Marina PICU
Your recovery at Marina PICUBack upMarina Ward is a seven bed male psychiatric intensive care unit (PICU) located at Berrywood Hospital.
All members of the multi-disciplinary team work together to develop a plan of care in partnership with you to enable your recovery.
The Marina PICU offers a stable environment for recovery.
to create a space of understanding. We want to ensure we are able to acknowledge our service users' cultures, life experiences, protected characteristics and their strengths to promote their recovery.
Co-production of care with our service users is central to their recovery journey and makes up a key part of our ethos. We endeavour to make sure we work with service users, carers, clinicians, practitioners and external agencies to create and enable care plans. We aim to help those who come through our service to identify their resources and plan for how they can use these to take control of their life and achieve their chosen goals.
What do you need to know if you have been admitted?Back upNursing staff will greet you and introduce you to the other staff on duty.
- You will be given a tour of the ward
- You may need to have a 'pat down' and your property will be searched. If any illegal substances are found in your possession, they will be removed, and the police informed
- Any prohibited items will be removed when you are admitted - examples of these are listed later in this booklet
- You will be seen by a doctor who will check your physical health
- The admission nurse will complete an admission pack with you to gather information and enable them to start developing a plan of care with you
- During your stay, the nurses will complete a co-produced care plan with you. This will be individual to you and help to define your care both now and in the future
- Discharge planning will begin on admission and will be agreed with you. Timely discharge planning helps to support your journey of recovery and ensures appropriate support is available to you in the community
- Your clinical teamBack up
Your clinical team may have the following members:
Consultant
A consultant is a doctor who is responsible for your care and treatment during your stay in hospital.
Your consultant usually has a weekly ward round when you, your family / carers can ask questions. Please ask a member of staff about your ward round times.
If you wish, you can ask for a family member or advocate to be present.
If you wish to see a doctor on a day that is not your ward round day, please make a member of staff aware and we'll try to accommodate this.Junior Doctors
These are professionals who support the consultant, completing assessments and help to support other professionals in working towards your recovery and discharge.Primary/named nurse
Your primary or named nurse is a qualified nurse who will be responsible for ensuring all aspects of your care are being met. This includes care planning, assessments as well as spending time with you to help work towards recovery and discharge.
Associate nurse
This is a member of staff on the ward who will help support your named nurse to complete care plans and assessments as well as spend time with you on the ward to complete 1 to 1's, activities and promote recovery and discharge.Occupational Therapists (OT's) and Physiotherapist
OT's and physiotherapists are allied health professionals who focus on practical ways of helping you manage the impact of your health conditions to live as independently as possible. They work on the wards and in the therapy department with the sports instructors, therapy assistants, OT / Physio apprentices and volunteers.Clinical Psychologists
Psychologists are available for individuals who need talking therapy and support in achieving recovery. Please discuss with ward staff if you would like to be referred to psychology.- Occupational TherapyBack up
Occupational therapists (OTs) help you do everyday things when you're not feeling well or you're finding things hard.
They work with you to work out what it is you find difficult and help you get better at doing those things. Together you can set goals and work together to get back on track while you're staying in hospital and when you leave.
OTs help you feel more confident and motivated. They can help you feel better about yourself and help you set a routine that gives you a sense of purpose.
The main areas OTs focus on are:
- Taking care of yourself
- Using your free time well
- Getting ready for work or education
- Making friends and socialising
You will also be supported by Occupational Therapy Technical Instructors (OTTIs), who work under the supervision of occupational therapists. They can help you develop, regain or maintain skills needed for daily living and meaningful activities. OTTIs will lead group sessions, assist with vocational training, and teach practical skills like time management or self-care routines.
- Information about the wardBack up
Things to bring with you:
- Enough clothing
- Medication you are currently prescribed
- Nightwear
- Toiletries
- Reading material / crosswords / puzzles
- Your bank card or money for payphones, vending machines, the café etc.
Things to leave at home:
- Weapons / knives or blades
- Glass
- Alcohol / illicit substances
- Matches
- Valuables
- Bedding
Valuables and mobile phones
Please do not bring valuables with you. If you do have any valuables with you, please hand them to a member of staff, or preferably give them to a friend or relative to look after. We cannot take responsibility for items not handed in.
Mobile phones are allowed on the wards unless there are concerns about patient safety.
