You are a highly competent and professional summariser. You have been provided the feedback statements from the patients of a mental health inpatient ward. Create a concise and precise summary. Strictly use of a maximum of 100 words. Use strictly only the text provided without using any text, information or knowledge from external sources. Use bullet points to separate the main themes. If you cannot summarise the information, say “The text provided cannot be summarised”. The text to be summarised using the strict guidance above is pasted below:

I want to be discharged into the community but the procedure is taking too long.
The food could be better. More trips outside to visit places. Bring back when you could socialise with different wards.
More support with medication issues, community issues, more time in the community
Help me to transition back to the community
Nothing
Communication
We need more staff on the ward. A lot of the time there is not enough staff to keep everyone safe and to facilitate leave. We think this should be a priority as we are a rehab ward and it is not fair. As there are a lot of high obs, we need enough staff to do this, respondto incidents and ideally facilitate leave. We have to call group alerts often which is not fair on other wards and causes stress while we wait for the staff to respond which can often take a long time.
More Jess
We need more Jess
More staff and safe wards
There leaving people to engage in risk too long. No supporting patients or not verbally de escalates patients. Overall do not feel safe on the ward
Stop being hungry

Alot . There’s not enough staff when people are struggling or just wanting to do activitys. People’s leave can’t be facilitated and if it is the ward is left short. They left a yp in distress to tie a ligature in the middle of the day area and only intervened once it was around there neck. They leave yps to head bang in the day area with no support at night. People don’t listen to us when we say we don’t feel safe on the ward

Treat people with equality and no try to bully black patients by restricting them as much as possible and letting ethnicity determine you care.
More activities, and a few days just out and about with it been one on one, example.

The environment
Different opinions for food
Conversation
More fresh garden time
More staff with good English. No big man with small people block the door
If a person’s behaviour gets out of order please please isolate them and make them realise why there being put in isolation because in my experience here racism is not good and is a hate crime
“Not had enough physical care,
By myself in the mornings
Not time in the garden not smoker
Not walks exercise outside gym
More gym badminton and cardio”
“Communicate better
Basketball
Football
Sports
Swimming
Cooking for self and shopping”
“Going to the gym more
More sessions”
Gym more
Night staff do not treat you with respect
For staff on the ward to listen when we have queries and don’t ignore them
Improve communication - MDT need to tell me more about my care and treatment during ward rounds and the nursing staff to speak with patients when on the ward.
“Everything
Listening to me and taking me seriously
Not running around and listening to other members of staff when I know my own care”

“I’m ready to move on, I want to go home
Night staff to listen and not put on makeup when talking to us”
“To start with, I’d like to mention that due to health complications, I find it rather difficult to express my point when interrupted or pressured, as I will usually end up forgetting what it was I wanted to say. They usually tend to be authority figures, such as a nurse in charge, or a clinician/psychiatrist that interrupts me. This can be rather challenging mentally, and such a situation can become out of hand when I begin to feel backed into a corner and overwhelmed. Secondly, I think it would be good to address work done towards making sure patients are being taken care of and recovering. This can entail correct prompting/encouraging so that patients can attend to personal hygiene, self-maintain, do household checklist items to prepare them for community and make sure they have something to occupy them. I for one, think it is one thing to offer an activity or simply say it’s available, but another thing entirely to sit down and take the time to give patients company whilst also encouraging them to get involved with an engaging activity.
I believe it might potentially be useful to add that staffing is, more often than not, understaffed. The result of this is that only a select few people get to do the things they need to do, so as to complete their enrichment, self-help and productivity for the day that is usually spent spoiled, wasting away.
Furthermore, I believe it’s vital that patients on the way to the end of their hospital journey receive adequate representation when it comes to determining when the line is drawn; that’s to say if they’re still even dependent on the hospital system. This means that if someone no longer meets their section’s criteria, updating their section or ultimately even discharging them. This shouldn’t necessarily cost them a tribunal or a manager’s hearing, (which, after a while, can only be held once a year) but just a bit of attention paid on St Andrew’s part to deliver a complete service and make sure assurances stay intact.
Finally, I wish the staff would take patients such as myself more seriously when we’re telling them something’s wrong. For instance, I might mention that I’ve recently started to have some new symptoms, and then the staff member(s) would usually not seem to know or care how important it is to me that it’s seen to; more-like they’d see it as a problem they don’t have the energy to deal with.”
they should not talk about other wards and patients unless asked

