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Inpatient rehab

Specialist hospital expands capacity

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A hospital which supports people with brain injuries and degenerative neuropsychiatric conditions has invested to increase its capacity, bringing a further 12 much-needed beds. 

St Peter’s Hospital in Newport now offers 51 beds across single-gender units, which provide person-centred assessment, specialist treatment and nursing care for men and women. 

The additional beds come after a significant investment from specialist care provider Ludlow Street Healthcare, which owns and runs St Peter’s Hospital.

In addition to the 12 new en-suite rooms, a new family room and modern communal area have also been created, increasing provision for patients and their families. 

St Peter’s is known for the multi-disciplinary team is has on site, including psychologists, psychiatrists and an extensive group of therapists including dietetics, physiotherapy and speech and language specialists. 

It is committed to pursuing a therapy-based model of care, which can reduce patients’ need for a primarily drug-based pharmacological approach.

“Caring for and treating people with degenerative neuropsychiatric conditions and ABI is a very specialist area which requires expert knowledge and a lot of time,” says Dr Grzegorz Grzegorzak, consultant psychiatrist at St Peter’s Hospital. 

“There is an urgent need in Wales and the UK as a whole for more specialist facilities like ours. Extending our facilities allows us to give immediate help to more people, delivering more positive outcomes.”

Work began on developing the hospital’s facilities in late 2019, and despite the challenges posed by the COVID-19 pandemic, the extension has been completed on schedule.

The expansion of St Peter’s continues to incorporate the bespoke design elements which make it dementia and ABI friendly. 

The hospital has worked closely with The University of Stirling’s Dementia Services Development Centre, to create an environment that is not only innovative and therapeutic but also encourages patient proactivity.

Helen Rocker, hospital director at St Peter’s Hospital, says: “This is an exciting development for St Peter’s and we are looking forward to welcoming new patients to the hospital.

“With all of our staff and patients who are able to receive the vaccine having been vaccinated, this couldn’t be a better time to be opening the new facility.

“The last year has been very challenging and the staff have been exemplary throughout in their unswerving commitment to ensuring the highest standards of virus control. So it’s gratifying to be finally able to look forward and focus on new opportunities to develop our patient services.”

And with the increased provision for patients comes new job opportunities, says Helen. 

“In order to support our additional patients, we will need to increase our staff numbers and we are actively recruiting for RMH and RGN Nurses as well as support workers,” she adds. 

“We have just raised our nursing salaries by nearly 6.5 per cent and are confident that we currently offer some of the most rewarding career opportunities for nurses in South Wales.”

Inpatient rehab

Review launched into end-of-life stroke care

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End-of-life care after stroke and how current practice can be improved is being investigated in a new landmark study. 

Hospital stroke units across the UK will be assessed to establish their current end-of-life care approach, and the views of health professionals, alongside patients and families will be sought in formulating the recommendations for best practice. 

It explore current challenges around receiving and providing end-of-life care after stroke and will investigate what medical professionals, patients and carers consider both helps and hinders current levels of care. 

The 18-month study is being supported by a grant of £142,626 and involves universities and NHS Trusts across the country. 

It is being led by the UK’s largest nurse-led stroke research team at the University of Central Lancashire, whose School of Nursing is home to the only two nursing professors of stroke care in the UK. 

“Despite medical advances, 21 per cent of stroke patients die within 30 days of having their stroke. High quality end-of-life care and support after stroke is therefore crucial,” says Dr Clare Thetford, senior research fellow from ULCan’s School of Nursing. 

“However, stroke is different to other conditions, and can make end-of-life care complex.

“There is a lack of education and guidance for healthcare professionals responsible for providing this care. This may cause inadequate, inappropriate or delayed care and support. 

“We will explore what specific challenges stroke may create, and how the many recent changes to general end-of-life care might work with stroke patients.”

The National Institute for Health Research Programme Development Grant will see UCLan and Lancashire Teaching Hospitals NHS Foundation Trust (LTHTR), based in Preston, collaborate with partners including Oxford University Hospitals NHS Foundation Trust, Canterbury Christ Church University, University of Nottingham, Poole Hospital NHS Foundation Trust, University of Exeter, alongside a dedicated patient and public involvement group.

Professor Liz Lightbody, who is leading a National Stroke Workforce group for end of life care, on behalf of Health Education England, says: “There is a view that providing end of life care is the role of specialist palliative care teams, but this is not the case. 

“Good quality end-of-life care is everyone’s business, all staff involved in caring for patients following a stroke should have the knowledge and skills to provide compassionate and sensitive end of life care.

“LTHTR is committed to providing mechanisms to translate research evidence into practice and thereby influencing improvements in the quality of care. It is providing a pivotal role in the transformational development of stroke services across South Cumbria and Lancashire and will ensure the results from this research are implemented into practice.

“Together we are at the forefront of new innovations in healthcare, so I am delighted that we are involved with this research and that local patients can benefit from access to emerging new treatment for strokes.”

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Inpatient rehab

Nurses to establish specialist centre in Nigeria

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Two nurses from a care and rehab community are using their 20 years of experience with the provider to open a specialist care centre in their native Nigeria. 

Isaac and Nikki Ajibade, two of the longest-serving members of staff at Askham Village Community, are establishing an 18-bed centre in Nigeria which will provide nursing and dementia care, with future plans to expand into neuro support. 

The couple are using Askham’s community approach in creating their own centre, and will use their two decades of experience with the provider to help them establish and develop their new project. 

“We will be using Askham as a source of inspiration for our approach – with a key focus being on the real sense of togetherness we feel here,” says Isaac, who met his wife at the school of nursing in Nigeria in 1976.

“Askham’s owners care for the place, for the staff, for the residents, and it’s this we want to emulate ourselves in Nigeria. 