Your room
Each patient will have their own room with the majority of rooms having an en-suite shower (shower temperatures are set for patient safety). You will be able to keep your personal belongings in your room. There are keys to each bedroom which will be given on admission although there may be times when a key is not given. Staff will be happy to discuss this with you. Room checks may be carried out.
All bed linen will be changed on a Saturday and all mattresses will be flipped and cleaned. If you need any extra blankets, please ask staff for these.
During your stay within the mental health inpatient unit should you require urgent assistance and are unable to leave your room to alert staff, there is a call system in place. The call button is located in your bedroom and is fixed to the wall by your bed. By pressing the call button, our staff will be alerted that you need assistance. Once you press the call button, please wait for a staff member to attend to you.
Ward environment
There are many communal areas on the wards that include lounges, quiet rooms, dining rooms, activity rooms and the outside courtyards. There is also a laundry room with access to a washing machine and tumble dryer.
There is no CCTV in patient bedrooms or private meeting rooms.
Please respect your bedroom and the ward area at all times. Damage to property must always be reported as soon as possible.
There is a café and a small shop that sells basic items on the hospital site.
Whilst you are on the ward, staff will carry out general ward observations. You will be checked on by a member of staff each hour to make sure you are safe and well. At night, you will still be checked but this will be done through the hatch in your door.
Each ward has mutual expectations that have been created between patients and staff and these are displayed on the ward notice boards.If there are any incidents on the ward, please go to your room or follow direction from lead members of staff. If you have any concerns for your personal safety please speak to a member of staff.
Smoking policy
You are able to smoke in the ward courtyard. There are designated times for this to keep the area smoke free for others.
You will not be allowed to keep a lighter or matches on the ward, and will need to hand these in on admission to the nursing station. This is to ensure that everyone remains safe.
Nicotine Replacement Therapy is available to all service users to help manage their cravings. Alternatively, patients own e-cigarettes and vapes can be brought in.
Please ask staff if you would like more information.
Meet the Matron
The Ward Matrons will call round to see you within 48 hours of your admission to discuss any concerns or suggestions you may have. Information relayed to your relative or carer will be dependent
on your consent. - What is the daily plan?Back up
Every morning a meeting is held on the ward, all service users will be asked to attend. The meeting is attended by the nursing team and the ward's occupational therapists.
The purpose of this meeting is to:
- Promote structure
- Encourage you to get involved in your care or treatment
- Encourage engagement in a meaningful and therapeutic activity
- Allow planning for the day
- Enable staff to use resources efficiently - i.e organising the shift plan and allocation of staff
- Request an approximate time to take any of your leave
- Ask any questions
- Order items for the shop run
Please ask the nursing staff for more details.
When are mealtimes?
Don't worry if you miss one of these as there are other times in the day when food and drink are available. The nursing staff will tell you about this.
If you have any specific dietary requirements / preferences e.g., diabetic, halal, gluten free, vegetarian etc. please inform a member of staff so meals can be ordered from the kitchen.- Breakfast from 8am to 9am
- Lunch from 12pm - 1pm
- Dinner from 5pm-6pm
Café vie
The café stocks a selection of sandwiches, hot foods, snacks and drinks. The café is open 9am to 3pm on weekdays. It is not open at weekends.
Cash and card are accepted.
There are also local shops should you need to buy basic personal items.
How you can spend your day
All wards enable a variety of activities for you to choose and enjoy in your free time at your leisure.
These include arts and crafts, pampering, going for a walk in the grounds, reading books from the library, board games, socialising with other patients and much more. Our sports instructors can induct you to use the on-site gym and offer variety of physical activities as part of the therapy programme.
As part of your treatment and recovery plan you will be encouraged to take part in group or individual activity sessions provided by the occupational therapy and physiotherapy team or psychologist. These will vary depending on your needs and will form an important part of your day and recovery.
Accessing the Therapy Programme Service
Occupational therapists (OTs) will work with you to understand how your illness and difficulties affect each of the activities and roles that are important for you to live your daily life. Together you can set goals so that these can be worked on in preparation for your discharge and beyond.
OTs use activity as the main form of treatment and so in hospital a therapy programme is devised to help you regain and improve skills you may find challenging. The programme is also important in providing routine and structure to your day in the temporary absence of the usual routines, roles, and day to day activities you would do at home.
OTs will also work with you to consider any physical health issues you may have and suggest equipment to help you with personal care, walking, eating, dressing and other daily tasks. Physiotherapists are also part of the therapy team. You may be referred to physiotherapy if you have a physical condition that impacts your ability to carry out the day-to-day tasks you need and want to do. Physiotherapists mainly work with you on an individual basis to create a plan of specific exercises, pain management, mobility aids and equipment. They may also offer group sessions that focus on physical health and wellbeing through targeted exercises as part of the therapy programme.
