Welcome to Teign Ward

Information for service users

and visitors

Contents

2

Fromeside 3

Teign Ward 3

Admission Procedure 3

Ward Routine 4

Therapeutic Activity 4

Staff on Teign Ward 5

Meetings about Care 5

Ward Environment 6-7

Leave 8

Smoking 9

Personal Property 9

Staff Boundaries 10

Laundry 10

Having a Say 11

Visitors 11

What’s on Offer? 12-13

Observation Levels 14

Aggression and Violence 14

Restricted Items 15

My Care Team 16

Teign Ward Contact Details 17

Getting Here 18-19

This leaflet

This leaflet is to provide service users, carers, family and friends with information about

Teign ward at Fromeside medium secure unit.

Thanks to service users on Teign ward for help with photographs and ideas for content.

3

Coming into the unit Wherever possible, we will meet you before you are admitted.

When you arrive on the ward, we will welcome you and introduce you to the staff who

will be involved in your care. Both doctors and a nurse will meet with you to explain the

Admission process and complete the necessary assessments.

Refreshments will be provided.

Fromeside Teign Ward Teign ward is divided in to two parts—

The Enhanced Care and the Continuing

Care unit.

When you are first admitted, you will be

cared for within the Enhanced Care Unit

and the work towards moving to the

Continuing Care side. The ward

is explained in more detail later.

Teign ward uses an approach based on

Attachment Theory. Attachment theory

suggests that the relationships we form

as children with our families or

carers set a pattern that continues

throughout our lives.

These patterns are activated when we

are under stress. On Teign ward, we aim

to understand the effect of early

attachments on the relationships you

have now.

Our staff aim to help you feel secure and

to trust in the relationships you have with

your care team.

Fromeside is a purpose-built medium

secure unit situated within the

Blackberry Hill Hospital site in Bristol.

The unit supports people who because of

their mental health problems, may have

had contact with the legal system and

require a safe and secure environment that

enables them to receive a wide range of

treatments, therapies and care to assist in

their recovery and to reduce risk.

The unit is made up of 80 beds spread over

eight wards. The Women’s Service has one

ward for 12 women and is separate from

the Male Service. This women’s ward is

called Teign Ward.

All wards are on the ground floor and have

their own gardens.

Ward routine

4

You are asked to be dressed in day clothes by 10am in time for therapeutic activity.

There is a night-time curfew so that it is quiet for sleeping. From Sunday to Thursday

this is Midnight and on Friday and Saturday this is 1am.

Therapeutic activity

Meal Times

Breakfast 6.00am - 10.30am

Lunch 12.30 - 1.00pm

Tea 5.30 - 6.00pm

Supper 22.10-22.30

Takeaway food can be ordered on a

Saturday evening.

A menu is provided each week for you to

select their choices for lunch and supper.

You are encouraged to make your own

breakfast - provisions are available. Drinks and

snacks are available throughout the day.

Garden access

The garden area can be accessed

between 6.00am - 9.00pm. You can

ask staff if you wish to use the

garden between these times, and

they will arrange this if possible.

Smoking

You can use the garden for smoking

breaks every hour between 6am and

Curfew (12am on weekdays, and

1am on weekends and bank holi-

days.).

From curfew until 6.00am, you may

have one discretionary cigarette; but

you must have appeared to be

resting for one hour before this.

Every service user will receive support from staff to work out their own timetable of

activities to go alongside regular open groups that are held on the ward.

‘Plan the Day’ sessions are held every weekday morning at 9.45am for you to plan your

time and to make sure you get the support you need from staff. We will give you

information about activities occurring that day and notices about things like finance

opening times and visitors.

Enhanced Care Activities

There are activities held every weekday and led by nursing staff, occupational

therapists and psychologists.

Continuing Care Activities

You will always have a programme of activities on and off the wards as you progress

through your rehabilitation.

Staff on Teign Ward

5

Meetings about care

Your clinical care team will include: a main nurse, an associate nurse, a support

worker, a consultant psychiatrist, a Ward doctor, a clinical psychologist, an

occupational therapist and a social worker. We call this the Multi-Disciplinary Team

(MDT). There is also a pharmacist based at Fromeside who can give advice about

medications.

Care plans: Care planning on Teign ward is done between you and your

clinical team. You will be given copies of your care plans and asked to sign them.

