Enter and view: Snowsfield Adolescent Unit, Southwark

Download (PDF 446KB)

Summary of report content

This is an Enter and view report from Healthwatch Southward following two visits to Snowfield Adolescent unit by five authorised representatives on Wednesday 25th and Friday 27th March 2015. The HWS representatives made the following recommendations: 1. To strengthen how the Unit gathers feedback from young people especially on facilities: - To consider ways that young people can be involved in designing or reviewing the food menus. - To seek feedback particularly about their personal environment including accommodation. This could be through a specific forum or with the support of advocates. 2. To incorporate the following when training staff: - Dual diagnosis: Staff are increasingly providing a more specialist services and caring for patients with dual diagnosis or referrals from specialist centres, hence a need for training staff to help manage the complexity of this. - Patient interaction: Some young people may need additional support as they may not find it easy to express themselves to staff. Staff should be mindful of this, and make extra efforts to ensure that these people are comfortable and well supported. 3. To vary and increase the range of activities that are available to young people particularly in the evenings and on the weekends. 4. To consider the risk assessment process when approving leave for smokers: whilst it is understood that the Trust’s No Smoking Policy is non-negotiable, some young people receiving care at the Unit are heavy smokers and therefore request leave to smoke. Although a risk assessment is carried out, there is concern that some young people are vulnerable when they leave the Unit premises unaccompanied, and they may try to pass the risk assessment because of their need to smoke. Healthwatch Southwark lay out a set of tasks for themselves including visiting other services. Snowsfield Unit is said to be working to a high standard, as demonstrated in this report. However, The Unit is continuously challenged due to high demand and limited resources.The report provides some considerations for commissioners to think about. The provider provides a very full and detailed response to the recommendations in the report.

Would you like to look at:

General details

Report title 
Enter and view: Snowsfield Adolescent Unit, Southwark
Local Healthwatch 
Healthwatch Southwark
Date of publication 
Friday, 27 March, 2015
Date evidence capture began 
Wednesday, 25 March, 2015
Date evidence capture finished 
Friday, 27 March, 2015
Type of report 
Enter and view
Key themes 
Communication between staff and patients
Decor
Engagement
Food and nutrition
Holistic support
Lifestyle and wellbeing
Medication
Quality of staffing
Service delivery organisation and staffing
Staff attitudes
Other information of note about this report 
Good Practice
Healthwatch reference number 
Rep-5243

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Observation
Structured interview
Survey
Unstructured Interview
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Announced

Details of health and care services included in the report

Secondary care services 
Acute services without overnight beds / listed acute services with or without overnight beds
Inpatient care
Psychiatry/mental health (hospital services)
Mental health services 
Child and adolescent mental health services (CAMHS)

Details about conditions and diseases

Types of disabilities 
Mental health
Types of long term conditions 
Mental health condition

Details of people who shared their views

Number of people who shared their views 
18
Age group 
All
Gender 
All
Ethnicity 
All
Specific ethnicity if known 
All
Sexual orientation 
Not known
Does the information include public's views? 
No
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Care / support workers
Service manager
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Positive

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
No
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.