As being physically active can help with your mental health and overall wellbeing, our sports instructors provide a variety of physical activities and opportunities to use the on-site gym as part of the therapy programme.
The therapy programme changes depending on need and the sessions may be ward based, in the central therapy department or local community. - Entering, leaving and visiting the wardBack up
Going on leave
All time off the ward (leave) will be discussed with you, your parents / carers and the team. A joint decision will be made as to how often / long you spend off the ward and will become part of your care plan.
Time off the ward will include:
- Community activities, with and without staff
- Appointments
- Home leave.
We will always make sure you have your allocated bed when we can on your return, however on occasion we may use the room when you are at home or on trial leave. We would ask you take all your valuables with you when you go on leave. If you intend to leave something behind, please tell a member of staff before you go.
Please could you or a relative / carer contact the ward if you decide to return from leave early. This is so we can ensure there is a bed available for you on your return. There is a possibility when you return from leave, you may be allocated a bed on a different ward. In most cases this would only be a short-term temporary measure.
If you are in any doubt or have any concerns, please discuss these with nursing staff.
Visiting the ward
We encourage our patients to have visitors and hope that visits from carers / family will become part of your recovery process.
Should you wish to have visitors, they are welcome to come onto the ward. Visits can take place in the communal area or in one of the side rooms.
Both family and carers are important in your care, and we will listen and take their views into account. If you do not wish for this to happen, please inform a member of staff.
Young people under 18 years of age are not allowed onto the ward but there is a family room within the hospital where you can be visited by children.
We have protected times for meals (12pm and 5pm) for 30 minutes of which we ask these are avoided as a time to visit. Apart from the protected mealtimes we do not have visiting times and we are happy for visitors to come to the ward within reasonable times of the day.
Community activities (with and without staff)
Appointments
Home leave
- Your physical health and medicinesBack up
Your physical health
As part of your stay in the hospital you will be seen by a doctor. They will carry out a physical examination to check your physical health. After admission, you will have an ECG (electrocardiogram) so that we can see how your heart is functioning and a blood test to check organ function.
Your physical health is very important to us. We carry out daily checks which means you will need to visit the wards clinic room. The nursing staff will measure your oxygen saturation, your temperature, pulse, respirations, blood pressure and your weight and height if it has not already been done.
We do understand that some of the medication that is prescribed for you to take can increase your appetite and this may affect your weight. If you have any concerns about this, then please speak to a member of staff who can advise how to manage this.
The physical health nurses and sports technician will work with you to achieve any specific health goals.
Medication
Please bring all the medicines you're currently taking with you when you come to the hospital. This helps our staff check them and make sure they're safe and right for you during your stay.
During your stay, your needs regarding treatments including medicines will be regularly reviewed and discussed with you and your carer.
Any newly recommended medication during your stay will be given to you and we will also make sure you do not run out of your previous medicines.
While you are on the ward, a member of staff will let you know when to take your medicines.
We will give you information that will help you safely use your medication. The Trust has a dedicated website for choice and medication which you can access here.
You may also request help to access this link or request pharmacy staff to provide you with specific information on any detail of your medicines.
When you leave hospital, we will make sure that you have enough medicines recommended by your doctor and that you have the right information for safe use.
- Preventing the spread of infectionBack up
What can you do to prevent the spread of infection?
- Wash your hands before preparing or eating meals and after using the toilet
- Ask your visitors to wash their hands before and after seeing you
- Ask any member of staff if they have cleaned their hands before they have any direct contact or care with you
- Expect staff to wear gloves and aprons when carrying out some tasks, such as, dressing a wound, cleaning up spills of bodily fluids or handling dirty linen
- Keep your toiletries for your personal use only
- Try to keep clutter within your bed area to a minimum
- Expect your bed linen to be changed as often as necessary and if you move rooms
- Cover any exposed cuts or grazes with a waterproof dressing and ask staff to change any dressings if they become dirty or blood-stained
- Tell a member of staff immediately if you have episodes of diarrhoea or vomiting
- What are you entitled to?Back up
Being in hospital could affect your benefits.
Disability Living Allowance (DLA)
You must let the benefits agency know that you have been admitted to hospital. Your benefit will continue to be paid for a further 28 days and will then stop. You must also let the benefits agency know when you leave hospital (your discharge) so the benefit payment can start again.
