Records and medicines were appropriately audited . Safeguarding supervision was practitioner-led and delivered in a group setting where each practitioner would bring one case to discuss. Disabil Rehabil. Pharmacists inputted into wards on a daily basis. He is part of the group with . At Hurstwood ward, space was at a premium but utilised well. Comments were mainly positive, ranging between 96% and 100% at the locations we inspected. Our Home Treatment team (Southwark) provides a community based service to support people, aged 18-65, at home, rather than in hospital. An audit programme was in place. The service has adopted a new approach to assessment of new referrals to the team. Our rating for the trust took into account the previous ratings of the core services not inspected this time. Treating mental health crises at home: Patient satisfaction with home nursing care. The service received 238 compliments within the last 12 months. They reviewed patients risk regularly and they responded appropriately when risk changed. The service could not demonstrate that it managed risks to service users effectively. Managers and clinicians had put good governance systems in place which managed risk effectively. Staff followed a formalised flow chart of actions to be taken if there were instances of sickness. Home Treatment Team We provide home treatment services to adults living in the community who require intensive, daily support and who are at risk of being admitted to an inpatient unit (for example, a ward). Three records did not have 15-minute recordings of the patients progress. Our Home Treatment Team (HTT) is a community-based service set up to support you if you are experiencing severe mental health issues and require 'crisis' support. Security systems and processes for the site were good and staff had a good understanding of safeguarding policies and practice. Patients were treated with dignity, respect and kindness and staff were dedicated and enthusiastic about involving patients in their care, However we received mixed comments from patients we spoke with and from comment cards we received gave mixed views about patients experience of dignity, respect and support. Home; Location; FAQ; Contacts At this inspection we reviewed the safe, caring and well-led domains in full. This meant that patients were receiving holistic treatment within each care pathway. Information was not readily available in different languages, staff stated they could access an interpreter as necessary. Staff prioritised patient care over completion of supervision, appraisal and team meetings. Let's make care better together. The service had flexible opening times including evening and weekends to cater for its population and also good dispersal of satellite services for easy access. Use of the Mental Health Act 1983 (MHA) and the Code of Practice was good. Staff had access to emergency drugs and resuscitation equipment. Current time in Gunzenhausen is now 07:51 PM (Saturday). We saw care plans at one unit were particularly personalised, holistic, and recovery focused. Wordsworth and Bronte wards had recently taken part in a human rights project with a university faculty; the results were not known at the time of the inspection. Annual Statement 2009 for - PDF - (opens in new window), Annual Statement 2010 for - PDF - (opens in new window), In Patient records did not always record patients views and it was not clear whether patients received a copy of their care records. Review now Our location See anything wrong with this listing? There was good adherence to the Mental Health Act and Mental Capacity Act. They reported this had impacted on their ability to ensure that staff accessed appraisals, supervision and mandatory training in line with trust policy on some wards. Tel: 0161 716 3539 Parking Available: Yes There were still two registered nurse vacancies to be filled. Where appropriate, we will also help you to access other services that could be relevant to your care (such as the Community Mental Health Team, Voluntary Sector services), as well as reviewing your current medications and helping with social issues. Our team includes both health and social [] Telephone: 01686 617 242, Adult and Older People's Mental Health Services, Your Local Dementia Home Treatment Team (DHTT), Nosocomial Covid-19 Patient Safety Review Team, Adult and Older People's Community Services, Learning Disabilities & Neurodiversity Services, Current Jobs at Powys Teaching Health Board. People's diverse needs were integrated in policies and proactively taken into account when devising protocols. The managers of the individual services were supported by senior managers in this measured and effective approach. The trust acknowledged that there needed to be a common approach across the four networks to effect alignment with the refreshed governance arrangements and the assurance requirements of the corporate level structure needed to be clearly articulated to be embedded appropriately. Celebrate with us on Wednesday 24th May in Manchester City Centre to find out more, click here -, AHP and Psychological Professions Collaboration to Support Art, Drama and Music Therapists! In rating the trust, we took into account the previous ratings of the core services not inspected this time. There was good management of medication. Staff demonstrated they understood safeguarding procedures and incident reporting; and we saw that debriefing and support was available to all staff, after a serious incident had taken place. We observed staff attending to patients in a kind and caring manner, with dignity and respect and this was confirmed with patient led assessment results being better than the national average in many areas. Most teams met the trusts target of 18 weeks waiting time from referral to assessment. Evidence of a monitoring system was provided by the Lancaster and Morecambe team, however there was no evidence available for Chorley and South Ribble team. Established in 1991, we are registered with CQC to provide care, support and rehabilitation at Avondale for adults with mental healthcare needs in a 54 bedded, purpose built home. Some wards were entirely smoke free and some permitted smoking in garden areas. The procurement process and mobilisation of new teams created some obstacles and challenges for the staff andalso some