Staff were supported by means of supervision and appraisal processes, to identify additional training requirements and manage performance. There was a suspended ceiling in place at Stock Beck psychiatric intensive care unit which posed a potential ligature risk to patients. Relatives were encouraged to stay with their loved ones while they were cared for on the ward and a named nurse was assigned to the patient and family. Families and carers were involved in this process where appropriate. Issues affecting waiting times such as staff performance, sickness and vacancies were monitored and addressed promptly. We will revisit these services to check that appropriate action has been taken and that quality of care has improved. Staff were not appropriately monitoring patients after the administration of rapid tranquilisation. However, because this was a focused inspection we did not re-rate the individual key questions or the overall service. which is extremely helpful in helping maintain community links and allowing individuals autonomy. Staff were trained in and had a good understanding of the Mental Health Act and Mental Capacity Act. It was noted that no staff had advanced paediatric life support despite offering services to children over 1 year however this requirement would be dependent on the number of children seen. Information supplied by Lancashire & South Cumbria NHS Foundation Trust, Report an issue with the information on this page, Royal Preston Hospital, Sharoe Green Lane, Fulwood, Lancashire & South Cumbria NHS Foundation Trust. An Archiblox modular design melding sustainability with contemporary living delivers this unique four bedroom two bathroom residence. We will work closely with you, your family and carers, including your social networks to provide intensive support and care, helping you to draw on your own strengths and to help you learn different ways of improving and maintaining your mental wellbeing. On Calder, Fairsnape, Greenside and The Hermitage wards there were ligature risks present. Some wards turned a blind eye and others enforced the policy to the letter. 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. At Avondale we have our own Occupational Therapist (OT) who is available on site. They provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. Staff showed a clear commitment to providing the quality care which individuals needed. Comprehensive risk assessments for patients were completed and reviewed and clear crisis plans were in place where patients were assessed as. Systems to ensure safe staffing levels were in place. Leave a review Report an issue with the information on this page Information supplied by Lancashire & South Cumbria NHS Foundation Trust The care plans were thoughtful and fluid, changing as and when needed. Apply to Home Treatment Team jobs now hiring in Preston PR2 on Indeed.co.uk, the world's largest job site. 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. Staff were encouraged to discuss issues and ideas for service development within supervision, business meetings and with senior managers. Our Home Treatment Teams(HTT) area community-based service set up to support you if you are experiencing severe mental health issues and require crisis support. Patients had their risks assessed on admission and on an ongoing basis. 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. Staff knew the trusts vision and values and were able to describe how these were reflected in the team's work. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding Safeguarding was embedded within the service. The new 28-bed unit, located on the top floor of the Avondale Unit on the Royal Preston Hospital site, is designed to support intermediate care capacity for rehabilitation and enhance the current offer in existing community units. The trust recognised these issues. Buildings were clean and well maintained. Staff assessed and managed risk well. This meant that patients were less likely to be harmed by poor infection control practices or self-harm/suicide incidents. Psychological therapies were available. The trusts strategy was embedded across the four clinical networks, the trusts board and council of governors understood their responsibilities. Our rating for the trust took into account the previous ratings of the core services not inspected this time. All patients were subjected to searches on return from off-site leave owing to smoking-related risks and a recent serious incident. There were a small number of minor issues picked up in our clinic check including some stock medication exceeding suggested amounts and some unnecessary clutter. Welcome to Avondale, one of the North West leading independent providers of care for adults with a wide range of Mental Health related issues. Patients told us that staff were available when they needed them, supported them through their crisis and were kind and caring. Staff morale was impacted by staffing pressures and the COVID-19 pandemic. 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. The trust continued to experience significant challenges recruiting and retaining staff in some core services. The trust provided opportunities for staff to develop which included placements at education establishments. The trust ensured that cost improvement plans did not compromise patient care. This was due to the recent change from two wards to one ward and staff were aware and working on these. The coordination of Children Looked After (CLA)who were under the care of the local authority (Lancashire County Council) was a challenge especially when the child was placed out of Lancashires boundaries as the LCFT CLA nursing teams had to coordinate the referral, discharge and transition of the child with social services teams from all over the country to perform assessments. The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare. We found a good incident reporting culture where staff were clear on what to report and who they should report to. Records and medicines were appropriately audited . Background: Request quotes. 