Staff were up-to-date with mandatory training. Board members had good oversight and understanding of the key priorities, risks and challenges faced by the trust and actions in place to mitigate these. Current. 29 Occupational Therapy jobs in Preston available on Monster. We inspected the four acute wards for adults of working age and two psychiatric intensive care units for adults of a working age based at the Harbour. the trust had a number of established methods to promote engagement and communication with staff. However, the provider had carried out a safer staffing review that acknowledged the different staffing needs in the new model of mental health urgent assessment centres and were implementing the review recommendations. Careers. The residents and staff are already looking forward to being part of this project and that in turn will help support their general wellbeing too. We may also be able to accommodate some over 16s, where appropriate. The physical space of four of the five health-based places of safety (HBPoS) we visited provided safe, clean environments to assess people. Email this page Staff involved patients and their carers in the care and treatment they received. We were also able to provide training to other providers and colleagues in health and social care in relation to mental health resilience during the Pandemic, to better support mental health understanding in the community too. 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. The Older Adults Home Treatment Team is a city-wide service that aims to assess and treat people at home to help prevent them being admitted to hospital. Records we saw were comprehensive, patient centred and used recognised assessment tools for monitoring pain, nutrition, hydration and skin condition. The service had recently come through a period of change, due to sexual health services being tendered across Lancashire. Care plans were person centred and tailored to the individual. Restrictive practices were reviewed regularly and patients were involved in the process. There was a gym and a sports hall for physical activities. The recording of patient activity levels was poorly documented. to enhance ingredients with sauces and dressings individually tailored for each product and customer. Therapy sessions were held in areas outside the ward. There was no routine antenatal contact by the health visiting team where breastfeeding support and advice should be given. The referral system enabled anyone to refer into the service, including self-referral from people or their carers. A range of activities were provided at resource centres within the hospital grounds. Staff had a low morale. The service has volunteered to participate with colleagues in Cheshire and Merseyside Workforce Development to improve workforce resilience, by sharing examples of good practice and also looking at alternatives to the current routes to care careers. 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. Crisis Resolution and Home Treatment Team (CRHTT) If youre suffering from an acute mental health problem or crisis, we can provide you with a safe and effective home assessment. There were systems in place to monitor the service in order to improve performance. The information used in reporting, performance management and delivering quality care was timely and relevant. Staff were not alert to the ligature risks on the CRU as the ligature points had not been identified and there was no formal management plan in place. We saw that multidisciplinary working was in place, the ward had input from therapists and a dedicated pharmacist. Referral to assessment time targets were met at all teams, with the exception of the single point of access team at Preston. The trust had access to interpreters which they used for patients with communication difficulties or for those for whom English was not their first language. 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 found this was not consistently applied across the site. The service did not manage beds well. We observed that staff took time to communicate with patients in a respectful and compassionate manner and patients were empowered to become active participants in their care. We saw evidence that staff took the time to familiarise themselves with patients and were welcoming and helpful. Patients and those close to them were involved in the decisions around care and treatment. The clinicians provided care and treatment tin line with current nationally recognised guidance. Adult crisis and home treatment teams Every area in England will have a 24/7 mental health crisis service by 2021. Good We reviewed 19 care records and 22 prescription charts. The vaccination and immunisation team were not always following the trusts consent policy in relation to the Gillick competency and Fraser guidelines, which resulted in some children not being vaccinated or the parents being contacted to gain verbal consent. Your IP: Staff ensured that patients had good access to physical healthcare and supported patients to live healthier lives. For a reported incident we looked at, it was not clear whether a root cause had been established. The trust was unable to provide consistent information relating to this core service. We rated it as good because: We did not rate services at this inspection. The safeguarding team were not routinely being copied in to referrals made to childrens social care. 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. We observed collaboration and communication amongst all members of the multidisciplinary team (MDT) to support the planning and delivery of care. Browser Support NorthWestern Mental Health is a service of The Royal Melbourne Hospital. However you access the Home Treatment Team, we will work collaboratively with you and the people you identify to understand the current factors that have led to a crisis and to support you to meet the goals you identify. There was evidence of delivering services to meet patients needs. All the MHCS carried out home-based clozaril titration. Staff managed patient risk. Patients were treated with dignity, respect and compassion whilst receiving care and treatment. Staff were kind, caring and motivated to provide the best care and treatment they could for patients. The Fylde Coast rapid intervention and treatment team had changed their operational hours as a result of vacancies and safe staffing levels. There was a gap in service provision for young people aged 16-18 years old. The effectiveness of these systems was subject to ongoing review. Staff managed patients physical health needs. Data supplied by the trust showed waiting times varied in each speciality. Managers showed good leadership and supported staff to deliver high standards of care. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding To find out more, click here, They viewed staff as kind, considerate and caring. We spoke with 18 patients and three carers. The risks associated with prolonged stays in section 136 suites and decision units were not recognised. Staff were working hard to manage the issues in the service and were keen to deliver safe care under challenging circumstances. The service carried out the NHS Friends and Family Test. Security systems and processes for the site were good and staff had a good understanding of safeguarding policies and practice. Some wards turned a blind eye and others enforced the policy to the letter. We inspected this service at the Harbour because that was the location where concerns were raised. 19 May 2020. In 2000, home treatment became a major plank in Britain's new mental health policy (where services are referred to as crisis resolution and home treatment teams or CRHT). Safeguarding monitoring was in place across the service; staff were trained in safeguarding and had good support to raise safeguarding issues. We rated the community-based services for adults of working age as good because: We rated wards for older people with mental health problems as 'good' because: We rated forensic inpatient/secure wards as good because: Patients risk assessments were well detailed and comprehensive containing personalised and relevant information. Patients were able to access the 136 suites, crisis/home treatment teams and crisis support units when required. We support people who live in the London Borough of Southwark. We spoke with 21 staff, 11 patients and nine carers. The board was not aware of these issues, which were not in line with best practice guidance and the Mental Health Act (MHA) Code of Practice (CoP). The trust was committed to reducing restrictive practices including the use of prone restraint, which was demonstrated by their strategy on this. We will revisit these services to check that appropriate action has been taken and that quality of care has improved. The wards provided activities for patients during the week and at weekends; and made adjustments for people (both patients and ward visitors) who had physical disabilities. Managers made sure they had staff with a range of skills need to provide high quality care. Psychological Professions Network, North West Psychological Professions Network Expert by Experience Steering Group, Talking Therapies Leadership & Innovation Forum (previously known as IAPT), Psychological Wellbeing Practitioner Professional Network. During our inspection we found care plans and risk assessments were not always in place or updated and this was also identified as part of a root cause analysis investigation. NIHR Lancashire Clinical Research Facility Avondale Unit, Sharoe Green Lane, Fulwood Preston, PR2 9HT . Staff completed risk assessments on admission and updated these regularly. This meant that patient safety was important and communicated to the senior management team. Community mental health services with learning disabilities or autism, Community-based mental health services for older people. The South Westminster Home Treatment Team is a multidisciplinary, community-based mental health team that operates 24-hours a day, 7 days a week to provide a safe and effective home-based assessment and treatment service as an alternative to in-patient care. We gate-keep admissions to the Glenbourne Unit. For information about studying at Avondale or living on campus, contact Student Administration Services study@avondale.edu.au or call +61 2 4980 2377. The CQC have received assurance that the trust have put in place actions to address these issues with an action plan in place to complete the ligature risk assessments on each ward. improvement measures to support the urgent care pathway and address the issues raised at the last inspection. The governance structures in place for the older adult wards were in their infancy and had not been fully embedded. Home treatment teams did not have sufficient flexibility to offer a full 24-hour service. Staff were not sufficiently guided to consider risks relating to children and their placement alongside adults. Staff took steps to enable patients to make decisions about their care and treatment wherever possible. Moss View had a ligature risk audit, which related to the HDRU only. Sterling And April Teenage Bounty Hunters, Top 10 Printing Ink Manufacturers In World. Person-centred therapeutic interventions were being delivered to patients to support them to achieve improved independence and wellbeing. Address: Royal Preston Hospital, Sharoe Green Lane, Fulwood, Preston, Lancashire, PR2 9HT PALS (Patient advice and liaison service) You can talk to PALS who provide confidential advice and support to patients, families and their carers, and can provide information on the NHS and health related matters. The Home Treatment Team offers an alternative to hospital admission, to keep people who are acutely mentally unwell out of hospital and living in the community. Key performance indicators were used to assess the effectiveness of the service offered to young people. From January to August 2016 referral to treatment times for speech and language therapyconsistently missed the 92% standard averaging 89% in this time period. 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. Staff actively involved patients and families and carers in care decisions, where possible, including working together to produce an impressive wall display to remind patients of ten key rights when attending care programme approach meetings. We identified concerns about staff not receiving mandatory training; both of which increased risk to patients and staff. 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. 