“To care for people, you need to be compassionate. People need help and I’m always very happy when I’m helping people.”

The couple will retire from Askham, near Doddington, at the end of the month to begin work on developing their centre in Nigeria, which is already built. 

Isaac is currently Askham’s longest-serving lead nurse, who specialises in long-term degenerative conditions of young people, and Nikki is a specialist nurse in dementia care.

Both have played significant roles in the development of Askham Village Community. Isaac joined Askham in 2012, with his current role seeing him manage Askham Place, one of the five independent care units that make up Askham. 

When he first joined, there were only three units, but in his time there the care community has continued to expand its offering, broadening its expertise to cater for ever more resident and patient needs.

The couple also say they regard their colleagues and residents at Askham as members of their extended family, and last Christmas, their children and grandchildren – who live and work in the US, Ghana and Nigeria – all visited Askham during a holiday to the UK.

“In life, we are in stages. The main thing is to move when you are strong, and when you can go out and about and do the things you want to,” says Isaac. 

“We feel we have achieved three quarters of what we want in life! My children are grown and I’m happy they’re all in good places, so the next thing is to go and enjoy the latter part of our lives where we can do good and rewarding work that brings us joy.”

Aliyyah-Begum Nasser, director at Askham, says: “Isaac and Nikki are Askham institutions. They have been with us for many years and to be honest I can’t imagine Askham without them. Their legacy will be here for years to come. 

“Ever since they first started with us, they have always been part of the life and soul of Askham. I have so many fond memories, particularly when we would celebrate the diversity at Askham through international days and Isaac would always come in his native Nigerian attire, much to the delight of the residents. 

“As lead nurse of Askham Place for almost a decade, he has witnessed the many high and lows of working in social care, but has always remained focussed on providing the very best care for his residents.

“Nikki is just as dedicated to her dementia residents in Askham House and her personality shines through in all she does. Just like a proud motherly figure, she runs a tight ship but always makes sure everyone is smiling. 

“Most recently, during the height of the COVID-19 pandemic, she has been what can only be described as a true soldier; motivating her team and ensuring residents were comfortable amidst incredibly trying circumstances.

“On behalf of everyone associated with Askham, we can’t thank both of them enough for all the vulnerable people they have provided excellent care for, and the countless staff they have empowered and led and supported over their years here.

“They’re so dedicated to our residents, and we know they will apply that same dedication to their endeavours in Nigeria. We’re all excited to see it come to fruition and will be doing all we can to support it from afar and we wish them all the very best.”

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Inpatient rehab

New UK operator plans expansion

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A new entrant to the UK’s neurological care field is planning continuing expansion after acquiring its first four sites.

Renovo Care was formed late last year through the purchases of two specialist neuro care centres – Glenside Hospital, near Salisbury, and Hollanden Park Hospital in Hildenborough, Kent – alongside two residential services, Victoria House in Farnborough and Swanborough House in Brighton.

Now, with the appointment of chief executive Peter Kinsey, the group is looking at further additions to its specialist portfolio, as well as investing in its current sites and offering.

Glenside Hospital, now known as South Newton Hospital, has recently re-opened two of its wards following a £1million investment, with another three set to follow pending CQC approval.

Innovations including robotics and use of technology are also being looked at as part of Renovo’s ambitious strategy, which is backed by investment from Blantyre Capital.

“I really want to push boundaries and look at what we can achieve with and for people,” says Mr Kinsey.

“I want us to be at the forefront of good practice and to take advantage of the opportunities that the sector is just starting to look at.”

With the creation of Renovo, through the combination of four venues owned by an independent operator, a priority now for Mr Kinsey is to continue the process of integration.

“Our ambition as a group is to continue to grow, but in a sensible and measured way, making sure the cultures integrate,” says Mr Kinsey, who has over 30 years’ experience in health and social care.

“We’re certainly keen to look at opportunities, but we need to balance what we want to be with where we are now – we need to maintain and build the quality as we grow and make sure that doesn’t dip.

“In a growing business with new acquisitions being made, a lot of hard work is involved in making sure integration happens so everyone is in the same place with the same values and ethos.”

Mr Kinsey is also committed to developing the ethos of the newly-created group, having overseen major change in his previous role as chief executive of learning disabilities provider CMG, which merged with Regard Partnership to form Achieve Together.

He plans to involve service users, families, staff and commissioners in reviewing and developing Renovo’s values.

“All organisations have values, although it can be rare they’re known on the frontline. I want those to be known and shared by everyone in the team,” he says.

“We all have to work very hard to embed those values and keep them simple, but so people believe them and want to be part of them.

“Post lockdown, probably in the summer, I want to bring everyone together in a really engaging way which brings everyone on board, and is done in a really inclusive way – in my previous role, we did the very basic but visually effective tactic of getting people to put a token in a plastic container to show their opinions and preferences.

“Or another was where we created life-sized paper people and asked teams to create an ‘ideal’, which brought in what they considered the best parts of their support workers and therapists, and that was so effective in showing in a simple way what mattered to them.

“They key to tackling things like values and ethos is to make it fun. It doesn’t have to be dull or hard work – that’s the key to getting everyone on board with you, together. At the end of it, we’ll have great values that we’ve all helped to put together.”

As a new group, but building on the experience and expertise of decades of neurological care, Mr Kinsey highlights the specialism of the provider.

“We’re creating a very specialist group which focuses on long-term care and neurorehabilitation for ABI patients and those with neurological conditions – there are quite a few providers who do ABI and other things, but for us, that’s the focus,” says Mr Kinsey.

“This is very different to learning disabilities and mental health, I think there’s often an assumption if you do one you do all three, but we want to do this one area really well.

“That focus on quality is at the forefront of everything we do and will continue to be as we grow and move forward.”

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