“No enough staff.
Some of the staff don’t listen to me.”
More staff on the ward.
“Increase the quality of interactions from staff. Staff to listen to me non-judgementally.
More variation in food i.e. chicken fajitas and chocolate chip cookies.”
“Staff could interact with patients more.
Staff to be more vigilant around patients.
Increase staffing levels.”
“Improve staffing.
Improve quality of food and more variation.
Organisation - staffing levels and timetable planning.”
“Getting me out more on the grounds and community.
Increasing staff levels.”
No
Different food choices
Improve the culture and improve safeguarding
Get more staff!
Nothing
Have more females on the ward, especially at he weekends
I think the checking on obs needs to be re done as not everyone knocks and often just enter your personal space. Advised that I should sleep with a light on so that they didn’t have to come into the room but this still happened. Also I feel that if In in the bathroom and they knock but they don’t care and they still come in and talk. it would be good for staff to return rather than have a conversation when I’m in the bathroom. I don’t feel like I get good feedback and lack of discussion with as this only happens in ward round and then its not effective either. I feel like I’m in the dark most of the time.
I dont have anything that I can think of right now.
No No No everything is excellent in my opinion. Its an amazing place and people and I don’t have the words to really express how this has made me feel. If I could I would stay another 2 weeks but I know I have to leave next week.
I don’t know because I feel like you have really helped me so I don’t know what else to say.
Leave gate needs to be streamlined as the paper work this causes is so much. Process needs to be less paper and more computer based. The process takes the staff away from doing other things.
On admission I was not aware of my medication that was being offered to me due to recent opiate detox. On admission all patients should be advised of the fire procedure in the event of the alarms being activated. Maybe consider patients to become like a “bed buddy” to support other patients to follow the exit procedures.
I cant think of anything at the moment. I am just happy that I can go back to my flat.
You could make people a little bit more wanted. I didn’t see enough of all the other staff like the doctor.
Silly comment but a warning on the buttons to get water in the sink with only 3 presses each time did impact on when I wanted to rinse my razor. Wi-fi is “awful”. It worked when I first arrived but then became worse!
More therapy sessions would be really good because it helps us with our day and keeping us involved, The three main keys for this is sleep medication and therapy.

increase staffing level
Allow more vaping time
Move me forward -
Continue to support me - so that I can move forward in my care.
“I would like more often ward rounds.
More staff - to attend to my needs.”
More Pizza - I like Pizza
Nothing to say
More activities on and off the ward
“There is an alarming lack of female staff on shift. Night shifts tend to be better with the amount of female staff, but the day shifts are severely minimal. The numbers of staff on each shift has gone down to 5, and the majority of those staff tend to be male.

There are 2 patients on Lower Harlestone: one patient is nursed on 2:1 observations and therefore requires 2 female staff to supervise her in the bathroom. This is difficult when there are only 2 females on shift because they need to have breaks, and if this patient needs the toilet and the other female on shift is on break or unavailable, this means the patient will not be able to have their basic needs met of being able to access the bathroom when they need to.

The other patient on the ward needs a female to supervise them in the bathroom, so again, if there are no females available, or anyone who can swap out the female on observations, then bathroom access cannot be facilitated for this patient either.

There have been a couple of occasions where there has been one female on the ward, which meant that both patients were not able to use the bathroom or have a female on their observations, and the Nurse in Charge has had to swap with a female HCA on Silverstone.

This is not sustainable, considering the fact that the female HCA’s on Silverstone are required for and have responsibility for their own patients, and they may not be available either. We, as a ward, do need an adequate number of female staff on each shift. Although there are seemingly only 2 of us on the ward, we both technically need 3 females should we need the bathroom at the same time. Therefore, having 2 or less females on shift is not sufficient, and could even be deemed unsafe if there is an incident in a bathroom and only female staff are permitted to assist.”
None
need to provide more deaf staff so that they can communicate with us and know help understand each other.
Dont know
serve more nuts, see my mum more, would like my mobile phone, wat my key back it’s missing, more lights and AC in the dining room.
Takeaway every week.
Plans to move back to Nottingham
Nothing
No
Nothing to say
Not doing much , they do really well
nothing, im never angry
always short staffed and this makes me feel stressed i would like to be able to get out more and into the community more
some staff are too busy to help. There needs to be more staff
more staff, more sessions which are different and more social clubs
Nothing
i am not happy as i want to be able to go out more
If they can find another idea to change the future

Staffing levels to be increased.
Have more staff on the ward.
More staff. Sometimes there isn’t even a member of staff in the office. This seems to be getting worse, especially around controlled drugs time. The notice board which lists the number of staff on the ward is also never accurate, and if it is, don’t know where all the staff are.
staff engagement with patients is poor. Only a handful of staff actually care for the patients. They need to be willing to help patients more.
Staff could listen to me more, in general, and with regards to my care and treatment.
Get patients moving out of hospital quicker.


Swimming more often

Nothing that I can think of
Not much quite happy
I have a problem with when staff do the check ups there is no privacy because certain staff do not know on the door to see if we are decent or not. They are there looking. Sometimes I get hot and lay naked and the staff just need to knock to see if I am decent or not.
More people that UNDERSTAND and treat me better
More group sessions. More managers to organise things and organise staff. More games. More managers organising more staff.
Going out more
The newer staff on our ward are sometimes rude and often don’t understand the care plans. At times when we speak to them they do not respond or kiss their teeth at us. Sometimes they whisper and talk in different languages and we have said this can make us feel paranoid but it still happens. Sometimes staff do not follow ward rules and care plans properly and some staff will bend the rules and others won’t, this can get confusing.


Staff don’t always finish conversation, it would be kind to come back to finish conversation
Help my diet and make it various


More staff

Have less captivity
Nothing
Less captivity
Send me home
Nothing
I’m not sure.
No answer
It’s alright
I don’t know
Nothing
I could not be captivated