The service was rated inadequate overall and in the safe and well-led domains; it was rated requires improvement in the effective and responsive domains; it was rated good in the caring domain. From January to August 2016 referral to treatment times for occupational therapy consistently missed the 92% standard averaging 73% in this time period. 8600 Rockville Pike Leaders within the service were aware about the issues the service was facing. The health-based places of safety had 26 incidents in the 12 months leading up to our inspection where people had been deemed as needing admission but a bed was not found within the 72 hour assessment period of section 136. Parents, young people and staff were aware of the independent advocacy service. However there were shifts that operated below the expected establishment. Monday toSunday between 8:00 and 20:00 on telephone01284 719724 or from 20:00 to 9:00 telephone0300 123 1334. The new countywide Older Adult Home Treatment Team started operating from October 2018. We provide care for people who live in the London Borough of Lambeth. The trust did not have accurate or complete information in relation to patients who remained in the health-based places of safety or the mental health decision units for prolonged periods of time. Staff were detaining patients in the health-based places of safety past the expiry time of the section 136. For patients who had been assessed as needing further detention under the Mental Health Act, they were not able to leave. Staff followed local procedures and support was available from mental health act administrators. They viewed staff as kind, considerate and caring. 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. The objective of the team is to provide an equal alternative to inpatient care, and to facilitate early discharge from hospital when it is safe to do so. However, at the Junction staff did not know the agreed and allowed medication under the MHA. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. Patients told us that staff were available when they needed them, supported them through their crisis and were kind and caring. We did not inspect acute wards for adults of a working age and psychiatric intensive care units at the trusts other locations. However, in some other mental health services, staffing levels were not adequate or staff were not suitably qualified to meet patients needs. 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. Public and staff engagement was embedded and included initiatives such as a partnership with Hyndburn Council and Public Health Lancashire in the launch of a voluntary ban to encourage people not to smoke in Council Play Areas and working with people from the community to conduct research studies about how cultural beliefs had prevented access to healthcare. This meant that people were empowered to access help and support directly when they needed to, 24 hours a day, seven days a week. Patients were treated with dignity, respect and compassion whilst receiving care and treatment. The service had recently come through a period of change, due to sexual health services being tendered across Lancashire. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Avondale Rd, Preston (VIC) - Explore Local Property Market Activities included woodwork, metalwork, pottery and gardening. This is in breach of same sex accommodation guidance where service users in mixed sex accommodation are expected to have individual bedrooms or bed areas which are solely for one gender. Welcome to Avondale, one of the North West leading independent providers of care for adults with a wide range of Mental Health related issues. Debriefs did not always occur following an incident. 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. This meant that some patients were not treated as an adult. Patients told us they were involved in decisions about their care and were encouraged to participate in meetings to develop and manage their care and discharge. the service is performing well and meeting our expectations. PRINCIPAL DUTIES. Staff were open and transparent in reporting safeguarding issues and incidents. 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. Let's make care better together. Theydid not know the trusts risk assessment policy. Gatekeeping arrangements were not effective. the service is performing exceptionally well. There's no need for the service to take further action. Patients told us that generally, they were happy with the service, and comment cards from carers were mostly positive. Our rating of the trust stayed the same. They assess adults who're having a mental health crisis or need intensive home-based support and treatment. We have two pathways: supported early discharge and admission avoidance. Although there was a gym on site, it meant leaving the ward with the patient and the time commitment to one patient would leave no time for any others. Home; Location; FAQ; Contacts Staff were not receiving regular supervision of their work. A range of evidence-based assessment tools, outcome measures and adherence to best practice guidance was evident in the care and treatment staff delivered. We rated Community sexual health services as ' Staff were not all trained in basic life support and overall completion of mandatory training was below the trust target. In the community health services, service redesign had led to restructuring of teams, which had brought smaller teams together. This helped the service make maximum use of its resources. Staff did not create specific care plans for patients with epilepsy or moving and handling needs. CAMHS Crisis Resolution and Home Treatment Team - Torbay 7 Avondale Road, Preston Throughout the trust we saw positive interactions between staff and patients. Patients records contained comprehensive risk assessment and were stored securely on the electronic patient record. Our Dementia Home Treatment Teams provide an intensive, safe home treatment service in the least restrictive way. This usually took place within 24 hours. At Hope House, documentation relating to medicines was not being completed consistently. This occurred when patients had been assessed as needing inpatient admission, but there were no beds available. 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. Treating mental health crises at home: Patient satisfaction with home nursing care. Pain relief was administered and applied as required through medication and via specialised equipment. Designed and Developed by: Cube Creative . Staff were not always following the seclusion policy, infection control practices and best practice in relation to medicines management. We rated the trust as requires improvement overall in safe, effective, responsive and well led. There was an incident reporting system in place. We carried out this unannounced, focused inspection as part of our national review of urgent and emergency care centres, to support improvement in patient experience and the quality of care received when accessing services and pathways across urgent and emergency care. All kitchen knives on the unit were locked away and patients on the CRU did not have a key to lock their rooms when leaving them. Staff involved patients and their relatives in their care where possible and treated them with kindness, respect, compassion and dignity. Telephone referrals only to the Acute Crisis and Assessment Team (ACAT) are received on ext 67774. They told us staff were compassionate and treated them with kindness and dignity. Do you have any questions? There was dissatisfaction with the two day advance ordering process, especially for patients with acquired brain injury. During the inspection there were two patients with these sub-acute conditions. The trust had experienced challenges with staffing levels due to the relocation of some wards to the newly opened Harbour service, which was being proactively managed. Postgraduate Study & Research Expand your horizons with a range of postgraduate coursework or join an inspired and ever-growing research community at Avondale University. Staff took action to ensure that patients physical health needs were monitored and treated. 