changes in the services systems. The target was for urgent referrals to be seen within five working days and at the time of our inspection, staff saw patients within eight days. It was unclear if patient activities had taken place. We spoke with 14 staff, seven patients, eight relatives and we viewed seven patients medical and nursing records. Staff did not have access service user information that was held on the local authority electronic records system. Submit a Review for Avondale Mental Healthcare Centre. The following is a brief overview to assist in helping make decisions in relation to potential referrals to Avondale MHC and whom can refer to us for assessment for placement. We re-inspected the service in March 2020 and found that the conditions of the warning notice had been met. Prescot, We inspected this service at the Harbour because that was the location where concerns were raised. HTTs were valued but service users' focus was on goals notably different to factors generally assayed by existing research. There was good adherence to the Mental Health Act and the Mental Capacity Act. Of the 23 care plans reviewed it was seen that capacity was addressed. Being a member of the North West Psychological Professions Network is free and gives you access to a wide variety of resources and opportunities to contribute and inuence NHS commissioned healthcare. However there were shifts that operated below the expected establishment. Staff used the Friends and Family test as a formal tool to obtain feedback from patients or their relatives. Governance structures were in place to monitor performance targets and risk. Some wards turned a blind eye and others enforced the policy to the letter. We were unable to speak to people using the service at the time we inspected. Formal clinical supervision was not happening in line with the trust policy. We rated safe and effective as requires improvement overall and well-led at trust level as requires improvement. The service actively monitored and managed risk well. Bronllys Hospital There were medical reviews in some records but it was unclear when the medical review took place. Staff had manageable caseloads which helped to promote staff keeping patients safe. While catering for special diets was provided, for example, vegetarian, halal, and altered consistency, it was described as hard to get and same. We rated acute wards for adults of a working age and psychiatric intensive care units as good because: There was good risk management. The ward layout was well planned in the Harbour services: the layout used space to good effect. Staff carried out an initial assessment that focused on peoples strengths, self-awareness and support systems, in line with recovery approaches. This had not improved since our last inspection. We examined training records of 193 staff employed and we found only 22 (11%) had completed the required training. Staff had been advised to assess capacity and that patients were then detained in their best interests, but this is not a lawful deprivation of liberty. People who used services felt that they had been personally involved in the development of their care plans. The trust was committed to reducing restrictive practices including the use of prone restraint, which was demonstrated by their strategy on this. The ward teams included or had access to the full range of specialists required to meet the needs of patients on the ward. Concerns were raised about escorted leave and activities being cancelled, understaffing, unsafe patient mix on some wards, and the poor quality of food. Risk assessments were comprehensive and included risk management plans. However it was not clear that people who use the service were routinely offered a copy of their care plan. There were systems in place to monitor the service in order to improve performance. Activities did not always take place. Care plans were centred on the persons identified needs. I have been in acute dental pain throughout the weekend - which has caused my mental health to hit rock bottom. There are seven NHS regions in England and we have created a Psychological Professions Network in each. Back to Mental Health Liaison Team (MHLT) (PCMHT), Home Treatment Teams (HTT), Substance Misuse Services and Housing and Emergency Social Services Team in response to client need; Preston & Chorley. The service carried out the NHS Friends and Family Test. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. Teams used a Quality SEEL tool to assess performance and generate improvement. Patient care, including managing patients nutritional needs and pain relief, were well managed. This practice had become routine. Patients spoke highly about the care they received from the staff within each of the older adult services. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Young people were given information and support from independent advocates about their rights under the Mental Health Act. We found that the service had improved and met the requirements of the warning notice. In the last 12 months, 13 children were admitted to the decision units at Preston and Blackburn, although three are noted as multiple events so the admissions figure is higher. The service continued to have input from pharmacists, a physiotherapist, occupational therapist, integrated therapy technician and speech therapy. Staff told us that patients admitted to wards on an informal basis could not leave the ward until a doctor had seen them. The ward environment was safe and clean. The clinicians provided care and treatment tin line with current nationally recognised guidance. The https:// ensures that you are connecting to the Motivated and supported patients with care, dignity and respect, so patients felt supported and described positive relationships. Staff appraisals were completed however there were inconsistencies in staff supervision. 