2022 Jun;21(2):166-167. doi: 10.1002/wps.20958. Staff had an annual appraisal which included setting objectives for personal development and they received regular clinical and managerial supervision. When staff had raised issues with the temperature recordings being high in clinics and treatment rooms, as per the trust policy, no action had been taken. Most non-refrigerated medicines must be stored at less than 25C to ensure they remain effective. However, access to religious facilities was inconsistent. Patients and staff on most wards raised concerns about the food describing it as poor quality. The trust used high numbers of bank and agency staff on their wards. Staff morale was low and they did not feel supported by senior managers within the trust. In the community health services, service redesign had led to restructuring of teams, which had brought smaller teams together. Staff told patients detained under the MHA 1983 their rights and gave access to an advocate. It became routine in September 2014, again with the expectation that the number contacted would increase each quarter. 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). Mid West Area Mental Health Service, Sunshine: 09 March: 55991: Family and Carer Peer Support Worker Avondale Unit Entrance. Staff were kind, caring and compassionate and supportive of people using the service. We operate 24 hours a day, 7 days a week. We offer practical intensive support to help you recoverand allow you to be discharged early from acute inpatient wards. The managers of the individual services were supported by senior managers in this measured and effective approach. The routinehealth visitorcontact became part of thehealth visitorcontract in April 2014, however, ithad beenagreed with commissioners that this would be introduced on an incremental scale starting with those deemed most vulnerable (ie highlighted by Childrens Centres and Midwives). Staff assessed and managed risk well. Patients felt that there were not enough staff on the wards and that staff did not always have time to speak to them. Team leaders had no consistent system to monitor the uptake of clinical and management supervision of staff. About us Wigan Home Treatment Team Atherleigh Park Atherleigh Way Leigh WN7 1YN Tel: 01942 636 317. Implementing the National Service Framework for Long-Term (Neurological) Conditions: service user and service provider experiences. Waiting times, delays and cancellations were minimal and managed appropriately. Staff communicated well during meetings and effectively shared information. Due to the concerns we found during our inspection of the trusts acute inpatient mental health wards for adults of working age and psychiatric intensive care units, we used our powers to take immediate enforcement action. Assessed the number of child and adult beds available in the trust, and responded to this by increasing beds and at times placing patients in adult wards to ensure they received the care and treatment they needed promptly. The new vision and values were embedded into teams especially through the new appraisal process that staff felt was more personalised. We also smelt smoke and observed two patients smoking inside one ward. We saw evidence of involvement in their care and decisions over treatment. Escalation procedures for urgent referrals were in place. The service had good multi-agency relationships which matched the holistic needs of patients. Employer. Reported, investigated, and responded to ward incidents, using clear processes to safeguard young people. LD30LU We provide short term supportive care packages to young people and their families/carers being discharged from acute inpatient wards. Staff understood their roles and responsibilities to raise concerns and report incidents and near misses. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. Staff were concerned about staffing levels, but were generally positive about the teams they worked in and local managers. Managers were able to provide information into the governance meetings and staff received regular feedback from these meetings. 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. 584 talking about this. Keep posted for updates on our trials, fundraising events and achievements. I have been in acute dental pain throughout the weekend - which has caused my mental health to hit rock bottom. Crisis Resolution Home Treatment Team Blackpool (25-65), North West 6 days ago Applied Saved. Work on enhancing the garden areas is underway and we are looking to become far more self-sufficient over the coming year planting more fruit and veg to help with growing our own, reducing our carbon footprint and getting active. The audit was of poor quality as it was not comprehensive, itemised or specific. Staff cared for patients in a respectful and dignified way. Robust systems were not in place to ensure that certain patients were automatically referred to the tribunal or that the corresponding legal authority to administer medication to community treatment order patients were kept with the medicine chart and reviewed by nurses administering medication, leading to incidents of staff giving medication without legal authorisation. 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. The care plans were thoughtful and fluid, changing as and when needed. Our aim will be to see you at home. There was good multidisciplinary working especially with the police and ambulance service. Waiting times were showing an improving trend in childrens services. Senior managers did not respond promptly to failings within the service. Safeguarding arrangements were in place and took account of both adult and children's safeguarding. Staffing pressures meant that supervision and team meetings did not happen as regularly as scheduled. They followed good practice with respect to young peoples competence and capacity to consent to or refuse treatment. Wards were clean, well equipped, well furnished, well maintained and fit for purpose. The decreased skill mix of staff had been recognised and changes to work patterns were being discussed. Avondale - A seven day mental health admission assessment and triage unit for adults of working age.. Psychiatric Intensive Care Unit (PICU) - A fourteen bedded, mixed sex, purpose built Psychiatric Intensive Care (PIC) service for compulsorily detained adults of all ages. We provide 24 hour / 7 days access to our service. 11 January 2017. This core service was rated as Good at the last inspection in September 2016. The trust was aware of this and new initiatives had been introduced but yet to be embedded. the trust had established systems in place to support the administration and governance of the Mental Health Act and Mental Capacity Act. CATT teams aim to help people at home so they don't have to go into hospital. Ambient room temperatures in two clinic rooms regularly exceeded this temperature.