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. Care plans had crisis care plans to inform patients and carers on what to do in crisis. Assertive Community Treatment, or ACT, provides a full range of services to people diagnosed with a serious mental illness (SMI). Our Mental Health Act Commissioners may carry out a number of visits to each provider over a 12-month period, during which they talk to detained patients, staff and managers about how services are provided. 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. 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. We examined ten sets of health care records that demonstrated good care plans were in place. Of the 23 care plans reviewed it was seen that capacity was addressed. If in doubt about the locality you are in, please ring a team and they will guide you. We found the majority of records reviewed at the Royal Blackburn Hospital did not contain patient views or evidence that patients had been given copies of their care plans. Medicines were not always managed safely. This advised the trust that our findings indicated a need for significant improvement in the quality of healthcare. Infection control and prevention audits were regularly undertaken. We saw guidance and procedures for caring for the dying patient and appropriate use of medicines. This means we can offer brief interventions to support your recovery and manage any risks, which reduces your chances of having to be admitted to hospital. Actions in relation to complaints were often recorded as an apology being offered or expectations managed, but there was no evidence of investigation of systemic issues and wider changes. 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. However; patients who required admission were sometimes held in the unit for several days and nights because there was no bed available on an admission ward. which is extremely helpful in helping maintain community links and allowing individuals autonomy. 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. 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. They were able to decide who should be involved in their care and to what degree. The HBPoS at Burnley and the Orchard held teleconferences three times a day regarding bed availability. Epub 2013 Jun 20. The trust was unable to provide consistent information relating to this core service. At least one standard in this area was not being met when we inspected the service and, Lancashire & South Cumbria NHS Foundation Trust, Greater Manchester Mental Health NHS Foundation Trust. In rating the trust, we took into account the previous ratings of the core services not inspected this time. Telephone: 01874 615 732, Fan Gorau Unit Only one home treatment team provided any input into inpatient services in terms of early discharge or diversion. Safeguarding supervision was practitioner-led and delivered in a group setting where each practitioner would bring one case to discuss. The risks described by the staff on ward 22 were not understood by their managers/leaders. In the meantime, risk was mitigated through observation. Staff ensured patients received physical health checks with easy read physical health monitoring tools. 32,306 - 39,027 a year. Hiding UNDERGROUND from A SWAT Team! Staff and patients felt this did not contribute to a welcoming environment. However, when the cars were diverted for use elsewhere, such as medical appointments, activities were cancelled. Our Dementia Home Treatment Teams provide an intensive, safe home treatment service in the least restrictive way. We found that the service had improved and met the requirements of the warning notice. We provide residential care, supported accommodation and floating support. Systems were in place to support young people transitioning to adult services. the service is performing badly and we've taken enforcement action against the provider of the service. The managers of the individual services were supported by senior managers in this measured and effective approach. You can view full details of the Home Treatment Team - West service in our services directory. They made sure that patients had a full physical health assessment and knew about any physical health problems. This was due to the recent change from two wards to one ward and staff were aware and working on these. Our rating of this service went down. Staff were encouraged to discuss issues and ideas for service development within supervision, business meetings and with senior managers. We identified concerns over the ability of services to manage young people when they transfer from CAMHS at the age of 16. Information about our Older Adult Home Treatment Team This involves intensive home treatment, with visits arranged depending on your needs. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. 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. Good' overallbecause: We found good processes in place to reduce the risk of abuse and avoidable harm in the service. This had resulted in a disconnect between the four clinical networks which limited opportunities for shared learning across the networks. NorthWestern Mental Health is a service of The Royal Melbourne Hospital. The home treatment team service for older adults functioned from April 6 to August 31 2020. There were concerns expressed by staff and reflected in the services risk register over the capacity of teams. All patients had care plans and detailed risk assessments. Wordsworth and Bronte wards had recently taken part in a human rights project with a university faculty; the results were not known at the time of the inspection. Patients felt that there were not enough staff on the wards and that staff did not always have time to speak to them. We found that a third of care plans we reviewed were not completed collaboratively with patients. Submit a Review for Avondale Mental Healthcare Centre. Executive management visibility in the community health services was low, although staff felt listened to and supported by local managers. The notes of the service user group meetings showed cancelled activities and leave were common complaints. The team was well-led by experienced and committed managers. We witnessed several such incidents during our inspection. In