If you do not do this, it may result in a fine.
Disability Living Allowance telephone number: 0845 712 3456
Monday to Friday, 8am to 5pm.Housing Benefit
This will be paid for up to one year.
Employment Support Allowance (ESA)
This won't change.
Community Law Service
Community Law Service is an independent advice provider in Northamptonshire. They can offer free advice on welfare benefits, housing and debt. An advice worker visits the wards on Monday afternoons. If you would like to speak to them, please let a member of the nursing team know. The contact details are below:
- Northampton - 01604 621 038
- Rushden - 01933 313 020
- Wellingborough - 01933 278 248
Patient Advice and Liaison Service (PALS)
PALS is a helpful and friendly service which can provide you with information on services, places, and people in the Trust. PALS can also liaise with you and the people involved in your care to resolve problems.
PALS wants to know what you think about the service you are receiving. Any comment you make is valuable in helping us improve our services.
Ask a member of staff for a comment card.
If you have any concerns about the care and treatment, you can contact the ward manager or the PALS service. Likewise, if you would like to give a compliment about the service you can contact PALS as well.
For contact details and more information visit the PALS website page.
Interpreting Service
If English is not your first language and you need some help, please ask your keyworker for more details about support available to you.
We can arrange a telephone translation, or face-to-face translation support if you need help for things like your Care Programme Approach (CPA) meetings or Tribunals.
- Do you have a complaint? VoiceAbility and advocacyBack up
If you have a complaint, you can speak to your advocate. VoiceAbility provide advocacy services.
If you are detained under the Mental Health Act, advocacy is a free and confidential service. The advocate will listen to what you say and what you want.
Advocates can support you to:
- Explore the different ways to resolve your issue
- Understand your rights
- Express your views and wishes
- Support you to self advocate and take the lead to resolve an issue
The advocate works on your instruction. They will get your consent before doing anything on your behalf. They will not judge you about anything said to them.
Advocacy is not:
- Counselling or befriending
- Offering advice, legal advice or legal support
- The advocate will not make decisions about your care or treatment
VoiceAbility is independent. This means the advocate is independent from Northamptonshire Healthcare NHS Foundation Trust (NHFT) and staff that provide support to you. The advocate will always work on your behalf and not for the professionals involved in your care.
This means if you speak to the advocate about something, they will not tell anyone unless they agree this with you.
However, the advocate will have to tell someone else if you tell them anything about breaking the law of if you or anyone else are at risk of harm.
They will keep the information about the work you do together confidential. This helps them to ensure they are providing you with a good service. VoiceAbility store this information securely, sometimes in files and sometimes as secure computer files. This information will be held for at least six years unless you ask for it to be destroyed before that time. You can request to see your advocacy file or have a copy of it at any time.
The service can provide a same sex advocate if requested and if they have the right person available to help you.
If you would like to speak to an advocate about the free and confidential support service, please telephone: 01604 592702 (referral line).
Alternatively, you can speak to a member of staff who will be able to refer you.
We want feedback about the service
You have the right to make a suggestion, compliment or complaint about the advocacy service. The advocate will provide you with a VoiceAbility compliments and complaints leaflet for more information.
- Your confidentialityBack up
When you arrive at the hospital and throughout your stay with us, you will be asked if you wish for your information to be shared with your carer, family or friends. If you say no, then they will be advised that the only information that can be passed on is that you are safe and well. You can change your mind at any point about your information being shared - you will just need to speak to a member of the nursing staff.
Any information held about you in your records will not be disclosed to third parties without your consent.
We ask that you respect the privacy and confidentiality of other patients on the ward.
Your rights, privacy, dignity and keeping you safeBack upPrivacy, dignity and keeping you safe
It's important staff, patients and their relatives / carers respect each others privacy and dignity. You have a right to receive high quality care which is safe, effective and respects both your privacy and dignity.
While in our care you can expect to be:
- Shown respect and treated with dignity
- Treated as an individual and offered a personalised service
- Supported to maintain the maximum level of independence
- Fully involved in care planning
- Helped in alleviating loneliness and isolation
Able to complain without fear of retribution.
Verbal or physical abuse will not be tolerated. You must not shout, swear or hit other people.Discrimination against others due to their gender, sexual orientation, age, ethnic background, disability or religious beliefs will not be tolerated.
