Mental health services for older people (MHSOP) - Scarborough, Whitby, Ryedale
Assessment and treatment unit
Cross Lane Hospital
Welcome to Rowan Lea assessment and treatment unit (ATU)
We provide inpatient care, support and treatment for men and women with a range of needs.
People stay at Rowan Lea for a variety of reasons. The most common are:
- to undergo and assessment of your mental health
- to review treatment.
If you have any concerns or anxiety about your stay with us, please tell us as we are here to help you in your recovery. Be assured we will not wish to keep you on the ward longer than is needed. People have different feelings about being away from home for care and treatment. Some feel relief and are pleased to be there and others may feel afraid, confused, angry, vulnerable or isolated. Staff understand and are there to help.
When you arrive at Rowan Lea
Where your admission has been planned in advance you will be given the opportunity to visit the ward prior to admission.
When you arrive on the ward a nurse will meet you and show you around. You will also see the doctor who will carry out a physical examination. This will include routine tests such as blood tests. This is the beginning of your assessment.
How long can I expect to stay?
How long you can expect to stay will depend on your needs. This can range from one to several weeks. In rare cases this may be longer.
What to bring with you
- any prescription medicines or tablets you would normally take
- day and night attire and toiletries
- hair brush, slippers, dressing gown
- spectacles, hearing aids, dentures
- walking aids, for example frame, stick, crutches.
Do NOT bring:
- large amounts of money
- non-prescription medications.
All personal belongings need to be marked with your name before admission if possible.
A limited amount of laundry can be done on site. As such, we ask families and carers to take responsibility for bringing you clean clothing. If this is not possible or there are difficulties with this, please let us know.
Clothing brought onto the ward does not need to be labelled with your name.
Tees, Esk and Wear Valleys NHS Foundation Trust cannot accept responsibility for loss or damage to items not handed in for safekeeping, nor for clothing laundered on site.
The Rowan Lea team has 2 activity workers, an occupational therapist and physiotherapist, who engage patients in group or individual activities in order to promote wellbeing, stimulation and to preserve existing skills.
There are a variety of activities such as craft sessions, singing, walking, physical and mental games, and exercises, hairdressing and personal care sessions.
Meals and snacks
- cereals, toast and drinks are available flexibly throughout the morning
- a cooked breakfast is available between 9am and 9.30am
- lunch is between 12.30pm and 1.30pm
- evening meal is between 4.30pm and 5.30pm
- drinks and snacks are served in the morning and afternoon or on request during the day.
If you have any special requirements, or can’t find anything on the menu that suits you, please tell a member of staff.
If family wish to attend the ward to support meal times, this can be discussed and arranged with ward staff.
A daily paper is delivered to Rowan Lea for everyone. Please feel free to read it.
To promote the health and wellbeing of all, Cross Lane Hospital is a smokefree site.
Visitors are not permitted to smoke on site, and are respectfully asked not to dispose of cigarette ends anywhere on site or at the entrance.
Smoking cessation advice is available on request.
We welcome visitors between:
- 10am and noon
- 2pm and 4pm
- 6.30pm and 8pm.
If visitors are unable to attend during these times, alternative options can be arranged with ward staff.
If a therapeutic activity has been booked for you during one of these times we ask that your family and supporters visit at an alternative time. This is to help make sure you achieve your recovery goals.
The ward is not a suitable environment for young children. If you feel it is important for a young person to visit, please talk to a member of the team. We will advise you of the options according to trust policy.
What you can expect
- you will be treated with respect and dignity at all times
- you will be given a clear explanation of your condition and the treatment options available
- your records will be kept confidential
- you will be informed about different treatments and procedure(s) being carried out
- your relatives and carers will be informed of your progress, if you agree
- you will be asked for your consent to treatment or procedure(s).
In return we ask you to:
- provide us with the necessary information about your condition, symptoms and medication in order to provide proper care
- treat staff with the same respect you expect from them.
Equality and diversity
We want to make sure that everyone has a positive experience on Rowan Lea. We recognise and strive to address the varying needs and wishes of different social groups. We aim to maximise the inclusion and participation of patients and carers, and their ability to exercise choice. If we can assist you in any way please let us know.
What is an assessment?
An assessment is not a test. It helps staff to find out about:
- you as a person
- your health and any problems
- how you are coping.
The time it takes varies from person to person and can involve:
- talking with you, alone or in small groups
- talking with people who are close to you
- observation over a period of time
- some physical investigations (for example, blood tests, x-rays etc).
Assessments also help doctors to diagnose and treat illnesses. Sometime it is not possible to reach a diagnosis but treatments and care can be identified to help you manage your symptoms.