Care planning approach: Your care team will hold regular meetings with you to

discuss your care, treatment and progress. We call these Care Planning Approach

meetings or CPAs for short. They are held after the first three months and then every

six months. If you wish, your family members or carers can join these meetings.

These meetings gives everyone the chance to get together and think about all aspects

of your life, your support needs and your future care pathway.

Patient Care Reviews (PCRs) are held every week to discuss your needs and any

other things that arise. We will let you know what is discussed at these meetings every

week and you will be invited to take part in your PCR every fortnight.

The ward

6

Bedrooms - Everyone has their own en-suite bedroom

with access at all times. Bedrooms are your own

personal spaces. We will try to enter as little as possible.

Visitors and other service users are not allowed in

bedrooms.

Lounge - The lounge is an area for everyone to spend

time with a television, books and other social activities

such as board games.

Kitchen – The Enhanced Care Kitchen is locked but you

can use it with staff support. There are facilities for making

drinks in the lounge. You will need to have an assessment

before you can use the enhanced care kitchen.

When you are on the Continuing Care unit, you can use the

kitchen at anytime. You can make snacks and we will help

you prepare food and meals for yourself, as part of

your recovery.

Dining room – Everyone can use this area to eat

meals together. During meal times, the television is

turned off.

Garden – the Enhanced Care and

Continuing Care wards have separate

gardens which can be used at certain times

throughout the day.

Activity room – on both the Enhanced and Continuing

Care sides, there are rooms just for activities and

groups. Activities co-ordinators offer a variety of

activities and we encourage you to choose which things

to do.

7

Interview room – both the Enhanced and Continuing

Care sides have a private room available for time with

staff and visitors.

Laundry room – Everyone is expected to do

their own laundry but we can support you

if needed.

Gym – Teign has its own gym complete with a treadmill and space for activities such as

yoga, pilates and a Nintendo Wii.

Enhanced Care suite – this is a safe, private and quiet

space for you to reflect and receive support from staff.

8

Leave

Leave is an essential part of recovery. It is an important part of your rehabilitation.

Leave will be discussed at Patient Care Reviews and CPA meetings, so that you and

your clinical team can all put forward ideas and make decisions about your leave.

Escorted ground leave

At first , you will only be given access to the grounds of Blackberry Hill Hospital with a

member of staff supporting you. This is to make sure you are safe whilst helping build

your confidence.

Escorted community leave

When you are ready. you will be able to take trips into the community with a member of

staff. There are shops nearby in Fishponds and it is easy to get to the city centre.

Unescorted community leave

Going into the community without staff support will be granted gradually following a set

process, taking account of your needs and your family’s needs, where required.

For all leave, it is very important that you arrive back at Fromeside by the

given time.

Personal property

9

You will have a lockable drawer in their bedroom for personal or valuable items.

There are some things that may need to be kept locked in the property store in the team

office. These are things that could pose a risk to the safety of the ward such as

scissors, aerosols and nail varnish.

We will let you know what things need to be kept in the property store. Items in the

property store are safe and secure.

One nurse on each shift will act as the ‘security nurse’ and will hold the key to the store.

The security nurse will get items out of the store upon request.

Smoking Smoking

Smoking is permitted in the gardens of Teign ward. The garden area is open from

6.00am - 9.00pm. You can use the garden for smoking every hour.

After curfew until 6.00am, only one discretionary cigarette is allowed but you must have

appeared to be resting for a period of one hour before this.

We encourage service users to develop a healthy lifestyle. If you would like to stop

smoking, we have staff trained to help you do this.

For safety on the ward, lighters are held by staff who will give you ‘lights’ upon request.

Staff boundaries To keep therapeutic relationships within safe boundaries, it is important for members

of staff not to answer questions of a personal nature. This helps us make sure we

focus on service user care. Please don’t be offended if we can’t answer a question

that you ask.

We also have clear boundaries about how staff and service users should behave with

each other on the ward, so that everybody knows what to expect.

There are also policies, so that the staff know how to respond in different situations

and so service user know what will happen too. This is important in making sure

everybody feels safe.

If you have any questions about boundaries, please ask.

10

Laundry Towels and bed linen are provided and are available from nursing staff. You may bring

your own linen if you wish, as long as we have checked it meets fire regulations.

Washing powder is also provided.

Enhanced Care Laundry Facilities

You can use the laundry with support from staff. Staff may need to do ironing until risk

assessments have been carried out.

