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Our Services
Kirklands
Hospital provides residential accommodation within a hospital setting
to 151 people. There are 11 cottages which have been designed to offer
care to as few as 8 people and up to 28 people. Four out of the 11 cottages
offer accommodation to 15 people and under. The people who live in the
cottages are grouped according to their level of support need.
There are a team of staff i.e. nursing, medical, clinical psychology,
pams and recreation staff who support each cottage. Other supports are
offered via the Speak Out Advocacy service.
The service
review
This was the first time that a review of this nature had taken place within
Kirklands Hospital. It was held between the 26th October 2001 and the
14th December, 2001. Within this time, three workshops were held and the
team also spent time with the person that they had been linked with.
There were nine people who were visited within the review. For the purposes
of this review, the sample of people chosen was spread across the cottages
in order to reflect what life was like for an older person, someone who
had high support needs, someone who had difficulty expressing themselves,
etc.
The review team consisted of people from a variety of different backgrounds
i.e. two parents, two hospital residents who were accompanied by their
advocates, one service provider, one member of the public, one nurse,
one clinical psychologist, one recreation officer and one Trust manager.
Findings
What was going well for the people visited:
• People were being supported to make some choices about their
clothes, music to listen to and about going out and about.
• Most residents were being treated respectfully by most staff.
• A range of everyday activities were being offered.
• A lot of people were supported to have friends and relationships.
• There is support to help families to be actively involved.
• People were getting a lot of help to stay healthy.
• Some people were having a say, especially in their future resettlement
into the community.
• There is excellent family involvement and family’s views
were sought where possible.
• Staff work very hard at keeping people safe.
What we need
to improve:
• People need to get more choices in accessing real life experiences.
• People need to be able to communicate their food choices.
• A wider range of everyday activities needs to be offered.
• People need to be supported in a valued way to get involved.
• More community based activities need to be offered.
• People need real adult relationships.
• Contact with current friends needs to be supported and improved.
• Community relationships need to be encouraged.
• Community awareness has to increase.
• More voluntary support is required.
• People need more opportunity to exercise.
• People need to be involved in health promotion activities.
• Important decisions need to be communicated better.
• Families need more support where there are difficulties.
• Prevent people being at physical risk from other residents.
Summary
This review has brought a group of people together from within and outwith
the service and asked them to look at specific quality of life issues
which are fundamental to human growth and development. The results have
shown that there are pockets of good practice which can be seen, however,
on the whole there are areas which require more dedicated work in order
to ensure that the best possible service is being provided.
The next
steps which we intend to take as a result of this review is to work to
a very detailed action plan, with timescales and appropriate people designated
to action them. The action will be reviewed in six months time.
For more
information, contact:
Ms. Pauline Bartlett, Quality Network leader
Lanarkshire Primary Care NHS Trust
Learning Disabilities Service
Kirklands Hospital
Bothwell
Glasgow
Telephone: 01698 245000 ext 3139
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