home treatment team avondale preston home treatment team avondale preston

This demonstrated a lack of connection between service delivery and the board. It was not clear that lessons learned from adverse incidents were effectively shared across locations and services within the trust. Staff told us they would try to re-arrange leave when activities were cancelled, however, in the womens service, the occupational therapist helped to cover leave and activities when there were staff shortages. Patients therefore remained in the health-based place of safety longer than necessary. HHS Vulnerability Disclosure, Help Staff understood and addressed the type of problems presented by the young person and their families. The trust had a clear vision and a strategy for achieving this vision, clear management structures were in place in the service. The trust data was incomplete in relation to patients who remained in section 136 suites and admissions over 23 hours to mental health decision units. This meant that patients were less likely to be harmed by poor infection control practices or self-harm/suicide incidents. Patients could overhear confidential conversations. We are an independent not for profit charity and have been successfully providing services to individuals with mental health needs since we were established in 1991 as a 50 bedded unit. Todmorden. We offer home visits during the day time and evening. the service is performing well and meeting our expectations. We know that you are at your best when you are at home, with your support network of carers, friends and family around you. When aggregating ratings, our inspection teams follow a set of principles to ensure consistent decisions. The service provided safe care. Waiting times were showing an improving trend in childrens services. 03300 245 321 during normal hours (8am-5pm, Mon to Fri) 0300 555 5000 (Out of hours) Please ask if you would like this support. Assessments were carried out in a timely manner, reviewed and reflected in care plans. The ward had input from pharmacists, physiotherapists, occupational therapist and an integrated therapy technician, however, the increased number of patients requiring rehabilitation meant the service was under pressure and some patients did not receive timely treatments. Staff completed comprehensive, holistic assessments of all patients on admission/referral. We found that the transfer of young people to adult mental health services was not working effectively. For example: Lancashire Care NHS Foundation Trust (February 2016) for - PDF - (opens in new window), Lancashire Care NHS Foundation Trust (June 2015) for - PDF - (opens in new window), Lancashire Care NHS Foundation Trust (November 2014) for - PDF - (opens in new window), Lancashire: Children's Services Inspections Reports (2012) for - PDF - (opens in new window), Blackburn with Darwen: Children's Services Inspections Reports (2012) for - PDF - (opens in new window), Blackpool: Children's Services Inspections Reports (2009) for - PDF - (opens in new window), Inspection Report published 31 December 2010 for - PDF - (opens in new window). These reports, under our old approach to inspection, involved us assessing a whole provider against the standards we expect. They provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. The MHCS ensured arrangements for discharge from hospital were considered from the time people were admitted, to ensure they stayed in hospital for the shortest possible time. The wards were clean and tidy and there was an established cleaning regime. The trust did not report on patient feedback from the 136 suites, and was unable to provide us with reports for the friends and family test for all its crisis/home treatment teams. the service is performing badly and we've taken enforcement action against the provider of the service. The previous rating of inadequate remains. We observedhandwashing and infection control practices in home visits and at a baby clinic, appropriate cleaning of equipment between patients and use of personal protective equipment. Only one home treatment team provided any input into inpatient services in terms of early discharge or diversion. The action you just performed triggered the security solution. Paper and electronic records we reviewed were completed to a good standard and included relevant patient information including name, address, date of birth as well as care plans, referrals and safeguarding information as appropriate. This had been identified at a previous inspection but not addressed. Avondale is a ground floor purpose built centre allowing it to be fully accessible. However, access to religious facilities was inconsistent. Before We accompanied staff visiting people who used the service and it was clear that they had a good understanding of peoples needs. Patients told us that staff were caring and we observed staff treating patients with kindness, dignity, respect and compassion. There were concerns about whether the staffing establishment at the Orchard could support management of the HBPoS safely. This was a focused inspection which looked at the trusts response to the warning notice issued following our inspection in June 2019. Federal government websites often end in .gov or .mil. Community-based mental health services for adults of working age. Home Treatment Teams (HTT) Home Treatment Team supports people living in the community, aged 16 years old or above who have moderate to complex or serious mental health problems across Lancashire. Escalation procedures for urgent referrals were in place. Patients dignity was protected wherever possible and we found medications were administered privately, in treatment rooms where possible. Information about complaints, concerns and compliments was not adapted to meet the needs of some patients with a learning disability. The Longridge ward team were positive and proud of the service they provided for the local community. Any ligature points were assessed and mitigated for, and reflected in the trust risk register. The information used in reporting, performance management and delivering quality care was timely and relevant. At least one standard in this area was not being met when we inspected the service and The ward had enough nurses and doctors. 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. 