Continuing Care Laundry Facilities

The laundry is available at all times. Staff are here to support where needed but we

encourage you to take responsibility for this task. You can get the iron from the security

nurse and must do your ironing in the laundry room.

Having a say

11

Visitors

We value what service users have to say about the ward. There are fortnightly

Community Meetings for service users on the ward to get together and discuss how

the ward runs, any concerns about the ward and suggestions for making it better.

Advocacy.

We can organise for Advocates from Mind to support you to communicate your wishes

and concerns to doctors and other professionals. They also provide an Independent

Mental Health Advisor (IMHA) service, giving you information about your rights under

the Mental Health Act. Bristol Mind can be contacted on 0117 980 0386.

Patient Advice and Liaison Service (PALS)

PALS provides confidential advice and support, helping to sort out any concerns about

the care being provided. PALS can also signpost you to different services available.

To make a comment or suggestion, raise a concern or make a complaint, please con-

tact the Trust’s Patient Advice and Liaison Service (PALS):

Tel: 01249 468261 Freephone: 0800 073 1778

Email: awp.pals.nhs.net

We recognise the importance of contact with family and friends and will help you arrange

and plan for visits.

Home visits

If you have unescorted leave, you can visit family up to every six weeks.

Visitors are also welcome on the ward. We can help you use the telephone to arrange

visits, or visitors can call the ward to arrange a suitable time. However, we recognise

that the geographical area we cover is very large and will consider visits outside of the

regular times for friends and relatives who have to travel long distances.

Weekend visiting times are flexible as there are less scheduled activities and no

clinical meetings.

Visits on weekdays are often arranged for after 4pm to avoid meetings and scheduled

activities.

Under-18 year olds are not allowed on the ward, so extra planning is needed to arrange

visits with young people. Please speak to nursing staff and the social worker for more

information on arranging visits for under 18 year olds.

Family and friends are welcome to contact us at anytime, but we must have your

consent before we can share any information about your care.

12

What’s on offer? Teign ward has a dedicated medical team made up of psychiatrists, GPs, general

nurses, a physiotherapist and a pharmacist who you can ask to meet to discuss any

concerns about your medciation.

The Nursing Staff based on Teign ward offer a wealth of experience and expertise in

working with women who suffer from mental health problems. They are available 24

hours a day to offer support.

Teign ward has a dedicated team of Clinical Psychologists who are available on

he ward for service users to get to know them.

Psychologists will sometimes be involved in :

carrying out assessments

therapy

runnning groups.

The Malago Centre is run by the

Occupational Therapy team. The centre

offers a range of different activities to meet

therapeutic and rehabilitation needs.

You can get involved with woodwork, metalwork, cooking and many other activities.

There is also a garden attached to the Malago Centre which you can help with.

Occupational therapists can also help service users to access the community on leave for

specific activities and can arrange voluntary work to develop skills.

Possible topics for therapy may be:

ways to manage distress

relationship difficulties

alcohol and drugs work

managing distressing experiences

such as hearing voices

offence work

coping with trauma.

Rivers Café is located in Fromeside and is run by service users and Occupational

Therapists. The café is open during lunch times on weekdays for staff, service users and

visitors. Service users can get involved with Rivers Café and earn some money whilst

gaining valuable work experience. They will need to pass a food hygiene course.

The Arts Psychotherapy department offers individual and group work in art, drama

and music therapies.

The unit has a Chaplain who visits Teign ward and you can request an appointment for

spiritual needs. Teign ward respects and accommodates all religious and spiritual

beliefs. There is a room at Fromeside called The Sanctuary where you can have time

and space for reflection and prayer.

There is a Social Worker on Teign ward who is

available to offer support on all areas of social care

such as money, housing, the criminal justice system

and contact with family. They will liaise with external

agencies alongside other members of the clinical

team to look at services to provide support and ac-

commodation when you are ready to move on

from Teign.

13

Aggression and violence

14

Observation

It is very important that service users and staff feel safe whilst on Teign ward and do not

fear bullying, verbal aggression or violence.

Aggressive and violent behaviour is taken very seriously and will not be tolerated.

Any act of physical violence will be reported to the police.

Any incident of aggression or violence will result in service users being escorted to the

‘de-escalation suite’. This is to give them time and space to think about what led up to

the incident.

