autism Disorder. Some wards have specially designed sensory rooms. The primary aims of the FCS are to provide in-reach into secure in-patients to work towards discharge, to reduce length of stay in secure beds, reduce re-admission and provide an ongoing service in the community using interventions based on NHS Englands 12 components of Care, a biopsychosocial model. This is done through access to our Forensic Liaison Clinics. Wards were clean and staff were trained in infection prevention and control. We looked at the quality of the ward environment, management of the clinic rooms, and observed how staff were caring for patients, interviewed the ward manager and/or matron on each ward, spoke with 76 staff members including nurses, clinical practice leads, a physical health lead nurse, social therapists, support workers, occupational therapists, psychologists, consultant psychiatrists, a clinical pharmacist, an assistant pharmacy technical officer, art therapist and a speech and language therapist, spoke with 10 senior members of staff including the head of forensic services, the head of nursing and associate clinical director for safety and security, the associate clinical director for therapies and recovery, the head of psychology, the lead pharmacist for forensic services, the sexual safety lead for forensic services and the drugs and alcohol lead for forensic services, interviewed 47 patients and 11 relatives of patients, reviewed 34 patient care and treatment records, attended two multi-disciplinary team meetings, three ward rounds, two community meetings, one care programme approach meeting, a service referrals and move on meeting, a patient group, a people participation working together group, a carers forum, a service wide safety huddle, observed two ward based safety huddles and visited the patient shop at the Wolfson House site, carried out a specific check of the medication management on Butterfield, Clissold, Westferry and Bow wards. The service covers the boroughs of Hackney Newham Tower Hamlets and those in North East London Foundation Trust. Our focus is on high quality treatment. Employer heading Continuing Health Care Nurse the service isn't performing as well as it should and we have told the service how it must improve. Staff safety was carefully considered. Staff did not record the fact that they had read patients their rights in a timely manner after admission or detention under the Mental Health Act nor that risk assessments had been updated before section 17 leave was granted. NE3 3XT, Monday 9am 5pm There was effective internal and external multidisciplinary team working. There was a strong focus on recovery in all the care plans. There had been significant changes in the executive leadership team and non-executive directors, these had gone well and provided an opportunity to improve the diversity of the board and introduce people with the breadth of experience needed to support the strategic direction of the trust. Staff were supportive and caring of clients and families they worked with, and provided patient-centred support in both clinics and in homes. The quality improvement programme in the trust encouraged innovation and examples of this was seen across the services. To keep in touch and up to date with us, follow us on our socials. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. Staff worked to ensure that young people attended their appointments. We have electronic monitoring (tagging) available if needed. Staff reflected the trust values and vision. We are delighted that our service users contribute to management of the unit through the User Involvement Group. They provided practical and emotional support. Click the link in the email we sent to to verify your email address and activate your job alert. Get notified about new Forensic Psychologist jobs in London, England, United Kingdom. Newcastle upon Tyne All the patients we spoke with were positive about staff and said they treated them with respect. There had also been an expansion to the leadership capacity of the trust and the associated governance, for example the development of a directorate to oversee primary care and the introduction of a chief digital officer to the executive leadership team. Using Section 17 Leave outside the hospitals is a fundamental part of service users preparing themselves for life in the community. Please note: This website is best viewed in a modern browser like Chrome, Edge or Firefox. We don't rate every type of service. We found that despite the challenges of the pandemic, the trust had adapted, learnt and continued to make positive progress. Our staff and service users get to know each other very well. . The team also provides scaffolding and risk advice to other mental health services. When expanded it provides a list of search options that will switch the . Join to apply for the Consultant in Forensic Psychiatry [H+J] London Pathways Partnership role at Central and North West London NHS Foundation Trust. Holds and will use valid UK driving licence OR provides evidence of proposed alternative. Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Forensic Community Service (North East and Cumbria) CNTW061, Forensic Community Team (North East and Cumbria) Service leaflet and referral form, Adult Forensic Psychology Service Information for referrers.
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