18 - 21 an hour. They minimised the use of restrictive practices, managed medicines safely and followed good practice with respect to safeguarding. Our rating for the trust took into account the previous ratings of the core services not inspected this time. The main aim of our team is to help you manage and resolve your crisis through assessment and treatment in your home environment. This had resulted in a disconnect between the four clinical networks which limited opportunities for shared learning across the networks. Premises and equipment were clean and well maintained. We observed people who use the service being treated in a respectful manner and with a caring and empathetic approach. in community health services for children and young people, not all safeguarding cases were being supervised and the trust safeguarding team was not routinely copied into referrals made to childrens social care, in the community child and adolescent mental health service, not all patients had an up to date and current risk assessment in their care record, in the acute wards and psychiatric intensive care units, significantly less than 75% of staff were trained in life support, the trust policy did not adequately deal with all the requirements of nursing patients in long term segregation in line with the Code of Practice, staffwere not always providing person centred care to patients on a community treatment order, there were problems with the quality of care plans on Elmridge ward, in child and adolescent community mental health services and in community health services for adults, compliance with supervision and appraisal was below 75% in some services, the trust did not notify CQC of applications for Deprivation of Liberty Safeguards in more than 75% of cases between January 2015 and February 2016, there was a high demand for mental health beds, which meant that some patients were either being placed out of area or requiring intensive support from community teams. We have a range of accommodation options across the county. Due to on going transformation work at the trust, the business case for staffing against activity had been placed on hold. However, the governance structure from senior management level to ward level was in the process of being developed and was still in draft form at the time of our inspection. Staff treated service users with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. At Avondale we can provide 24 hour, nurse lead care and accommodation for adults with a . Young people and families knew how to make a complaint or raise a concern about the service and staff had responded to these. Managers ensured staff received supervision, appraisal and training. Mid West Area Mental Health Service, Sunshine: 09 March: 55991: Family and Carer Peer Support Worker Avondale Unit Entrance. However, the leadership of these changes appeared to be restricted to band 7 clinical managers with minimal support in some areas from managers above this level. They told us that they felt valued, had input into the service and were consulted and involved in service quality developments. Patients physical health needs were routinely monitored and acted upon appropriately. The 136 suite at Preston had a shower room which had evidence of mould growing and cracked tiles. HTTs were valued but service users' focus was on goals notably different to factors generally assayed by existing research. There were appropriate health and safety checks. The services had good structures, processes, and systems in place to manage current and future performance and ensure quality to drive improvements. Held multi-disciplinary staff meetings to discuss and review patients needs, to make sure patients received the best possible coordinated care and treatment. Staff were encouraged to discuss issues and ideas for service development within supervision, business meetings and with senior managers. Avondale is a ground floor purpose built centre allowing it to be fully accessible. 2020 Jun;27(3):246-257. doi: 10.1111/jpm.12573. They worked with them to plan peoples transition between services in a holistic way. This ensured that the service met patients physical healthcare needs. The trust provided opportunities for staff to develop which included placements at education establishments. The trust had co-located its two locations into one location at The Cove. In addition staff on wards where the ban was being enforced, told us there had been an increase in incidents as a direct result of the ban. Patients did not have privacy for phone calls as public phones were located in communal areas and not all had a hood. There were delays in patients accessing a bed in Blackpool and staff had to manage patients risks in the community until a bed became available. We are commissioned by Health Education England in the North West to provide a joined-up voice for the psychological professions in workforce planning and development, and to support excellence in practice. Staff were not appropriately monitoring patients after the administration of rapid tranquilisation. Some wards were entirely smoke free and some permitted smoking in garden areas. Patients on Fellside and Forest Beck step-down wards were permitted to have non-SMART mobile phones. Physical restraint was rarely used as staff were confident in the use of de-escalation techniques. Staff had manageable caseloads which helped to promote staff keeping patients safe. Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment and in collaboration with families and carers. CMHTOP, liaison psychiatry teams in acute hospitals and on-call doctors could complete referral. This meant that the use of blanket restrictions was low and patients freedoms were proportionate to the level of risk. Access to crisis care was not delayed by having to access it through the accident and emergency department, for example. Everyone welcome, most insurances accepted! Patients told us about staff going the extra mile to support patients. A teaspoon of this mixture is taken once every three hours will treat excessive coughing. Issues were raised in relation to Red Books which were not always fully completed with names and address of the children and the Flimsys in the red books were inconsistently completed and we saw evidence of poor quality of scanning of these flimsys making them illegible. Ambient room temperatures in two clinic rooms regularly exceeded this temperature. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. There were issues with the environment that impacted on the patients and staff. Gunzenhausen in Regierungsbezirk Mittelfranken (Bavaria) with it's 16,477 habitants is a city located in Germany about 262 mi (or 422 km) south-west of Berlin, the country's capital town. Translation services were available if required. We inspected this service at the Harbour because that was the location where concerns were raised. An audit of antipsychotic prescribing in people with a learning disability identified that there was action required against standard three of a quality improvement programme-prescribing audit. I have been in acute dental pain throughout the weekend - which has caused my mental health to hit rock bottom. Apply now for the Occupational Therapy job in Preston you deserve. Staff employed by the service had good compliance with mandatory training, supervision and appraisals and had opportunities for specialist staff training and development. Staff were de-briefed and supported following serious incidents. Senior managers did not respond promptly to failings within the service. Buildings were clean and well maintained. During the inspection there were two patients with these sub-acute conditions. Some staff had been expected to continue to work on a month-by- month contract and long-standing well trained staff were looking for alternative roles. It became routine in September 2014, again with the expectation that the number contacted would increase each quarter. We found adequate staffing numbers with a wide range of skills which matched patient need. Initially this will consist of a three day assessment to identify your needs and the support / treatment you require. This led to some patients spending several days in a crisis support unit when there were no admission beds available. View on a map. Avondale Clinical Decisions Unit provides a period of assessment for people experiencing a mental health crisis. Active 8 days ago. We rated it as inadequate because: We have taken enforcement action against this service which has limited ratings for some key questions to inadequate. Managers were able to provide information into the governance meetings and staff received regular feedback from these meetings. Connectivity for IT in the community was hindering a full move to electronic records and creating additional work for the staff converting paper records into electronic ones. This had not improved since our last inspection. This meant staff that may administer medication not permitted under the MHA. The trust was aware of this and new initiatives had been introduced but yet to be embedded. The service followed best practice guidance on the decontamination and sterilisation of used dental instruments. You can view full details of the Home Treatment Team - West service in our services directory. Clinical evidence summary tables. 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. 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. If you have complex needs, we also support you care coordination during your discharge process. Staff were supported by a central trust team and by Mental Health Act administrators who inputted into each ward. The lack of supervision for band 7 allied health professional (AHP) clinical managers for two years and the lack of visibility of management above service integration managers in the district nursing service further demonstrated a lack of strategic support and control. We inspected the mental health liaison services in the emergency departments based at the following locations, all part of the Lancashire and South Cumbria NHS Foundation Trust: We looked at the impact of mental health liaison within an urgent emergency care centre, as well as any possible impact on patient safety. Complaints were dealt with promptly and monitored across the childrens and families network. 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. Further work was needed to ensure these contracts were made substantive. Our Home Treatment Teams (HTT) are a community-based service set up to support you if you are experiencing severe mental health issues and require 'crisis' support. Medicines were managed safely in most cases but at a school vaccination session, we observed the temperature of vaccine storage was allowed to go over the recommended range potentially affecting the cold chain storage making them unfit for use. 2010 Feb;19(1):75-87. doi: 10.3109/09638230903469178. Learn more about who makes up your local PPN team. Complaints were managed appropriately. The arrangements for adhering to the requirements of the Mental Health Act when patients were on a community treatment order needed improvement. There was inconsistent application of the trusts no smoking policy. The Mental Health Act and Mental Capacity Act were implemented and monitored effectively: regular audits and a centralised team ensured detained patients had their rights explained properly and regularly. The lack of a clear structure from senior management level to ward level had also resulted in a disconnect between the board and the four clinical networks. Clinics were scheduled weekly at set times with some open and some pre-booked slots. Feedback from patients who used the services was positive, regarding how staff treated patients and their families. Full programme details to follow in the coming weeks. However it was not clear that people who use the service were routinely offered a copy of their care plan. At Avondale we have our own Occupational Therapist (OT) who is available on site. The teams help . This meant young people were at risk of receiving care that did not take into account identified risks. The OT works with new and existing residents, where appropriate, to devise a structured occupational therapy plan for their stay. We support people who live in the London Borough of Southwark. 19 May 2020. The Integrated Nursing Teams (INTs) were not using a staffing acuity tool and of the seven INTs we visited we found two that mentioned the use of a caseload weighting tool. 33hr contract (36.75 hours paid) 34,398 - 40,131. Bronllys Hospital They actively involved patients and families and carers in care decisions. The staff showed knowledge of procedures and requirements that helped maintain their safety. Staff ensured that patients had good access to physical healthcare and supported patients to live healthier lives. Current time in Gunzenhausen is now 07:51 PM (Saturday). Review now Our location See anything wrong with this listing? 