There were no clear dates for the action plan implementation following the audit. This had not improved since our last inspection. Home treatment teams (HTTs) have limited evidence of altering hospital admissions. Clinical supervision enables the managers to assess the quality of staff's work. Patients were involved in completing their care plans. Our therapy team is on the ward 8.30am-4.30pm Monday to Friday It is situated close to all the necessary local amenities, such as shops, public transport links, hospital, GPs, dentist, leisure centres etc. Home Treatment Team How our service can help you Home Treatment (Lambeth) provides a service for people, aged 18-65, with severe mental illness who would benefit from assessment and treatment at home as an alternative to Hospital. At the last inspection some staff were unsure of their future due to a lack of direction and strategy for the service. 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. We found evidence of patients smoking on wards despite staff enforcing the policy, while others at Guild Lodge were not. There was a joint agency policy in place for the implementation of section 136 of the Mental Health Act which had been agreed by the local authorities, police forces and ambulance service. 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. This meant that young people might wait as long as three days to be seen by a specialist at a weekend. Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005. We rated acute wards for adults of a working age and psychiatric intensive care units as good because: There was good risk management. home treatment team avondale preston. Adult crisis and home treatment teams Every area in England will have a 24/7 mental health crisis service by 2021. However, at the Junction staff did not know the agreed and allowed medication under the MHA. If the person you are referring is an inpatient in Musgrove Park Hospital or Yeovil District Hospital . This requires significant improvement as patients were being deprived of their liberty without a legal framework in place for this. Devon Recovery Learning Community courses. Our rating of the trust went down. Learn more about who makes up your local PPN team. The https:// ensures that you are connecting to the We rated it as good because: We did not rate services at this inspection. We spoke with 34 staff, 18 patients and three carers. The new vision and values were embedded into teams especially through the new appraisal process that staff felt was more personalised. Gimnez-Dez D, Maldonado Ala R, Rodrguez Jimnez S, Granel N, Torrent Sol L, Bernabeu-Tamayo MD. Carer involvement and support with care plans and signposting to further community support for carers. We rated 10 of the trusts 14 core services as good overall. However there was insufficient staffing and leadership capacity to ensure that staff supervision, appraisal and team meetings took place regularly. Guild Lodge was utilising recovery-based models of care such as My Shared Pathway and Recovery Star, though implementation was inconsistent across the wards. 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. 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. At the HBPoS, a comprehensive assessment and physical health check was undertaken when people were brought in by the police under section 136 Mental Health Act 1983 (MHA). Patients physical health needs were routinely monitored and acted upon appropriately. While detention papers had been checked by the receiving nurse and scrutinised by an administrator, on three out of four relevant records, we did not find evidence of medical scrutiny to make sure the clinical grounds for detaining patients were made out. The trust used comprehensive performance monitoring and risk registers, to identify and respond to organisational risks. Employer heading . Patients on Fellside and Forest Beck step-down wards were permitted to have non-SMART mobile phones. The unit designs were not fit for purpose, they were not being used in the way intended and they persistently failed to meet the basic needs of patients. Buildings were clean and well maintained. Incidents were investigated and where necessary the patient was fully informed, and an apology given in line with the duty of candour. Patient records did not always record patients views and it was not clear whether patients received a copy of their care records. The service participated in National Institute for Health and Care Excellence audits such as the use of waterlow scales and end of life care. Compliance rates in individual teams ranged from 29% (6 out of 15 staff) in the Blackburn with Darwen CITNS team to 100% in the 0-19 South Ribble East team (19 staff). They minimised the use of restrictive practices, managed medicines safely and followed good practice with respect to safeguarding. The education provision was limited but this was beyond the full control of the trust. The trust engaged with people including carers in the planning of service development initiatives. The number of staff that had not completed mandatory training was below expected levels. Where possible, well try and provide treatment in your own home so you can avoid being admitted to hospital. The teams were compliant with the requirements of the Mental Capacity Act 2005 (MCA). They were also supportive to each other. The audit was of poor quality as it was not comprehensive, itemised or specific. J Ment Health. Rapid tranquilisation and seclusion were used appropriately. The buildings were well maintained with adequate access and good infection control measures were in place. Read more about the collaboration here , Don't forget to HOLD THE DATE for our NWPPN 10 Year Celebration Event! Staff had a good knowledge of the Mental Capacity and Mental Health