We are a non-judgemental, non-discriminatory environment and we will try to accommodate each individual's needs.Staff will show respect for the opinions of patients and their visitors. In return, we expect that patients and their visitors will show respect for staff.
Spiritual wellbeing
We care about your whole self-your mind, body, and spirit.
When one of these factors is out of balance, it can make things feel confusing and difficult.
Our team is here to listen and support you, without judgment.
Our multi faith chapel is always open for quiet reflection or prayer.
We also have resources to support you with faith or spiritual questions, if that's important to you.
You do not have to follow a faith to get support, we are here for everyone. Our team promotes spiritual exploration and offers groups such as 'Finding Peace Through Art' which you may wish to try.
Please talk to a nurse if you would like to speak to one of our team like a Chaplain or a Spiritual Wellbeing Practitioner. You could also drop-by our spiritual wellbeing office for a chat.
- Your rights under the Mental Health ActBack up
You might be staying on the ward because you've been kept in hospital under the Mental Health Act (1983). This means doctors believe you need care and support to help you feel better. Soon after you arrive, staff will meet with you and explain your rights to you and also give you written information about your rights.
This information will explain:
- Why you are staying in hospital
- What treatments you can agree to or refuse
- That your stay won't automatically end when the current time is up
- That your stay won't automatically continue either-you'll be reviewed
- That your opinions will be listened to before any decisions are made
- What a Tribunal is and how it can help you leave hospital
- That you can get free legal help from a solicitor
- What the hospital managers and Care Quality Commission do
- That you have the right to speak to an independent advocate - someone who can help you understand things and speak up for you
If you want to know more, just ask your named nurse or keyworker.
Your Tribunal
The Tribunal is an independent panel which can decide whether you should be allowed to leave the hospital. It will hold a meeting with you and with staff from the hospital who know you. This meeting is called a hearing.
You can ask someone else to come to the hearing to help you, if you want. This may be a family member or advocate. Before the hearing, the members of the Tribunal will read reports from the hospital about you and your care. You should receive a copy of these reports.
You will be asked some questions by the Tribunal panel, along with your doctor and others who have been involved in your treatment. They will then make a decision about your appeal. You will then be informed of this decision.
You can ask a solicitor to write to the Tribunal for you and help you at the hearing. The hospital and the Law Society have a list of solicitors who specialise in this. It is free of charge under the Legal Aid Scheme.
- How to access a second opinionBack up
If you agree to accept treatment but then change your mind, you do have the right to refuse. If you do, your doctor will have to ask for the agreement of another doctor from the Care Quality Commission to enable treatment to continue. Emergency treatment could be issued but there are strict rules for this.
As part of these discussions, we will ask you if you agree with the treatment. You have the right to say no. You also have the right to change your mind at any time.
You will have the opportunity to discuss your care and treatment with the doctors, nurses and other members of your care team. Your treatment could include nursing care, medication, counselling, group activities or leave of absence.
Your team will listen to your views about your treatment and will talk to you about the benefits and possible side effects that you might experience.
- How to view your own recordsBack up
If you want to access your records speak to ward staff or use the contact information below:
Email: Access2healthrecords@nhft.nhs.uk
Address: Information Governance-1st Floor, Haylock House, RCI, Kettering Parkway, Kettering, NN15 6EY
Mental health, learning disability and autism services
- Acute Liaison Mental Health Service
- Adult ADHD, Autism and Tourettes Team (AAATT)
- Adult Inpatients Acute
- Adult Inpatient Specialist
- Adult Inpatient PICU
- At Risk Mental State Service
- Community Mental Health Adult - Early Intervention NSTEP
- Complex PTSD service
- Community mental health team
- Crisis cafés
- Crisis Houses: The Warren and The Martins
- Crisis Response Unit
- Eating Disorders Service
- ECT and Ketamine Therapy - The Treatment Centre
- Forensic Team
- Health Based Place of Safety
- IPS Employment Service
- Learning Disabilities
- Liaison Psychiatry for Older People
- Maternal Loss Psychology Service
- Memory Assessment Service
- The Mental Health Number
- Northants Personality Disorder Hub
- NHS Northamptonshire Talking Therapies
- Older Adults Community Mental Health Services
- Older People’s Inpatient Acute
- Peer support service
- Police Liaison and Triage
-
Recovery College
- Specialist Perinatal Mental Health Service
- Urgent Care and Assessment Team
- Younger Persons with Dementia Team
- Planned Care and Recovery Treatment Service