Patient Supervision and 24 Hour 1 – 1 Care service (Bed Watch)

Summary of 1:1 Constant Supervision Service needs: A timely and punctual service (response to need) to avoid delays in provision of appropriate level of support. To provide staff with appropriate level of skill and experience to provide Therapeutic, Supportive Observation and Engagement based upon the identified needs of the patient.

To provide staff who are appropriately trained including but not limited to: Proactive de-escalation/distraction and physical interventions, including clinical holding to support a patient with specialist/complex needs to meet physical health needs, this may include those with Eating Disorder, Learning Disabilities, Autism, Mental Illness and/or patients who present with behaviours of concern that include sexual disinhibition, or may be distressed when receiving care which may result in presentation of physical and or verbal aggression. This training MUST include Primary, Secondary and Tertiary Interventions.

The supplier ideally should provide evidence that this training adheres to the Restraint Reduction Network National Training Standards and training provider is BiLD Certified. Other possible standards / Training required: Physical interventions, clinical holding and restraint Safeguarding Adults and Children Level 2.

Mental Capacity Act & DoLS. Mental Health Act.

Staff provided need to be confident, resourceful and able to identify proactive interventions so as to avoid the need for physical interventions, so far as possible, in keeping with least restrictive practice. Utilise DBTH’s Therapeutic, Supportive Observation and Engagement Policy and support the development and implementation of appropriate therapeutic care plan with the patient.

To ensure contemporaneous record keeping relating to the episode of care including recording actions/interventions, Behaviour Chart, ABC Chart and Care Plan Continuation Record. Monitor for and report any effects of psychiatric medications, both desired effect and side effect, including in relation to rapid tranquillisation for highly disturbed behaviour.

Receive and provide accurate handover of information. To liaise with Ward Staff re: any change in mental health risk presentation and ensure that the Ward Registered Nurse/NiC and any incoming colleagues are aware/updated, before leaving ward area.