Act. We rated it as requires improvement because: Our decisions on overall ratings take into account factors including the relative size of services and we use our professional judgement to reach a fair and balanced rating. Care records were up to date, personalised and holistic. There was an effective use of skill mix within the service including dental therapists and dental nurses with extended duties. At Pendle House, we saw an electronic notice board accessible to all staff that included an SUI action tracker that showed shared learning and good practice. Any referral from Minor Injuries Units or Community Staffing and Hospitals, please ring the above numbers for Home Treatment Teams. Effective managerial operational meetings took place where incidents were discussed, team performance was reviewed and staffing and sickness in teams was considered. Overall, we have rated community health services for adults as Requires Improvement. The service used National Institute for Health and Care Excellenceguidelines to determine care and treatment. We saw records of staff appraisals that embedded the trust's vision and values. Referral to assessment time targets were met at all teams, with the exception of the single point of access team at Preston. 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. The service took into account patients individual needs. This is because: We were not assured that all lessons learnt were being identified in the root cause analysis investigations we reviewed or areas identified for improvement were being monitored. Staff felt supported and listened to and there was professional forums for nurses and allied health professionals. We identified concerns about staff not receiving mandatory training; both of which increased risk to patients and staff. We support patients to remain in their home environment and to avoid, where possible, hospital admissions. Overall, we have judged that community health services for children, young people & families is Good. Apply to Home Treatment Team jobs now hiring in Preston on Indeed.co.uk, the world's largest job site. Published The service carried out the NHS Friends and Family Test. There was evidence of staff following guidance and best practice; an example of which was their reviewing the use of antipsychotic medication for dementia. 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. You can find further information about how we carry out our inspections on our website: https://www.cqc.org.uk/what-we-do/how-we-do-our-job/what-we-do-inspection. Crisis resolution teams in the UK and elsewhere. This integrated service is for people with severe and complex mental and behavioural disorders such as schizophrenia, bipolar affective disorder, and severe depressive disorder. Desks were placed in the corner of the room which meant staff were not near the door and could potentially be blocked in if someone became aggressive. The Early Start Team felt proud and honoured to have their hard work and efforts recognised with a National Nursing Times Award. The premises at Hope House were not fit for purpose. Patients were generally positive about the care and treatment they received from staff. However, in other areas care plans we reviewed were brief and impersonal, and were neither holistic or recovery focused. It is recognised that people recover more quickly if treated at home in familiar surroundings, with friends and family close by. 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. Aims: This was due to long waiting lists and ineffective care pathways. Staff were unsure how long a patient had been in a soiled room. We rated them as requires improvement because: During the inspection we visited all six wards and observed how staff were caring for patients. The team provides an alternative to hospital for older adults who have severe and sudden mental health needs. The trust met the fit and proper persons requirements. With the introduction of the community frailty service staff ensured there was improved joint working and more timely access to their services. Managers were able to provide information into the governance meetings and staff received regular feedback from these meetings. Staff reported good working links with other services within the trust and external organisations. Whilst some of our residents require lifelong care, our specialised programmes and care planning allow all our residents the opportunity to maintain existing skills or to develop new ones with the aim of progressing to less supported accommodation. They minimised the use of restrictive practices, managed medicines safely and followed good practice with respect to safeguarding. On the acute and psychiatric intensive care wards, staff completed the physical observations of patients following the administration of rapid tranquillisation. Records and medicines were appropriately audited . When aggregating ratings, our inspection teams follow a set of principles to ensure consistent decisions. reason for each breach was nowdocumented, along with, Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983, and the Mental Health Act Code of Practice. Our input will be short term (an average of 2-3 weeks), intensive (as many as 2-3 visits per day dependent on your needs) and is flexible to meet your current difficulties. Patients were supported by a skilled multidisciplinary team of staff which included nursing, psychiatric, psychological, occupational and dietetic support. We can support you if you are 16 or under and in full-timeeducation. Governance arrangements were well embedded and there were clear lines of accountability. Patients told us this meant they could not go out for a cigarette and, at times, had to wait for a number of hours. 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.