"Delays in implementing care plans"

My son was admitted with an acute mental health condition.  He has been in the ward for 14 weeks.  I am grateful that he is safe from harm due to his condition.  GGC website advertises as follows:-

"While young people are in Skye House, they will go to school, therapy groups, family sessions and individual sessions. Young people will also have time to do things that they want to do.

"Every week, young people will get a timetable for the next week. Although each young person's timetable is different, there are some routines/groups which all young people should follow".

My sons case has been complex and a very slow progress has been made,  He sleeps due to sedation from 10.30pm to 13.30pm - 15.30pm daily due to sedation medication and side effects.  He has not been allowed to join in with social prescribing activities such as baking, attend school (because he registered for college prior to his admission), and has attended one exercise session in the gym for 15 mins.  He has never received a time table of any exercise of complimentary therapies, neither has any family members being invited to attend any peer support sessions until the last Care Review Meeting a few days ago.

I waited 4 weeks on a letter being produced from a Care Review Meeting to let college know he was in hospital.   The reason given was that they needed My son's permission for the letter to be granted to myself who is his "named person".  On the day of the following Care Review Meeting and mentioning the letter has not been received again, after being told it would be left on the ward for me.  It took attending another Care Review Meeting for the letter to materialise within an hour after having to complain.   I asked on several occasions for the letter and due to the lateness of the letter my son has lost his college placement.  Which will impact on the planned structure of his recovery on discharge from the hospital.

At my sons previous Care Review Meeting it was agreed that he would be allowed out in the Gardens for 15 minute walks supervised with two members of staff.  In 5 weeks he has been in the garden 3 times and been to the gym once since admission.  All he is asking for is to breath fresh air and is now depressed due to being in his room 24 hours a day with nothing to do apart from watch TV, drink tea and sleep.    On one occasion trying to get him up at 10am for a walk when they know he is heavily sedated and not able to get out of bed due to the sedation effects of his prescribed medication.  I complained on the day that I heard that he had not been out and within the hour of me complaining he was taken in the garden,        

Finally,  the last Care Review Meeting it was agreed that his brother could take him to the Gym on visiting, and arrangements were made the evening before and it was agreed that the following day he could go to the gym.  My son was delighted and excited about going to the Gym with his brother and the evening before planned their workout to be told the digital records have conflicting information on them saying the consultant said (Care Review Meeting) he must be supervised by staff going to the gym with his brother and the other notes said (Team Meeting Review) days later said he can go to the gym with his brother unsupervised during visiting times. 

My son is suppressed, bored and receiving inadequate exercise to stimulate his mental wellbeing. 

I feel the Lewis Ward is being badly managed on planning patient-centred care, agreed care plans are not being followed due to inadequate nursing staffing levels in my opinion.  My other observation is that the other children are at school during the day and there still seems to be staffing problems and unable to take him to the garden,

Whilst I am grateful to the staff on the ward for their care of my son and keeping him safe.  There seems to be a lack of communication and ability to cope with the demand to follow mental health recovery care plans.  Their is long delays in implementing care plans.

I feel very disappointed and frustrated in lack of person-centred care being delivered and watching the decline of my sons mental wellbeing.