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Adult mental health

Welcome to Ashurst

Ward PICU

Information for service users

and carers

Adult mental health

2 Oxford Health NHS Foundation Trust | www.oxfordhealth.nhs.uk

Contents

Ward telephone numbers:

01865 902 300 or 01865 902 916

Email: [email protected]

Who are we and what do we do?

Your key carers

How we wish to be treated

How we behave on the ward

What happens on the ward and when?

Your belongings

Belongings and safety

Engagement and observation

Facilities

Care planning and treatment

For everyone’s safety (violence and aggression)

Patient Advice and Liaison Service (PALS)

Independent mental health advocacy (IMHA)

Other useful contacts

Referral process for young carers

Inpatient carer support groups

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Welcome to Ashurst Ward PICU

www.oxfordhealth.nhs.uk | Oxford Health NHS Foundation Trust 3

Who are we and what do we do?

Ashurst Ward is a psychiatric intensive care unit (PICU) with

13 beds. We care for both male and female service users. We

specialise in caring for people with a range of mental health

challenges who, for a variety of reasons, may not be able to

cope with care on a standard acute mental health ward.

We aim to work with service users to enable them to recover

as quickly as possible so that they continue through the adult

mental health care pathway to reach their desired outcome.

On Ashurst Ward we work with you and with a range of

professionals in mental health care so that you are kept

up-to-date and fully in the picture regarding your care.

The care we offer includes:

individual one-to-one time with nurses

psychoeducation

medication

occupational therapy

psychological interventions

Your care will also include specific user centred interventions.

Adult mental health


Your key carers:

Your named nurse is: ………………………………………………………

Your associate nurse is: …………………………………………………..

Your support worker is: …………………………………………………..

Your consultant psychiatrist is: …………………………………………

Your speciality doctor is: …………………………………………………..

Other key professionals:

Your community care co-ordinator is: ………………………………

Your occupational therapist is: …………………………………………

Your ward manager is: …………………………………………………….

Your modern matron is: …………………………………………………….

Your service manager is: …………………………………………………..

Your ward pharmacist is: ………………………………………………….



How we wish to be treated

The key to living and working together here on Ashurst Ward

is respect. Each of us is an individual who deserves respect;

we will not undertake any activity that diminishes us as a

person.

This applies to both service users and staff.

What does respect look, sound and feel like on

Ashurst Ward?

treating each other with compassion and kindness

not dismissing our individuality

assuming we have potential

feeling safe

no aggression or violence

knowing and understanding ourselves and each other

working with our limitations

saying “sorry” when it’s needed

Adult mental health


Our service users say:

recognise I am not you, I am me

talk to me, not at me

teach me

involve me

listen to me even more

How we behave on the ward

We are all human beings - everyone should consider the

feelings of others and treat them how we would like to

be treated.

The staff will deal with patients’ requests in a timely and

efficient way and feed back on any progress.

Staff are willing to hear suggestions from patients.

Everyone should try to look after themselves, keeping

themselves clean and well dressed. Staff will assist

anyone who is unable to do so.



Violence of any kind, including threatening others,

swearing or aggressive language, hitting or throwing

things, will not be tolerated. If you are feeling angry or

upset, politely ask to be left alone or walk away from the

situation. Please try to provide an explanation when you

feel calmer so that staff can help.

To help everyone feel safe and to assist in recovery, no

alcohol or non-prescribed drugs will be brought into the

unit.

Patients will have the opportunity to discuss their

feelings and thoughts with staff on a one-to-one basis.

Staff should wear ID in an appropriate place where

everyone can see and introduce themselves when on

the ward.

Nobody will use language which could cause offence to

others.

Leave requests will be accommodated as much as

possible. When they are not possible, an explanation will

be given and, where appropriate, an alternative time

offered.

Don’t forget: staff are here to help - you do not

have to deal with problems on your own.

Adult mental health


What happens on the ward and when?

Garden:

Access to the garden will be made available

throughout the day. Please speak to a member of

staff for further information.