20 February 2018. The home treatment team service for older adults functioned from April 6 to August 31 2020. The site is secure. Staff supervision rates were low. There were no clear dates for the action plan implementation following the audit. the service is performing exceptionally well. We were told these were being developed. Patients were supported by a skilled multidisciplinary team of staff which included nursing, psychiatric, psychological, occupational and dietetic support. There was good multidisciplinary working especially with the police and ambulance service. Patients with more complex healthcare needs were supported to attend specialist hospital appointments. We are commissioned by Health Education England in the North West to provide a joined-up voice for the psychological professions . We are a multi-disciplinary team of healthcare professionals offering a holistic and intensive period of care. There were clear policies and procedures covering all aspects of medicines management. Adverse incidents were reported and reviewed. Annual appraisal rates for non-medical staff in community health services for Children, Young People and Families was 73%. Staff were positive about the team managers and felt they got the support they needed. An Archiblox modular design melding sustainability with contemporary living delivers this unique four bedroom two bathroom residence. https://avondale.org.uk/. Crisis teams can: visit you in your home or elsewhere in the community, for example at a crisis house or day centre visit you in hospital if you're going on leave or being discharged To service A&E department and Medical Assessment Wards. Multidisciplinary teamwork was evident amongst the different staff disciplines. In most of the services provided, people received appointments in a timely way. Contact us Address Royal Preston Hospital Sharoe Green Lane Fulwood Preston Lancashire PR2 9HT Get directions (opens in Google Maps) What patients say There are currently no reviews for Avondale Unit. Staff were passionate about their role and were caring and supportive towards patients. Problems with staffing levels meant often there were not enough staff to provide escorts. Implementing the National Service Framework for Long-Term (Neurological) Conditions: service user and service provider experiences. Managers reviewed individual and team performance. 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. This is achieved by matching the finest raw materials with bespoke production processes. We also saw that supervision and appraisals were being done for staff but all wards agreed that they needed to improve this aspect. Ward managers and modern matrons were required to work clinical shifts as part of their responsibilities. 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. 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. Nine evidence based care pathways had been developed and were in the process of being introduced across the service. We found the service had made inroads into developing their service and there remained six members of staff on six temporary contracts. Staff were familiar with incident reporting procedures. Avondale is a care home. Implemented best practice guidelines such as routine outcome measures to plot patients progress and experience (and had taken part in Royal College of Psychiatrists' Quality Network for Inpatients (QNIC) reviews). At Hope House, a dedicated member of staff contacted everyone who had been discharged from the service in the previous two weeks to ask their opinions. 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. Wards received monthly performance reports. People had access to information in different accessible formats. The Central Home treatment team also provide intervention to Willow House the Crisis support house based in Chorley, The Haven service at times there will be a need for the successful . This included patients who were held there after the section 136 had expired. The service continued to have input from pharmacists, a physiotherapist, occupational therapist, integrated therapy technician and speech therapy. Data supplied by the trust showed waiting times varied in each speciality. We witnessed positive interactions between staff and patients throughout the inspection. We did not inspect wards for older people with mental health problems at the Trusts other locations. Reported, investigated, and responded to ward incidents, using clear processes to safeguard young people. We found the risk register was now up to date, reviewed monthly and actions taken where needed. The development of the HBPoS and joint working arrangements with the police reduced the numbers of people being assessed in police cells. The ward environment was safe and clean. Appropriate risk assessments and paperwork was in place for individuals on community treatment orders. Ward environments with the exception of seclusion were clean and a full range of anti-ligature work had been completed. Parents, carers and children were positive about the care and treatment provided. The content on this page is copied from the Home Treatment Team - West information leaflet. The treatment can take . Staff felt supported and listened to and there was professional forums for nurses and allied health professionals. There was a variety of therapies available to meet individual needs. Staff understood their responsibilities in relation to reporting incidents. Our rating of the trust stayed the same. There were a number of wards and services which had furnishings or fittings that had ligature risks (places to which patients intent on self-harm might tie something to strangle themselves). Staff had a good understanding of issues of consent and Gillick competence in their work with young people. Your IP: Official information from NHS about Avondale Assessment Unit and Psychiatric Intensive Care Unit including contact details, directions, opening hours and service/treatment details Access to services was coordinated through a single point of entry in each locality. Multi-disciplinary team meetings and handovers allowed the exchange of professional opinion and suggestions for onward treatment. We were not assured that service users on Community Treatment Order were being read their rights at regular intervals in accordance with the Mental Health Act and code of practice. Staffing levels were sufficient to ensure the safety of patients. Healthcare support workers were about to enrol on the associate practitioners course which would enable them to enhance their practical skills. The service did not provide safe care. Of these, six services (31%) reported that home treatment teams dedicated to the management of acute mental disorders had not been established.