2023, Current opportunities for you to get involved, Suicide and Self Harm Prevention Strategy, East of England, NHS Specialist Mental Health, Provider Collaborative, Disciplinary Policy People before process, Advice and guidance for patients in Norfolk and Waveney, Health, social and care workers COVID-19 support service, Get involved in our Hellesdon River Centre project, Clinical Achievement Award - finalists 2022, Compassion in Action Award - Clinical - finalists 2022, Compassion in Action Award - Non-clinical - finalists 2022, Haley Gosling Award for Support in Recovery - finalists 2022, Improving Quality Through Innovation Award: Clinical - finalists 2022, Improving Quality Through Innovation Award: Non-clinical finalists, Most Effective Contribution Award - finalists 2022, Public Choice Award Adults - finalists 2022, Public Choice Award CFYP - finalists 2022, Research and Evidence Impact Award - finalists 2022, Star of the Year: Clinical - finalists 2022, Star of the Year: Non-clinical - finalists 2022, Working Together For Better Mental Health Award - finalists 2022, Chief Executive Officer recruitment process, Hellesdon Rivers Centre plans and designs, Frequently asked questions about Hellesdon Rivers Centre, Find out about how to become a Peer Support Worker, Suicide awareness and the impact of Menopause, view full details of the Home Treatment Team - West service in our services directory, Home Treatment Team (HTT) West information leaflet. The trust was not providing consistently safe care within the acute wards for adults of working age and psychiatric intensive care units. Avondale Clinical Decisions Unit works in collaboration with the Mental Health Response Service and treatment units across the unplanned care pathway. Home based treatment enables the team to visit for a period of between 6 8 weeks if clinically indicated. Staff met the needs of all patients including those with a protected characteristic. Bronllys Staff felt valued and supported by their colleagues and were aware of the senior management team within the trust. The staff were committed and passionate about the job they did. ACT teams offer complete, communitybased treatment to people in the most difficult situations. This was shown by the number of environmental issues we found across services that compromised the safety of patients. Where possible, we'll try and provide treatment in your own home so you can avoid being admitted to hospital. Health visitors used tablet computers to access records and document contacts while in clinic settings or during family visits. Parents could easily contact staff and found the teams responsive to their needs. Here in Powys we have two Dementia Home Treatment Teams who provide a rapid response, assessment and intensive support to patients in their own homes, residential and nursing homes and community hospitals. We spoke with 21 staff, 11 patients and nine carers. We found evidence to demonstrate that the MHA was being complied with. Staff involved patients and their carers in the care and treatment they received. Patients physical health needs were routinely monitored and acted upon appropriately. Community-based mental health services for adults of working age. Complaints during a 12 month period prior to the inspection showed patients had complained about issues including concerns about safety on wards, availability and quality of food, cancellation of leave, and staff behaviour. 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. 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. 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 were medical reviews in some records but it was unclear when the medical review took place. Staff understood processes to safeguard young people, reported incidents and investigated them. Enter your postcode below to discover what is happening in your region. Referral on to other agencies and mental health services, as agreed with you. There was a range of facilities and activities available on and off-site, although access was limited when there were staffing shortages. 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. Information about complaints, concerns and compliments was not adapted to meet the needs of some patients with a learning disability. J Psychiatr Ment Health Nurs. Ashton Under Lyne, Staff morale was low. Feedback from patients was mixed regarding involvement in their care plans. Patients were well cared for on Longridge ward. This meant that meeting people's diverse needs was embedded in practice. When we spoke with people receiving support they were generally positive about the support they had been receiving and the kind and caring attitudes of the staff team. improvement measures to support the urgent care pathway and address the issues raised at the last inspection. Local governance structures to support the delivery of care and to monitor quality assurance were not well established. We saw some examples of excellent practice which meant people were able to stay in the community. Staff had an annual appraisal which included setting objectives for