Ward rounds:

Monday, Wednesday and Friday

10am - 1pm

Medication times:

8am | 12pm | 6pm | 10pm

Meal times:

Breakfast: 8.15am

Lunch: 12pm

Dinner: 6pm

Supper: 10pm

Morning community meeting:

Monday - Friday

9.30am - 10.15am



Physical health care group:

Every Tuesday at 10am

Staff shift system

Early shift: 7am - 2.45pm

Late shift: 1.15pm - 9pm

Night shift: 8.40pm - 7.20am

Nursing handovers begins at the start of each shift

and last for approximately 45 minutes.

Visiting times

Monday - Friday: 6.30pm - 8pm

Weekends: 10am - 8pm

[excluding meal times (12pm - 1pm, 6pm -

6.30pm) and handover (1pm - 3pm)]

Alternative times can be arranged through the

Ashurst care team for specific circumstances

(telephone: 01865 902 916).

Smoking

All Oxford Health NHS Foundation Trust sites operate a

smoke-free policy. This means smoking is not permitted

anywhere in buildings or on grounds owned by the trust. For

further information please talk to a member of staff or visit

www.oxfordhealth.nhs.uk/about-us/smoke-free-policy/.

http://www.oxfordhealth.nhs.uk/about-us/smoke-free-policy/

Adult mental health


Your belongings

While you are an inpatient on Ashurst Ward you will be

responsible for the belongings that you bring with you.

All cash must be held securely by you. We have a limit of £20

for safety reasons. Anything above this amount will be

transferred to the patient welfare team, who you can contact

to access it.

The trust cannot be held liable for any valuables that you

have on your person while you are in hospital.

Belongings and safety

For your safety and the safety of the ward community, we

have four risk categories in relation to belongings.

A) not allowed on the ward under any circumstances

B) controlled items

C) items that can be used on leave only

D) items of clothing subject to risk assessment

Patient welfare and finance

Littlemore Mental Health Centre

Sandford Road

Littlemore

Oxford, OX4 4XN

Telephone: 01865 902 573 or 01865 902 136



Categories B and C are subject to risk assessment, which will

be at the discretion of the nurse in charge and the security

nurse.

A) not allowed on the ward under any circumstances

alcohol

drugs, including medicines not prescribed by the ward

doctor

canned drinks or food (we can pour soft drinks into

beakers for you)

stimulant energy drinks

chewing gum

coat hangers

lighter fuel

metal combs

syringes and needles

photographic equipment

rope or string

weapons or replica weapons

large rings

tools other than those supplied for ward activities

any other items assessed as dangerous or potentially

dangerous

Adult mental health


B) controlled items

C) items allowed on leave only

D) items of clothing subject to risk assessment

shoe and boot laces

scarves

belts

sharp-heeled shoes

metal-toed shoes

mobile phones

lighters and matches

plastic carrier bags

cash and cash cards

These items must

be handed back in

to staff on return

from leave

aerosols

shaving razors

shaving foam or gel

pens

glass bottles or jars

sharp instruments

make-up and cosmetics

lighters and matches

Only allowed under

staff supervision,

otherwise they

must be kept in the

staff office or

designated area



Engagement and observation

From time to time, you may be experiencing high levels of

stress or distress while you are in hospital. To support you

and keep you safe we have four levels of observation:

Level 1: general observation

Staff will know your whereabouts.

Level 2: intermittent observation

Staff will enhance observation and engagement according to

your specific needs.

Level 3: within eyesight

Staff will ensure you are within eyesight.

Level 4: within arms length

This is to enable you to feel safe and to ensure that staff are

there to provide you with the support you need. The staff will

talk and listen to you and will help with levels of distress.

Ashurst Ward also has what we call the Extra Care Area

(ECA). This is an additional area with its own bedrooms and

lounge facility to enable service users to be supported off the

main ward if they display levels or distress that may

compromise their own or others’ safety and dignity.