Throughout the assessment, staff work with you to identify your needs. Together you will plan your care, this may include group work, therapies and medication.
You and your relatives (if you wish) will receive a copy of this intervention plan.
We ask you and your visitors to help us make sure these agreed interventions can be carried out when planned – please see the notes on visiting times in this booklet.
A copy of the intervention plans will be available for you as a matter of routine.
Activities and group work
Your treatment may include taking part in leisure, therapeutic and social activities. Sometimes it takes a lot of effort to take part, and we will do our best to support you with this as the results can be very positive.
Taking part in activities and group work has many benefits including:-
- increasing self confidence
- improving concentration
- helping you to improve or learn new skills
- increasing your independence
- helping you to cope with problems
- meeting others.
We welcome your opinions and suggestions on activities so that these can be planned to suit your needs.
Who will be involved in my assessment and care?
- a relative / carer
- your named nurse
- your care co-ordinator
- occupational therapist
- other professionals as required
Your care and treatment
Your named nurse and/or care co-ordinator will carry out the agreed intervention plans. They will help address any problems that arise as a result of this and keep other members of the team informed. If your named nurse is not available, another nurse will take over this role.
Your views and feelings are very important. Please do not hesitate to tell staff if you have suggestions or concerns.
Your care and treatment will be reviewed regularly at meetings attended by you, your relative or carer (if you wish) and staff involved in your care.
If you cannot or do not want to attend any reviews you can choose to have someone go on your behalf; this can be a relative, partner, close friend, your named nurse or someone else you choose.
The information discussed is confidential.
If you prefer to see your consultant or any other staff in private, please see the nurse who will arrange this.
How can my veiws be heard?
Often patients find it difficult to express themselves during meetings with doctors and professionals. It is common to forget to mention important things or ask questions that have been bothering you. Sometimes people feel nervous, don’t want to appear silly or just feel too ill to cope with meetings and decision making.
Here are a few suggestions that might help you:
- ward staff are there to support you, so please talk to them; together you can plan what you want to know, say or ask during the meetings
- keep a notebook and pencil handy and jot down the main things you want to discuss or ask.
- place a comment in the suggestion box at the entrance to the ward
- ask the person to explain what they mean or repeat what they have said if there is anything you do not understand.
- a relative, carer or someone else can attend meetings and speak on your behalf
- discuss an advanced directive with your named nurse/care co-ordinator.
Notice boards, leaflet racks and information
Notice boards and leaflet racks are situated around Rowan Lea with information for you, your relatives and carers. Please feel free to read and take any of the information on offer. If the information you need is not available, please ask staff who will be able to advise you where to get it.
We take spirituality seriously and every effort is made to accommodate your needs. Please ask about the availability of a chaplain, local priest or minister of your faith group.
If you need any assistance do not hesitate to speak to any member of staff.
To promote the safety of all patients, visitors and staff there is controlled access and egress to Rowan Lea which can be overridden in an emergency situation.
Visits home amd discharge
A review meeting with you and your family is held to plan discharge and after care. You may have visits home before discharge, which may include a home assessment with an occupational therapist.
Patients and their family are normally responsible for transport arrangements. If this poses a problem please tell your named nurse.
Upon discharge you are given a supply of medication. For further supplies you should make an appointment with your GP.
This may include one or more of the following:
- outpatient appointment
- visits from a member of the community mental health team
- day attendance on the ward periodically
- support from adult and community services
- support at home.
Normally you will be contacted within one week of discharge by the professional responsible for your ongoing support/treatment.
What can I do if I disagree with any aspect of treatment or care or have problems with the staff?
Tell us your concerns by talking to the staff. We welcome all comments and will do everything possible to put things right. This will NOT affect the treatment or care you will receive. If you feel unable to talk to the staff you can contact the following people directly:
Rowan Lea manager: Tel. 01723 384601
Patient advice and liaison service (PALS) team: Tel. 0800 052 0219
Getting someone to speak or act on your behalf: You may ask a relative, friend, or someone else you know to speak for you. owever, you may feel you need someone who isn’t involved with you, or you may have a particular problem with a service such as the NHS, Social Services, Local or County Council. Advocates can help you do this. Your Named Nurse or Care Co-ordinator can help to put you in touch with Advocacy Services.
Rowan Lea ward
Patient advice and liaison service (PALS)
0800 052 0219
Ryedale community mental health team (CMHT)
Whitby community mental health team (CMHT)
Scarborough community mental health team (CMHT)
Adult and community services
Date last updated: 21/12/16
Archive date: 21/12/19