We are a low secure rehab ward but we use plastic plates/cups/bowls etc. instead of using pot crockery and metal cutlery. This appears to be different to what service users tell us happens on some other low secure wards they have been on. Please can anyone advise what they are able to use on their wards in the interests of us reducing restrictive practice? We have asked the Quality Network but still await a response. The next step for our service users is often a community setting so it would be great to introduce these things to them while they are here. Please let us know if you can help? Thanks in advance!
On Brambling we have open access to plastics however at meal times we have metal cutlery and pot crockery (supervised access only) Roseberry Park
We use pot crockery and metal cutlery at Waterloo LSU, if people need to be on plastics, then they are individually care planned to follow a change to their risk assessment and will be allocated a different sitting so as not to disrupt others. Plastic for all we consider a blanket ban and if it was implemented it would be discussed as a ward in a community meeting on the grounds of safety for all and a note on the dining door with a clear time frame for review, documented and discussed at daily MDT meeting. Waterloo Manor
Hope you are well.  On our four low secure wards (two rehab, two admission) we use pot plates and metal cutlery, only changing to plastic for an individual if risk determines.  On some of the wards the access to these is restricted, e.g. cutlery drawer locked other than mealtimes and staff count cutlery in and out etc.  Patients are allowed to have their own mugs though as an example Cheswold Park
We are medium secure and only use plastic on admissions ward (sporks on ICU combined spoon and fork.) Both the other wards use pot plates and cups etc and metal cutlery. Cutlery is counted by the security nurse at the beginning of each shift as well as before and after each meal, locked away when not in use. Patients are allowed their own pot mug. Wathwood
I work at a medium secure hospital and we use plastic on our assessment and continuing care ward but on the rehab ward we use pot crockery and metal cutlery. The patients have access to the cutlery all day and it is counted at each shift handover and before and after every meal.
We have several wards that use crockery plates and bowls at lunch times, along with metal knives and forks. We also have patients that have their own crockery mug which they keep on them and use on the ward. This is something that the patients asked for via our RRP meetings, when then asked for opinion at community meetings and let the patients decide if they would like crockery and metal utensils at meal times. The over whelming response was yes, although one ward decided to stick with the plastic.
We have not had any major incidents since this was introduced (about 3 years now). We get the odd plate smashed but that is about it. Patient risk it taken into account and if the risk is high  that individual patient will be given plastic utensils , rather then remove them from the whole ward.
Stockton Hall
On Amber we use pot crockery and metal cutlery at meals time one member of staff monitors use of cutlery and signs the in and out for patients. Patients are aware they can’t access metal cutlery outside of protected meal times and they have access to wooden spoons to make hot drinks with. Our metal cutlery is logged and checked everyday as part of thge security checks as well as after any sessions in the OT kitchen. When not in use it is kept in locked drawers so that only staff can access them.
Amber Lodge
At Amber we use Pot plates/bowls/cups for all patients. All but one patient use metal cutlery – the 1 patient who doesn’t uses wooden and has a separate risk assessment & seating plan due to this. We do have a staff recording cutlery coming in/out of the kitchen to patients at meals times and the cutlery is checked prior and after all meals. Metal cutlery must stay in the dining room.  Pot cups are used across the ward in any rooms – patient’s can choose to take them to their bedrooms – One point – we have supported patients to purchase their own cup – this gives them a responsibility for not 1) breaking it & 2) bringing it back and washing it!!
Amber Lodge
Hi on our Adult LSU they use metal cutlery and the PICU and LSU adolescents service are starting to use metal now to. we took this to the young peoples council and the security lead put together a protocol for the wards to follow. Cygnet Sheffield
We do use crockery and metal cutleries on our Rehabilitation ward. However this is monitored  carefully, and patients are risk assessed as to Safe and appropriate use of these. We are robust in monitoring and these are  accounted for on each shift by the nurse in charge. As meal times are protected it is easier to manage as the doors are closed And patient do not go out until  all of these utensils are in and counted as correct. Forest Lodge
We have different arrangements in place across our wards dependent on risk. We do use standard crockery and metal cutlery where we can do this safely and have ward risk assessments in place to capture any other associated practices, for example, whether service users can leave dining area before the end of service or not. Our acute wards tend to have slightly more restrictive arrangements as you can imagine. Newton Lodge