Health visiting and school nursing teams worked to deliver the Healthy Child Programme and two of the five contacts were delivered using the Ages and Stages evidenced based screening tool. Child and adolescent mental health services had a range of suitably qualified staff who offered a choice of therapies to young people and their families. For example, an Imam often visited a Muslim patient. On the child and adolescent ward, staff did not always have time to spend with all patients due to high levels of staff observation required for some patients. Also, Lancaster CAMHS had only completed 50% of staff appraisals, and the trust could not give figures for the Chorley and South Ribbleservice. The risks described by the staff on ward 22 were not understood by their managers/leaders. Referral on to other agencies and mental health services, as agreed with you. The ward used nationally recognised assessment tools when monitoring patients health. About us Wigan Home Treatment Team Atherleigh Park Atherleigh Way Leigh WN7 1YN Tel: 01942 636 317. To provide mental health assessments and advice for clients who are in-patients on medical wards within the Acute Trusts, Conduct comprehensive risk and mental health assessments to a standardised level of best practice, To offer advice and support to colleagues within the Acute Trusts, Ensure appropriate signposting/referral onto relevant statutory and non-statutory agencies as identified, including Single Point of Access (SPOA), Perinatal Community Mental Health Teams (PCMHT), Home Treatment Teams (HTT), Substance Misuse Services and Housing and Emergency Social Services Team in response to client need. This meant that staff were not being appropriately supervised to ensure ongoing competency to practice. We inspected: Austen ward an 18-bed female advanced care ward, Bronte ward - a 15-bed female dementia ward, Dickens ward an 18-bed male advanced care ward, Wordsworth ward a 15-bed male dementia ward. 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. 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. We may also be able to accommodate some over 16s, where appropriate. Norfolk and Suffolk NHS Foundation Trust For people in the health-based places of safety, risk assessments were completed jointly with the police. We rated it as good because: We have taken enforcement action against this service which has limited ratings for some key questions to inadequate. Staff had access to training and had a good understanding of the Mental Health Act the Mental Capacity Act, and associated code of practice. 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. I have been in acute dental pain throughout the weekend - which has caused my mental health to hit rock bottom. government site. We have judged the service as requires improvement because: However, the unit was clean and well maintained. The clinical staff had participated in clinical audits, to look at whether the services had met National Institute for Health and Care Excellence (NICE) guidelines in December 2014 for depression and attention deficit hyperactivity disorder. We were unable to speak to people using the service at the time we inspected. At the last inspection some staff were unsure of their future due to a lack of direction and strategy for the service. Staff ensured that patients had good access to physical healthcare and supported patients to live healthier lives. Accessibility and acting on these as appropriate on a multi-disciplinary basis.. To allocate and utilise resources to provide an effective and responsive service countywide, being Treating mental health crises at home: Patient satisfaction with home nursing care. Some wards were entirely smoke free and some permitted smoking in garden areas. Young people and their parents/carers were given the opportunity to comment and give feedback about the service they received, feedback about the service was largely positive. HTAS provides a potential vehicle through which this could be addressed. Discharge plans were discussed from admission but were based on individual patient needs and did not follow any benchmarked outcomes. Staffing pressures had been exacerbated by the impact of the COVID-19 pandemic. We identified a number of issues of concern in relation to the child and adolescent mental health services provided by the trust in the community. J Ment Health. Mental capacity assessments and best interest decisions were not always formally recorded. We issued the trust with a Section 29A warning notice for this core service. The trust did not have a strategy or service model for the care of people with a personality disorder. Safeguarding systems were in place to support staff in the safeguarding process and monitor safeguarding incidents across the trusts children and families network. Supporting people living with dementia, mental health issues and behaviours that may challenge. Staff felt respected, supported and valued. Our team includes both health and social [] 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. On admission to a ward, patients had a comprehensive assessment of their needs, and systems were in place to asses and monitor physical health and nutritional needs. Staff knew and upheld the values of the trust: there was lots of evidence on each ward explaining trust values for both staff and patients. The safeguarding team were not routinely being copied in to referrals made to childrens social care. We gate-keep admissions to the Glenbourne Unit. We rated it as good because: We did not rate services at this inspection. The low number of risk assessments for clinic locations and the fact that they were not complete or comprehensive meant the potential risks were not being clearly identified or addressed. In addition to the blockages at point of admission, the home treatment teams did not have effective gatekeeping arrangements and discharges from the acute wards were delayed for other than clinical reasons. A patient had been detained at the Orchard without the safeguards afforded by the Mental Health Act or Mental Capacity Act; 12 detained patients had been given medication that had not been included on the relevant consent to treatment documentation; the trusts Mental Capacity Act and Deprivation of Liberty Safeguards policy did not give an accurate definition of the meaning of capacity within the Act. Analysis of incidents was undertaken and changes were implemented across the team. We offer people involved in your care the opportunity to discuss their worries in relation to their role supporting you. Held multi-disciplinary staff meetings to discuss and review patients needs, to make sure patients received the best possible coordinated care and treatment. 