Keswick Ward

What is organised for students on commencement of placement?

All learners will be allocated an assessor prior to the placement starting (where possible). The learner will receive a welcome pack and will receive a full orientation and induction during the first 48 hours- local and PARE orientation. Learners will also complete a key induction and bio-metrics at the start of placement.

Learners are encouraged to make contact with the placement prior to starting and are welcome to have a pre-visit to the service. Please contact the placement no sooner than two weeks prior to commencement to arrange your shift pattern.

What are the arrangements for mentors/assessors?

Learners are assigned to an assessor and supervisor(s) prior to commencing placement where possible. The Assessor or Supervisor will complete the initial interview during the first week where possible.

Learners will primarily work alongside multiple supervisors who will then provide feedback to the assessor.

The Assessor will meet with the student at mid-point and final-point to provide feedback on development.

What shift patterns are students allocated for learning?

Early:

7:00 a.m. – 3:00 p.m. – 30 minute break

Late:

1:00 pm – 9:00 pm – 30 minute break

Long Day-

7:00 am – 7:15 pm- 1 hour break

Night:

7 pm – 7:15 a.m. –1 hour break

 

Shift Notes:

Learners are expected to work the same shift pattern as practitioners which includes days, nights, evenings and weekends. Learners are expected to work 2 x short shifts and 2 x long shifts per week (37.5 hours) except for bank holidays (depending on HEI).

Learners doing night shifts would be expected to work 3 x night shifts on one week and 4 x night shifts another week to give them 37.5hrs per week average

Any changes to agreed off duty will need to be discussed with manager and/or PEL

What patient care situations are available in this placement?

Keswick Ward delivers 13 beds for a similar recovery focused pre-discharge pathway.

Service users residing on Keswick may be entitled to leave and are actively working towards their discharge to a community placement/destination.

Our service users are In-patients with enduring mental health problems who are now moving back into their community and thus have extended leave arrangements and a level of independence. Some community work also, as appropriate/needed.

The model of care is based on the principles of recovery, a feeling of hope and optimism is essential for our service users’ recovery.  We believe that service users should be empowered to regain and maintain control over their lives and to develop a sense of meaning and purpose.

We provide both 1-1 and group-based interventions dependent upon need.

You may also be involved in:

*Dispensing of medication

*Care planning collaboratively

*Monthly reviews and CPA reviews – provide report, attend and present info

*Escorting patients (under supervision)

*Management of ward and staff (under supervision)

*Involvement in Care Delivery (under supervision)

*Admissions

*Transfers

*Discharges

*Primary nursing

*Assessment

*Planning

*Implementation of care plans and interventions

*Reviews

*Care Programmed Approach

*Applying the Mental Health Act framework

* Managing Complex and Challenging needs

*Managing Personality Disorder

*Therapeutic relationships

*Maintaining NMC standards

*Maintaining Confidentiality

*Holistic [bio – psycho – social] Care

What nursing model is used for planning care?

Recovery Model and Care Programme Approach

What core clinical skills can be learnt?

• *Boundary setting*Developing Communication Skills

  *Assessment, Care Planning, Implementation and Evaluation

  *Medication Knowledge and Administration

  *Therapeutic Risk taking

  *Building Therapeutic Relationships

  *Delegation Skills

  *Team Working

  *Management Skills

  *Risk assessment and management

  *Use of the Care Programme Approach

  *Management of severe and enduring mental health problems

What additional clinical skills can be learnt?

• * Taking and Presenting Handovers* Shift Coordination

  * Attending CTM’s (Ward rounds) and CPA reviews

  * Depot Injections

  * 1:1 sessions

  *Development and management of therapeutic relationships

  *How to develop care plans using the Care Programme Approach

  *Creating relapse prevention plans and crisis planning.

  *Enhancing recovery in service users who have severe and enduring mental health problems, using the Recovery Model

  *Pharmacological interventions such as medicine management and depot administration

  *Non pharmacological interventions such as psychosocial intervention, problem-solving and communication skills

  *Enhancing Activities of Daily Living skills with a view to maximising future placement opportunities

  *Enhance awareness of Multi-disciplinary working.

  *Understanding of both local and National Forensic policy development and the impact this has on practice.

What resources are available to help students learning?

The learners have access to the internet and intranet

Library access at the Prestwich site

Learning packs

All members of the team are an excellent resource to support you in your learning e-learning programmes

Study days/in-house training

Spoke opportunities

MDT reflective discussions

Skilled staff

Student information booklet and noticeboard

Coaching model

MDT learning

Trust wide CPD training

Learning hub

Information Folders

What research and practice development activities are being undertaken?

• * Psychosocial Interventions* Structured Day

  * Student Development Topics

  * Reflection Models

  *CQUIN

  *Least Restrictive Practice

  *My Shared Pathway

Spoke Placements

Learners can access a variety of spokes placements which are highlighted in the student welcome pack which includes other wards at Edenfield

Learners are expected to complete a spoke placement feedback sheet on PARE to identify what learning outcomes they want to achieve, what they learnt from the spoke experience and a discussion with their assessor of their experience and what further development opportunities would support their learning

Additional Information

Please take some time to watch this video; Adult Forensic Services | Greater Manchester Mental Health NHS FT (gmmh.nhs.uk)

Keswick Ward is a Male ward

Our staff are on hand to offer service users and their family members and carers information about mental health, recovery and the choices and resources available to them. Carers information packs are available and carers events take place throughout the year.

All learners will be booked onto Service Induction and Key Induction and will need to make every effort to be on duty on these dates therefore you need to contact your placement beforehand so that your shifts can be planned around the dates.

Sickness:

Learners are expected to contact the ward and University absence email if they are not going to be attending placement due to sickness.

Dress Code:

Learners are required to wear uniform and appropriate footwear as well as their student GMMH ID badge at all times. Learners are expected to maintain a professional image service at all times in and outside clinical areas.

Practice education Facilitator: Lindsey Hodges

Contact details: lindsey.hodges@gmmh.nhs.uk