personal development and they received regular clinical and managerial supervision. The service did not meet the Department of Health guidance on same sex accommodation. We spoke with four senior managers at the Harbour and looked at a range of policies, procedures and other documents relating to the running of the service. It was unclear if patient activities had taken place. Regular patient surveys and community meetings informed improvements in patient care across the hospital. We provide specialist assessment, active therapy, treatment and the opportunity for recovery to older people with a mental health problem. Accessibility Staff had manageable caseloads. This had the potential to put people who use the service and staff members at risk. 20 February 2018. We rated the community health inpatient serviceas 'requiring improvement' overall because: The ward had encountered issues with nurse staffing. This had led to an impact on the quality of care staff delivered and the loss of a number of experienced staff members. The rooms and buildings used by patients were accessible to people using a wheelchair. It is situated close to all the necessary local amenities, such as shops, public transport links, hospital, GPs, dentist, leisure centres etc. Home Improving care College Centre for Quality Improvement (CCQI) Quality Networks and Accreditation Electroconvulsive Therapy Accreditation Service - ECTAS List of ECTAS Member Clinics ECTAS Member Clinics Below is a list of ECTAS Member Clinics, sorted by region and detailing their ECTAS membership status. Staff were not always following the individual support plans of patients. Patients received input from a range of mental health professionals. An electronic staffing recording system highlighted gaps in provision and automatically advertised bank shifts to other staff. Unauthorized use of these marks is strictly prohibited. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Some new staff were working on wards before receiving uniforms, or even name badges. 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. To help with your recovery it is important to work closely with other people who support you. The service used National Institute for Health and Care Excellenceguidelines to determine care and treatment. We have two pathways: supported early discharge and admission avoidance. In some cases staff were still being slotted into positions in the team. The service participated in National Institute for Health and Care Excellence audits such as the use of waterlow scales and end of life care. Suspended ratings are being reviewed by us and will be published soon. Not all staff had received appropriate specialised training. Buildings were clean and well maintained. Staff understood the trusts vision and values. The Childrens Integrated Therapy and Nursing Servicestaff arranged joint visits to families to reduce the need for attendance at multiple appointments and health visitors in the West Lancashire area had returned to individual allocation of community clinics to promote continuity for families in response to service user feedback. The trust had systems in place to monitor the quality of the services and drive improvements. Proposals were made for greater psycho-and occupational-therapeutic inputs to manage long-term care, and for provision of peer-support within HTTs. We rated Community sexual health services as ' Ward 22 had identified insufficient levels of nursing staff on duty during the day from January 2015 March 2015. 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. There were regular checks of equipment and maintenance records were in place. NIHR Lancashire Clinical Research Facility Avondale Unit, Sharoe Green Lane, Fulwood Preston, PR2 9HT . Patients had not exercised their rights to appeal and we could not be assured that this was an informed choice. 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. Manchester, Staff had a good understanding of National Institute of Health and Care Excellence guidance and other national guidance. We found that Lancashire Care Foundation NHS Trust was providing a high quality service regarding end of life care (EOL). This demonstrated a lack of connection between service delivery and the board. The teams were compliant with the requirements of the Mental Capacity Act 2005 (MCA). The trust was aware of this and new initiatives had been introduced but yet to be embedded. This allowed treatment to be provided in an effective and timely manner. 11 January 2017. Actions had been agreed and a CQUIN target was associated the delivery of the action plan. Staffing had been improved by the use of the safecare system, allowing shortfalls to be identified and covered. During an episode of care you will see varying members of our team. Crisis resolution and home treatment: stakeholders' views on critical ingredients and implementation in England. Patients needs were assessed and patient centred goals were set. Patients also complained about the no smoking policy, blanket restrictions on mobile technology and disrupted sleep owing to the practice of 15 minute observations at night for all patients in medium secure wards. Patients felt that there were not enough staff on the wards and that staff did not always have time to speak to them. At the last inspection management of the risk register was found to be poor. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Every service will be 'open-access' by 2021, meaning that people and families can self-refer, including those who are not already known to services. We strive to empower people to make choices that will promote wellbeing helping them to achieve their individual hopes and aspirations. There were appropriate health and safety checks. A literature review. It was from discussions with patients, relatives, staff and observations that highlighted the commitment and passion staff of all grades had to provide good end of life care. Long stay or rehabilitation mental health wards for working age adults, as there had been changes to the location and structure of the rehabilitation wards in the past year. Sterling And April Teenage Bounty Hunters, Top 10 Printing Ink Manufacturers In World. Staff developed good care plans and reviewed and updated these when patients needs changed. Staff had access to training and had a good understanding of the Mental Health Act the Mental Capacity Act, and associated code of practice. This website is using a security service to protect itself from online attacks. Also, Lancaster CAMHS had only completed 50% of staff appraisals, and the trust could not give figures for the Chorley and South Ribbleservice. Staff had the ability to submit items to the risk register. At this inspection we found that all breaches of s136 had nowbeen reported as incidents. Alternatively, you can contact the Customer Services Team, (Freephone) 0800 585 544, Monday toFriday, 9:00 to 17:00. Staff demonstrated that they knew the organisations visions and values, and were supportive of them. This was the first urban crisis resolution and home treatment team in Wales, but shortly after it had been set up and before it could be evaluated fully, the decision was made to extend it to the rest of Cardiff and thus the second team began its work in June 2006. Your information helps us decide when, where and what to inspect. Staff assessed risk in observance of national guidelines, to the benefit of people who used services. In addition, at the Junction compliance with clinical and management supervision was low. Hurstwood ward did not have a designated outdoor space for patients, but they were regularly taken into the hospital grounds to relax and get fresh air. 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. Mental capacity assessments and best interest decisions were not always formally recorded. We did not inspect acute wards for adults of a working age and psychiatric intensive care units at the trusts other locations. On the HDRU, there was an adaptable area that could provide either additional female or male beds depending on ward composition. Across all the teams, there were issues with staffing, despite staff now being recruited specifically to work in 136 suites. Staff told us that patients admitted to wards on an informal basis could not leave the ward until a doctor had seen them. CAMHS staff were unavailable outside of normal working hours, to assess young people with mental health problems at Lancaster, Blackpool and West Lancashire A&E departments as this is not currently commissioned to be provided by Lancashire Care. Clinic room temperatures exceeded the maximum of 25 degrees on numerous occasions on four wards. Patients felt they were afforded sufficient privacy and dignity. There was improvements to supervision, training and appraisal rates from the last inspection. Staff were able to manage the development of the service they provided. There was effective teamwork and visible leadership across the teams. Back to services overview Content Editor [2] C ontact us. Motivated and supported patients with care, dignity and respect, so patients felt supported and described positive relationships. 7 Avondale Road 7 Avondale Road, Preston, Vic 3072 4 1 1 475 m House $1,205,000 Sold on 14 Nov 2020 Sold +8 Looking to buy a place like this? Staff supervision rates had been low over the last 12 months. What is good acute psychiatric care (and how would you know). Telephone: 01874 615 732, Fan Gorau Unit There was dissatisfaction with the two day advance ordering process, especially for patients with acquired brain injury. Patients spoke highly about the care they received from the staff within each of the older adult services. Staff spoke positively about the support they were given by seniors and management within end of life care although staff were not aware of who the trust lead for end of life was. To service A&E department and Medical Assessment Wards. 2020 Jun;27(3):246-257. doi: 10.1111/jpm.12573. The Home Team is presently based in Killorglin at Ard Alainn Day Centre with satellite . Staff had good access to training to support their roles. Staff provided a range of care and treatment interventions suitable for the patient group and consistent with national guidance on best practice. Access to care and treatment was timely. This site needs JavaScript to work properly. There was an incident reporting system in place. There was mutually supportive and multidisciplinary working across all of the child and adolescent mental health service teams. There was an ongoing programme of recruitment to vacancies. Physical health assessments were completed on admission. Staff had a good knowledge of the Mental Capacity and Mental Health Act. There is a severe lack of longitudinal clinical and patient-centred outcome data. Clinic rooms were approapriatley equipped. They assess adults who're having a mental health crisis or need intensive home-based support and treatment. Clinical supervision is an important tool for checking that young people have received the appropriate care and treatment. 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. Clinics were visibly clean, tidy and organised.