20 February 2018. An example was given of a service user receiving the same halal microwave meal every day. Staff were seen to interact in a professional and caring manner with their patients, with time and attention being given to all. There was access to translation services and arrangements for patients with sight and hearing loss. Our findings from the other key questions demonstrated that governance processes did not operate effectively at team level and that performance and risk were not managed well. The trust had recently opened a crisis support unit, which could be used as an alternative to the health-based place of safety for up to 23 hours, to help someone in a crisis that was felt to be short term. Staff and patients felt this did not contribute to a welcoming environment. There was effective teamwork and visible leadership across the teams. Our DHTTs can also refer individuals to other services such as Psychology, Community Mental Health Teams, Local Primary Mental Health Support Service Teams and many more. FOR SALE. On ward 22, Department for Health guidance on same sex accommodation as well as the MHA Code of Practice was not being followed, as access to reach bathroom and toilet areas meant patients had to walk through communal areas occupied by either sex, which opened out onto the main ward communal area. there are some services which we cant rate, while some might be under appeal from the provider. within the community health services for adults, staff did not do all that was reasonably practicable to mitigate the risks of patients developing pressure ulcers on their caseload. Staff we spoke with were positive about their roles and were positive about service development. There were 13 of these that deteriorated which suggest that once a pressure ulcer developed care and prevention strategies were implemented to prevent any deterioration. Consequently, the gym was not fully utilised. East London NHS Foundation Trust 3.7. During the inspection there were two patients with these sub-acute conditions. Psychological therapy was provided to a good standard. We are fully committed to ensuring that all people have equality of opportunity to access our service, irrespective of their age, gender, ethnicity, race, disability, religion or belief, sexual orientation, marital or civil partnership or social and economic status. They demonstrated knowledge of current, evidence-based practice. We rated specialist community mental health services for children and young people as requires improvement because: Although we found inconsistences in approaches to service provision, newly appointed managers had made changes to improve services. Interventions are usually made via regular home visits and telephone contact. Although the trust had a training schedule in place, staff had not completed all their mandatory training. They took into account the opinions and considerations of people who used the service and where possible other staff. Staff were encouraged to discuss issues and ideas for service development within supervision, business meetings and with senior managers. The Home Treatment Team approach commenced on 20th January, 2014 as a pilot project under the guidance of Dr. Navroop Johnson's Community Mental Health Team in South Kerry. Our rating of the trust went down. The trust had experienced challenges with staffing levels due to the relocation of some wards to the newly opened Harbour service, which was being proactively managed. They actively involved patients and families and carers in care decisions. The management and governance arrangements within the directorate were effective and teams were able to feed information about risk into the risk register.The trust had identified 38 items on their risk register in relation to learning disability and autism community services and these were being reviewed and monitored by the trust. All the mental health decision units had now been closed. Professionals involved in the clinical care of young people held case review meetings when they felt it was necessary to discuss and explore the options for care and treatment. Staff we spoke with were aware of the findings of our last inspection and the actions the service was taking in response. We support patients to remain in their home environment and to avoid, where possible, hospital admissions. This allowed everybody to be involved in care planning and understand what was expected. There were comprehensive assessments and care plans in place, with a strong focus on good physical health care needs, with good access to a range of health services such as GP, specialist diabetic nurse, and podiatrist. There was improvements to supervision, training and appraisal rates from the last inspection. Staff used computerised tablets enabling them to source or store information when visiting patients which although useful and speeded up processes when connectivity was poor patient visit lists could not always be accessed. The trust ensured that cost improvement plans did not compromise patient care. The Royal College of Psychiatrists has recently established the Home Treatment Accreditation Scheme (HTAS) to institute a quality standard for HTTs, though it is unclear whether such accreditation could of itself measure effective care. The service only upheld seven complaints out of 24 complaints in the 12-month period from April 2015 to March 2016. We were told these were being developed. Access to crisis care was not delayed by having to access it through the accident and emergency department, for example. Read more about the collaboration here , Don't forget to HOLD THE DATE for our NWPPN 10 Year Celebration Event! Evidence based tools were used in the assessment process and staff used recognised rating scales to measure a young persons progress. 7-days-a-week input, including access to 24 hour advice (see Contact us). Everyone welcome, most insurances accepted! Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. Clinical supervision enables the managers to assess the quality of staff's work. This page is monitored daily. We did find that a ligature point had been identified at the wards in the Harbour when the windows of the quiet room were opened into the internal courtyard. Staff had access to a rolling programme of training in specific models of care relating to the womens service, acquired brain injury, mens service and seclusion. Any other browser may experience partial or no support. We observed some negative interactions between staff and patients, where staff did not engage appropriately with the patient. Published Staff were discussing patients religious needs with them but, in one record, these discussions were not fully reflected in the patients care plans. Back to top of page Managers analysed incidents to identify any trends and took appropriate action in response. The design, layout, and furnishings of the ward/service supported patients treatment, privacy and dignity. Staff felt respected, supported and valued. Our observations of staff interacting with patients were positive. A bed was not always available locally to a person who would benefit from admission and there was a very high demand for the beds and an ineffective strategy to manage those demands. A range of evidence-based assessment tools, outcome measures and adherence to best practice guidance was evident in the care and treatment staff delivered. In the community health services there were challenges including substantive staffing levels not being met in most childrens teams, although adults teams were better staffed. Due to the recent change in service specification the teams had little in the way of quantitative or qualitative information which would have evidenced how effective they were. We observed strong leadership from team leaders and managers and staff spoke positively about the team leaders, describing them as visible, accessible and supportive. The team usually includes a number of mental health professionals, such as a psychiatrist, mental health nurses, social workers and support workers. No rating/under appeal/rating suspended For Trust values to be evident in all aspects of service delivery and interactions with service users, carers, colleagues and peers. Physical health care was given strong consideration, and was monitored on all patients. We found adequate staffing numbers with a wide range of skills which matched patient need. Emergency equipment was accessible to all and was maintained appropriately. It is situated close to all the necessary local amenities, such as shops, public transport links, hospital, GPs, dentist, leisure centres etc. The Royal College of Psychiatrists has recently established the Home Treatment Accreditation Scheme (HTAS) to institute a quality standard for HTTs, though it is unclear whether such accreditation could of itself measure effective care. These upgrade works will ensure that additional water can be transferred between Silvan and Greenvale reservoirs to accommodate for the area's future growth and ensure the community continues to be provided with a reliable and secure water supply. National Library of Medicine We support people who live in the London Borough of Southwark. This meant that some patients were not treated as an adult. There are new and exciting developments happening with a new Intensive Home Treatment programme across Milton Keynes, Bedfordshire. There were not sufficient numbers of suitably trained staff. Patients were able to access the 136 suites, crisis/home treatment teams and crisis support units when required. Staff understood the reporting system and had a good knowledge and understanding of what to report. We are keen to include the whole psychological professions workforce in the region. Bronllys Learn more about who makes up your local PPN team. skip to Main Navigation; skip to Content Menu. The teams' catchment areas were different in size and socioeconomic circumstances. There was improved responsiveness and staff joint working when patients were in transition from children and adolescent mental health services to adult mental health services. To act as a Key Member of the Worcestershire Crisis Resolution and Home Treatment Service.. To undertake professional mental state assessments and crisis interventions, making decisions. They minimised the use of restrictive practices, managed medicines safely and followed good practice with respect to safeguarding. Bleasdale, Elmridge, Mallowdale, Fellside, Forest Beck, Marshaw, Dutton, Whinfell and Langden wards were in good condition and presented safe, clean and pleasant environments, Fairsnape and Fairoak needed some updating and Calder, Greenside and The Hermitage were in a poor condition. About us Wigan Home Treatment Team Atherleigh Park Atherleigh Way Leigh WN7 1YN Tel: 01942 636 317. A map could not be loaded Family living with character and charm. Services have been transferred to this provider from another provider, Acute wards for adults of working age and psychiatric intensive care units, Wards for older people with mental health problems, Mental health crisis services and health-based places of safety. Within the community based mental health services for adults of working age, risk management plans did not contain detailed information about how to manage specific risks and the legal authority to administer medication to patients on a community treatment order were not kept with the medicine charts. In the meantime, risk was mitigated through observation. Ligature risk assessments and reviews of the environment had been carried out. Patients were generally positive about the care and treatment they received from staff. Treatment Team (RITT) 65+ years Specialist Older Adult Services covering Blackpool, Fylde & Wyre. Staff felt supported and listened to and there was professional forums for nurses and allied health professionals. Norfolk and Suffolk NHS Foundation Trust values and celebrates the diversity of all the communities we serve. Full information about our regulatory response to the concerns we have described will be added to a final version of this report, which we will publish in due course. Gatekeeping arrangements were not effective. Whilst the staff showed high levels of safeguarding knowledge we also found some inconsistency in recording of safeguarding training, due to the amalgamation of new staff groups and a change of specification. The MHCS had access to a range of mental health disciplines required to care for the people using the service. Staff often booked the trusts pool cars to support patients with off-site activities and leave. Staff were not always following the seclusion policy, infection control practices and best practice in relation to medicines management. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. At Pendle House, we saw an electronic notice board accessible to all staff that flagged up best practice guidelines. We can support you if you are 16 or under and in full-timeeducation. This resulted in a reliance on the use of agency and bank staff to ensure patients were kept safe.
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