Adult mental health


Facilities

Diet and self care:

en-suite shower

laundry (staff will launder your clothes)

physical health care group

Social and family support:

family visiting room

patients’ welfare office

You and your rights:


advocacy

Mental Health Act office

Relaxation:

quiet rooms

tai chi

occupational therapy based groups

Health and fitness:

gym

table tennis



Care planning and treatment

Assessment

Your key nurse or co-ordinating nurse will meet with you to

discuss your needs.

Care planning

Your key nurse will develop a care plan with you to meet

these needs and help with your recovery while on Ashurst

Ward.

Treatments

Any treatments planned and delivered will be explained to

you so that you can make an informed choice. Where the

Mental Health Act is enacted, you will still be given all the

required information.

Safeguarding

Every person has a right to be and feel safe. The NHS and

Oxford Health NHS Foundation Trust have policies and

procedures in place to assist in maintaining safety of both

adults and children from all types of abuse.

If you believe you or someone else may be a victim of abuse

please speak with a member of the ward staff or contact the

safeguarding team, Patient Advice and Liaison Service (PALS)

or the advocacy service.

Adult mental health


Confidentiality

All professionals have a duty to protect your confidentiality.

They will not disclose any information to others outside of the

ward staff without your agreement. The only exception to this

is when there are significant risks such as child protection

issues or risks to you or others.

Driving

While you are an inpatient, you are advised not to drive. It is

your duty to inform the Driver and Vehicle Licensing Agency

(DVLA) and your insurance company of any changes to your

health and the treatment you are receiving.

For everyone’s safety (violence and aggression)

One of the challenges that lead service users to require the

speciality of a PICU is violent and aggressive behaviour.

You have told us that the services frustrate you and you

become frustrated when your needs are not met in a timely

manner. Sometimes this frustration spills over into aggression

and violence.

We believe that violence is not inevitable and it can be avoided

through clear communication and the correct treatment

programme. We cannot do this alone. We all need to work

together to stop violence occurring.

All of our nurses and occupational therapy team have been

specifically trained to minimise the likelihood of violence



occurring. We have been trained in both talk down and

physical skills.

Should violence or aggression occur on the ward, we will

endeavour to resolve the incident in a manner that is

reasonable, proportionate and necessary in accordance with

the level of risk.

All of the ward community have recourse to the Criminal

Justice System, should they wish to take this route. You will

be supported post-incident should a violent or aggressive

incident occur.


We aim to provide you with a high quality

service at all times. However, if you have

any concerns, complaints or comments

about your experience of our service, or

wish to liaise with someone outside of the

ward staff, then please contact the PALS

and complaints team.

Freephone: 0800 328 7971


For further information about this service,

please ask a member of the ward staff for

an information booklet.

mailto:[email protected]

Adult mental health


Independent mental health advocacy (IMHA)

South East Advocacy Partnership (SEAP) provide independent

advocacy services to help resolve issues or concerns you may

have while on the ward. The

advocacy is separate from staff

and Oxford Health NHS

Foundation Trust.

Telephone: 01865 728 981


Spiritual and pastoral care

Chaplains are available on request and can come and visit

you on the ward. The chaplains offer:

consultation

assessment of spiritual

wellbeing

support for service users,

staff and carers

individual referrals and

group work




social inclusion - enabling links with faith communities

for individual service users

response to specific religious needs

The chaplains can also help you to work through difficult and

conflicting emotional responses to life events, for example

loss, guilt, hopelessness, anger and sadness.

The spiritual and pastoral care team offer a secure space

where you can explore the questions that emotional distress

and enduring illness can raise, for example:

Why am I suffering?

Why are things so difficult?

Is there a purpose to my life?

Am I a bad person?

If you would like to talk to a chaplain or member of the

spiritual and pastoral care team, please ask a member of the

ward staff.