In some circumstances, staff are required to physically intervene to protect

service users, staff and others. Staff on Teign ward are trained in Prevention and

Management of Violence and Aggression (PMVA) techniques. Wherever possible,

female staff will carry out these techniques.

After an incident requiring PMVA, service users will be offered an opportunity to talk

about what happened.

For the safety of service users, staff and visitors, all service users are regularly

observed. This involves checking that you are safe.

There are different levels of observation. You and your clinical team will decide

which level is best for you.

Level one observation means that every hour staff will check that you are safe and

will record where you are and what you are doing.

Level two observation means that staff will regularly check that you are safe. How of-

ten will depend on your level of risk.

Level three observation means that staff will always be able to see you.

Level four observation means that one or more members of staff will remain very

close to you at all times.

Level 3 and 4 observations are usually used when a service user is at a high risk of

harming herself or others. Keeping constant observation helps to keep everyone on the

ward safe.

Observations are done at night as well as during the day. Staff try to be as discreet as

possible, especially at night.

15

Restricted items Ito keep everyone safe, we have to limit or deny access to certain items. These are things

that could be harmful to people or damaging to property.

These items cannot be taken onto Teign ward at any time:

weapons

drugs and alcohol

chewing gum

Blu-tac

broadcast or communication systems (i.e. modems)

laptop computers

umbrellas

cameras

matches

metal combs

magnets

As well as these items, visitors must not bring mobile phones or lighters on to the

ward.

There are lockers in reception for safe storage of property.

These items must be kept in the security cupboard:

scissors

razors

plastic bags

glass objects

solvents

DVD’s or VHS Tapes which are not officially produced

Tin/steel cans

computer software

domestic knives

tools

lighters

mobile phones

perfume, aftershave

16

My care team

My Consultant psychiatrist is:

_________________________________________________________

My Ward doctor is:

_________________________________________________________

My Primary nurse is:

_________________________________________________________

My Associate nurse is:

_________________________________________________________

My Clinical psychologist is:

_________________________________________________________

My Occupational therapist is:

_________________________________________________________

My Social worker is:

_________________________________________________________

My Service user involvement worker is:

________________________________________________________________

17

Teign Ward Contact Details

Teign Ward

Fromeside

Blackberry Hill Hospital

Stapleton

Bristol

BS16 1EG

Fromeside Reception:

0117 3784012

Teign Ward Office:

0117 3784071

18

Getting Here

By Bus

From Bristol City Centre—the number 5 leaves regularly and stops on Manor Road

outside Blackberry Hill Hospital.

By Train

If arriving at Temple Meads Railway Station in Bristol, you can get the number 49 bus

from Old Market Street. This stops on Channons Hill which leads on to Blackberry Hill

and Manor Road.

By Car

From the East take M4 to M32 and exit at J1. Take first exit at roundabout signposted

Yate. Follow signs to Frenchay Hospital, pass it on your left and continue over a mini-

roundabout. Go straight over some traffic lights and turn left at the next mini-roundabout.

Follow road to the ‘White’ entrance (as on map).

Wh

ite

en

tran

ce

Bla

ckb

err

y C

en

tre

Fro

mesid

e

01

17 3

784

01

2

Ma

no

r R

oad

Th

e O

ld

Ta

ve

rn

pu

b

Lim

ite

d c

ar

pa

rkin

g

Dis

able

d c

ar

pa

rkin

g

Ba

rrie

r, b

uzz a

nd

sp

eak t

o s

ecu

rity

to

g

ain

en

try

Lim

ite

d

ca

r p

ark

ing

A

ce

r U

nit

La

nsd

ow

ne

L

imite

d c

ar

pa

rkin

g

Wic

kh

am

Fis

hp

on

ds

Sta

ple

ton

/ M

32

/ F

ren

ch

ay

Bla

ckb

err

y H

ill S

ite

19

Contact us

Ward Manager Teign Ward Fromeside

Blackberry Hill Hospital Bristol

0117 3784071 www.awp.nhs.uk

To make a comment, raise a concern or make a complaint, please contact the Trust’s Patient Advice and Liaison Service (PALS).

Tel: 01249 468261 Freephone: 0800 073 1778 E-mail: awp.pals@nhs.net

Other formats and languages

If you need this information in other formats (such as large print, audio Braille) or in

another language, please call the PALS number.

Lead: Assistant Psychologist

Leaflet code: AWP205 Last review; Jan 2015 Next review: Jan 2018