order that as a mental healthcare provider, we not only provide care, support and advance wellbeing and independence for individuals who reside at Avondale. Welcome to Avondale Mental Healthcare Centre. We inspected this service at the Harbour because that was the location where concerns were raised. Our service helps to avoid the stress, anxiety and upheaval that can happen with a hospital admission. This had not improved since our last inspection. A separate gardening project aimed at providing vocational qualifications and employment opportunities to patients. Individual pods on the CRU had been mixed gender on occasions. This impacted on the teams abilities to work more proactively, for example, in seeing patients on wards to facilitate early discharge or admission avoidance work. Regular checks of prescribing, medication and stock levels were undertaken. There was a suspended ceiling in place at Stock Beck psychiatric intensive care unit which posed a potential ligature risk to patients. Staff took steps to enable patients to make decisions about their care and treatment wherever possible. Complaints were fully considered. If we are unable to make contact we may ultimately request assistance from the police, and on occasion (if we are concerned) the police may attempt to access your property. Although staff we spoke with told us they had received some supervisions and appraisals these were not carried out in line with the trust policy. There was evidence of staff following guidance and best practice; an example of which was their reviewing the use of antipsychotic medication for dementia. The leaders had plans in place to resolve these issues and were passionate about improving the service. The incident reporting system did not allow for routine analysis of themes and trends in the 136 suites. Patients were regularly held in the 136 suites over the 24-hour time limit set out in the Mental Health Act. The service faced a number of challenges including staffing levels in some teams; large case loads, the fluctuating population from seasonal workers and students and the increased acuity of patients. The service proactively monitored and managed staffing levels to ensure patient safety. Trust leaders had failed to address these concerns following our last inspection. Systems in place to ensure staff were safe at the end of an evening shift were not always followed. The Home Treatment Team Service provides a range of intensive mental health treatments and therapeutic services to patients aged 18-65 who are experiencing an acute disruption to their ability to function adequately in the community as a result of severe mental illness such as schizophrenia or severe depressive disorder. There were good personal safety protocols in place including lone working practices. At the time of our visit this area was mixed gender having a female bedroom next to a male bedroom. The HTT does not provide phone support for people not under their current care. Staff involved with the crisis support units and crisis/home treatment teams were impacted to some degree by reorganisation within this core service which led to uncertainty. Access to care and treatment was timely. Actions from incidents were discussed in team meetings and at individual supervision to ensure lessons were learnt. Not all staff had received appropriate specialised training. Before | View photos, details, and schools for 30 Hilton Drive Where possible, well try and provide treatment in your own home so you can avoid being admitted to hospital. 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. We have a range of accommodation options across the county. The service did not provide safe care. The referral system enabled anyone to refer into the service, including self-referral from people or their carers. These were effectively managed and risks mitigated with the use of observation and individual risk management planning. Swydd wag: Mental Health Crisis Practitioner, Lancashire & South Of these responses 99% of patients would either highly recommend or recommend the service to friends and family. The following is a brief overview to assist in helping make decisions in relation to potential referrals to Avondale MHC and whom can refer to us for assessment for placement. The majority of staff were up to date with mandatory training. Newtown From January to August 2016 referral to treatment times for speech and language therapyconsistently missed the 92% standard averaging 89% in this time period. We are fully committed to ensuring that all people have equality of opportunity to . We know that you are at your best when you are at home, with your support network of carers, friends and family around you. Contact Details: Stroke rehabilitation Team: 01257 245118. We are a multi-disciplinary team including practitioners who are registered nurses, doctors, a social worker, occupational therapist and psychologist, alongside support workers and peer support workers. 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. He is part of the group with . The premises at Hope House were not fit for purpose. They provided a range of treatments that were informed by best-practice guidance and suitable to the needs of the service user. Contacts we observed showed information provided to children and families was clear and tailored to the individual child. They were open and honest about these issues. Concerns were raised about escorted leave and activities being cancelled, understaffing, unsafe patient mix on some wards, and the poor quality of food. Some new staff were working on wards before receiving uniforms, or even name badges. Tel: 0161 716 3539 Parking Available: Yes Staffing pressures meant that supervision and team meetings did not happen as regularly as scheduled. Facilities at the Harbour site were excellent, and Wordsworth and Bronte wards used a mock pub and a mock caf in the outdoor area for patients to relax. Should you wish to comment on the service received, please contact the Trust on telephone: 01603 421421. There was an ongoing programme of recruitment to vacancies. We observed people who use the service being treated in a respectful manner and with a caring and empathetic approach. The trust had co-located its two locations into one location at The Cove. On ward 22, we observed staff placing aprons around most patients without any explanation or asking the question if they wanted an apron around them. Stylishly Sustainable in Preston High School Zone. There was effective teamwork and visible leadership across the teams. Patients had access to advocacy services. 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. Safeguarding monitoring was in place across the service; staff were trained in safeguarding and had good support to raise safeguarding issues. On ward 22 patients were unable to summon assistance throughout the ward as alarm call bells were not fitted in most of the patient areas. We rated it as inadequate because: We have taken enforcement action against this service which has limited ratings for some key questions to inadequate. This resulted in patients raising concerns with us during the inspection. Careers. 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.