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"Care of a family member"

About: Rampton Hospital

(as a carer),

A close relative was admitted to Rampton almost 2 years ago.

The first few months at Rampton were not very easy for my relative as they were on an assessment ward and were not able to participate in many activities. I was also struggling to come to terms with the situation and to learn how to handle visits.

Generally, I am very impressed with the care provided at Rampton. The majority of staff are extremely helpful (from Reception staff to senior management). I have also benefited tremendously from the Carers meetings. It is good to meet with other carers and be able to learn from their experiences. It is also good to offer some encouragement and support to others. I also like the opportunity to meet hospital staff and appreciate the time they give up to join our meetings. Some of the topics covered over the past couple of years have helped me understand how the hospital operates to give patients the best care possible.

The key issue at the moment seems to be the lack of resources. With the salaries available it seems difficult to fill vacancies, and to retain staff that do take up positions. It is also looks like staff numbers have been reduced as budgets are cut. 

One of the impacts of this is that my relative often has their activities cancelled. To make matters worse this is often done at the last minute. It isn't good for anyone's state of mind to be sitting in the waiting area expecting to go for a swim and then to be told it isn't going to happen. This happens regularly, upsets my relative and frustrates me and staff on the wards. As a minimum, some advance notice should be given out of general courtesy to patients. The staffing issues also need to be addressed.

Stopping pets being taken in to patient visits was also a bad move in my opinion. I have voiced this on many occasions, and still feel strongly about it. Our dog was assessed as suitable undergoing lengthy assessments by a dog behavioural specialist. She passed with flying colours and then the hospital changed its policy. I still don't know why. I was told that it was to come in line with the other two hospitals, but have since been told that the others do allow dogs to visit. Interestingly, everyone seems to agree that contact with suitable animals is really good for the patients.

I also think the hospital has a long way to go to introduce more technology for the patients to use. Some of the restrictions in place seem ridiculous. My relative was allowed an mp3 player, but it is so basic you can't choose what music to listen to. I had a better one in 2001, that I used when commuting on the train in to London! In a digital age, patients need to be up to speed with the internet and eCommerce. I fully understand the challenges involved, but a function rich Intranet, with limited access to some Internet content is perfectly possible to provide from a technical perspective.

Another area that could be improved is where visits are held. It is very difficult to have a natural conversation with my relative when we are in a tiny room with a member of staff sitting in the corner. We need a more comfortable environment to meet in with enough space. On some wards we met in the dining room which was acceptable as it was more like sitting in a cafe, with staff on another table. It would also good to have an outside area for occasional use during the warmer months.

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Responses

Response from Peter Wright, Executive Director, Forensic Services, Nottinghamshire Healthcare NHS Foundation Trust 4 years ago
Peter Wright
Executive Director, Forensic Services,
Nottinghamshire Healthcare NHS Foundation Trust
Submitted on 02/05/2019 at 16:53
Published on Care Opinion on 03/05/2019 at 14:07


Thank you for this feedback - it's really valuable.

What you say about the carers' events is striking. Having a family member in Rampton can be a very isolating expereince. The events demonstrate that there are many others in the same situation. I'll be at the next one on 15 June. See you then? Interestingly that's going to focus on focussing on carers' wellbeing

On resources, the main issue is qualified nurse recruitment. We are looking again at the strategy. We seem to be holding steady but we haven't reduced the vacancies in the way we had hoped. There's a national shortage of nurses.

We're working on the activity cancellations. We're quite pleased with the overall improvement in the take up of activities but I take your point on one of individual activities like swimming. There's no lack of will to give people advance notice - the problem is rather unpredictable medical emergencies when we have to take patients to outside acute hospitals.

There has been a lot of concern about the ban on pets in visits. We've had some health and safety issues, if you see what I mean. I don't think we could reintroduce it given the infection prevention and control demands on us from regulators. But we are working on getting in therapy dogs.

There's some movement on IT. The new security Directions (expected June) should allow us to improve things. This is a big issue for patients' recovery journey.

Some visits rooms are indeed very cramped. We know it makes for socially awkward situations. Ward staff move them to the dining area when they can. It would be nice to move them outside in good weather - but that would have staffing implications too.


Happy to discuss further

Best wishes

Peter.
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Response from Lynne Corcoran, Head of Forensic Social Care, Forensic Services Rampton, Nottinghamshire Healthcare NHS Trust 4 years ago
We are preparing to make a change
Lynne Corcoran
Head of Forensic Social Care, Forensic Services Rampton,
Nottinghamshire Healthcare NHS Trust
Submitted on 02/05/2019 at 17:05
Published on Care Opinion on 03/05/2019 at 14:08


Thank you for taking the time to post your experiences on Care Opinion. It is good to hear that you have an overall positive experience of the care and staff at Rampton Hospital. We aim to provide good quality care for patients, and their friends and family.

Sorry to hear that we do not get things right all the time.There are times when, due to exceptional circumstances, activities have to be cancelled at the last minute, which is regrettable. Wherever possible we prioritise patients attending planned activities.

We understand that some carers and patients are disappointed at the decision to stop family dogs coming into the hospital, but there are plans to introduce a scheme that involves patients accross the Hospital being able to have contact with a volunteer and their dog later this year.

Access to IT equipment is governed by Security Directions, you can find the up to date list on the Trust Website page for Carers.

I hope you are planning to attend the next Carers event in June, and look forward to seeing you then.

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Response from Peter Wright, Executive Director, Forensic Services, Nottinghamshire Healthcare NHS Foundation Trust 4 years ago
Peter Wright
Executive Director, Forensic Services,
Nottinghamshire Healthcare NHS Foundation Trust
Submitted on 03/05/2019 at 16:35
Published on Care Opinion at 16:35


Just to say that the Carers' event in Rampton has now been moved to 8 June.


Yours

Peter
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