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. Staff had a good understanding of the importance of obtaining and documenting consent and were fully aware of their responsibilities under the Mental Capacity Act 2005. The trust had implemented Risk sensible approach safeguarding training for all practitioners in the children and families network. This had been identified at a previous inspection but not addressed. The trust had a range of mandatory training available to staff and staff compliance met the trust target of 85%. Patients received input from a range of mental health professionals. Feedback from patients was mixed regarding involvement in their care plans. Patients told us that staff were caring and we observed staff treating patients with kindness, dignity, respect and compassion. By submitting the contact form or sending an email, you are contacting your local PPN directly. This was due to the recent change from two wards to one ward and staff were aware and working on these. Morant N, Lloyd-Evans B, Lamb D, Fullarton K, Brown E, Paterson B, Istead H, Kelly K, Hindle D, Fahmy S, Henderson C, Mason O, Johnson S; CORE Service User and Carer Working groups. About us. There was effective multi-disciplinary team working. FOR SALE. Staff and managers told us that there were delays receiving information about patients accessing antenatal care from local acute providers and this was recorded on the trust risk register. We observed several examples of multi-disciplinary working during our inspection, in both health and education settings, with clinicians collaborating to support the planning and delivery of care to children, young people and their families. Managers ensured that these staff received training, supervision and appraisal. We rated the community based services for people with learning disability or autism as Good' because: However in the Lancaster team, risk information was not consolidated into a single overarching risk assessment and management plan for individual patients. The teams help . 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 . Staff generally assessed and managed risk well. Carers assessments were offered to people when appropriate. We saw guidance and procedures for caring for the dying patient and appropriate use of medicines. We support patients to remain in their home environment and to avoid, where possible, hospital admissions. Staff were kind, caring and motivated to provide the best care and treatment they could for patients. The Clinical Director for the children and families network provided a monthly quality and performance report to the Quality and Safety sub-committee and performance was monitored against a variety of targets and data. Furniture in the mental health crisis rooms in Blackburn was not set out to reduce the risks to staff. We rated acute wards for adults of a working age and psychiatric intensive care units as good because: There was good risk management. 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. Avondale is run by Delphside Ltd a registered charity (No. Our rating of this service stayed the same. However there were shifts that operated below the expected establishment. Regular environmental quality checks were conducted and patients were able to discuss and resolve environmental issues in community meetings. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding Audits were carried out on the use of section 136 and the use of HBPoS. 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. There was good interagency working including with other teams, crisis teams, primary care and acute mental health hospitals. Staffing levels were reviewed daily and in twice weekly meetings. The trust had a clear vision and a strategy for achieving this vision, clear management structures were in place in the service. Not all young people had an up to date current risk assessment present in their care records. Patients told us this meant they could not go out for a cigarette and, at times, had to wait for a number of hours. Following consultation with a range of staff and stakeholders, the trust had recently developed a new governance structure from board to senior management level to support the implementation of its five-year strategic plan. The results of all audits were not always fully disseminated to community mental health staff. Regular reviews were done and treatment was delivered in line with evidence based guidance. 29 October 2015. Preston, VIC (13.0km from Avondale Heights) 1 review. It became routine in September 2014, again with the expectation that the number contacted would increase each quarter. 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. Our service is aimed at people aged 65 above or those with a young onset dementia diagnosis who are presenting with an acute psychiatric crisis of such severity that without the involvement of the DHTT, they are at risk of hospital admission to a mental health ward. Apply now Online Payments Giving Arts Business Education Nursing Ministry Science Vocational Courses Get the full story Read about how the Avondale experience transforms lives. Guild Lodge was utilising recovery-based models of care such as My Shared Pathway and Recovery Star, though implementation was inconsistent across the wards. Staff were regularly called away to the phase one services to deal with incidents, so were not available to patients to support leave or engage in activities. Staff understood the reporting system and had a good knowledge and understanding of what to report. There is a severe lack of longitudinal clinical and patient-centred outcome data. There was specialist training available for each care pathway. 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. HHS Vulnerability Disclosure, Help Clinical supervision enables the managers to assess the quality of staff's work. They took into account the opinions and considerations of people who used the service and where possible other staff. J Psychiatr Ment Health Nurs. The management of the risk register was poor and changes had not been recorded, one risk was three years old and no changes to the register had been made. This team has now changed to the Crisis Resolution and Home Treatment team visit the service page on our website to find out more. Neither of the CAMHS teams had an up-to-date environmental risk assessment to ensure the environments posed no potential risks to young people or children. Planned for discharge from admission (and discharge was rarely delayed). Emergency equipment was accessible to all and was maintained appropriately. Wedgwood Unit, West Suffolk Hospital, Hardwick Lane, Bury St Edmunds IP33 2QZ. Podiatry services had implemented a one stop assessment for patients who may require nail surgery which resulted in a reduction of additional appointments for patients and an increase in podiatry staff availability. Patients were treated with dignity, respect and compassion whilst receiving care and treatment. 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. It was evident the trust were trying hard to achieve partnership working despite the difficulties of different services being provided under different trusts. At the Orchard, the door to the bathroom lacked an observation panel, which meant peoples privacy was compromised. The service had direct access to a vascular surgeon where they could arrange urgent appointments and the service could order diagnostic tests prior to the patient attending the appointment to enable the consultant to have sight of all information at the time of consultation. Patient care, including managing patients nutritional needs and pain relief, were well managed. Our observations of staff interacting with patients were positive. Staff displayed a good knowledge of both the MHA and MCA. Patients had thorough risk assessments that were reviewed and updated at appropriate times. Where possible, well try and provide treatment in your own home so you can avoid being admitted to hospital. While staff ensured that they were recording most of safeguards relating to seclusion, we found one example where staff had not recorded that parents or carers were informed of one seclusion episode. Data from the trusts centralised mandatory training system showedbasic life support training being at 64% at the time of the inspection. The number of staff that had not completed mandatory training was below expected levels. The trust used high numbers of bank and agency staff on their wards. :<@79=1@;5>984>23",o="";for(var j=0,l=mi.length;j
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