Other useful contacts

Mental Health Act office

Littlemore Mental Health Centre

Sandford Road

Littlemore

Oxford

OX4 4XN

Telephone: 01865 902 539

Adult mental health


Restore

Manzil Way

Cowley Road

Oxford

OX4 1YH

Telephone: 0845 2500 518

Fax: 01865 455 834


If you are unhappy about any of the information your receive

from staff you may also contact the Care Quality Commission

(CQC). The CQC is an independent organisation set up by the

government to help people understand their care and

treatment.

CQC National Customer Service Centre

Citygate

Gallowgate

Newcastle-Upon-Tyne

NE1 4PA

Telephone: 03000 61 61 61

Fax: 03000 61 61 71


Oxfordshire Mind

Kings Meadow

Osney Mead

Oxford

OX2 0DP

Telephone: 01865 263 732

Buckinghamshire Mind

Ashton House

14 Granville Street

Aylesbury

Bucks

HP20 2JR

Telephone: 01296 437 328





Family and young children

If you have relatives and young children that need help

understanding mental ill health, there are people they can

talk to who can help them to understand.

Young Carers

Oxford telephone: 07919 298 263

Buckinghamshire telephone: 0300 777 2722

Young Minds

Telephone: 020 7089 5050

Website: www.youngminds.orgk.uk (you can find information

and online support for both children and their parents)

Mind

Telephone: 0300 123 3393

Website: www.mind.org.uk (you can find information about

mental health, medication and treatments)

Rethink

Telephone: 0300 5000 927

Website: www.rethink.org (you can find information and

support groups for carers and families)

Royal College of Psychiatrists

Telephone: 0207 235 2351

Website: www.rcpsych.ac.uk (you can find publications about

mental health)

http://www.youngminds.org.uk/

http://www.mind.org.uk/

http://www.rethink.org/

http://rcpsych.ac.uk/

Adult mental health




Inpatient carer support groups

Support groups are a great way to meet other carers, gain

information and to get emotional support. There are a number of

groups run around Oxfordshire for the family and friends of

someone with a mental health problem. *

Rethink groups:

Abingdon Baptist Church, 3rd Thursday every month, 2.30pm

Co-ordinator: Ros Forbes (01865 455 884)

Banbury, Elms Clinic, 1st Tuesday every month, 7pm

Co-ordinator: Mandy-Lee Challis (01865 455 880)

Didcot Restore, Fleet Meadow Community Centre,

Last Wednesday every month, 7pm

Co-ordinator: Lisa McKue (01865 455 876)

Henley, Catherine Wheel Pub, 1st Thursday every month, 5.30pm

Co-ordinator: Frank King (07802 709 290), Lisa McKue (01865 455 876)

Oxford City, Rethink Carers Support Service,

Last Tuesday every month, 6.30pm

Co-ordinator: Julie Males (01865 455 884)

Wallingford, Friends Meeting House, 1st Monday every month, 10am

Co-ordinator: Claudia Holliday (07927 634 477)

Witney Methodist Church, last Thursday every month, 6.30pm

Co-ordinator: Julie Males (01865 455 877)

Friends and family support groups:

Banbury, Mills Arts Centre, alternate Mondays, 4.30pm

Co-ordinator: Kevin Emrys and Ros Forbes (01865 455 872)

Oxford City, Complex Needs Service, alternate Tuesdays, 4.30pm

Co-ordinator: Kevin Emrys and Mandy-Lee Challis (01865 455 877)

*Please note that these meetings are subject to change. We recommend you

contact the co-ordinator of the group before attending.

Adult mental health


AM 067.15

Oxford Health NHS Foundation Trust

Trust Headquarters

Warneford Hospital

Warneford Lane

Headington

Oxford

OX3 7JX

Switchboard 01865 901 000

Email [email protected]

Website www.oxfordhealth.nhs.uk

This leaflet was developed by service users and staff in

August 2014.

Adult mental health wards are part of our Adult Directorate.


http://www.oxfordhealth.nhs.uk/

welcome to ashurst ward picu - oxford health nhs ... · welcome to ashurst ward picu | oxford...

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