Staff morale was impacted by staffing pressures and the COVID-19 pandemic. Home Treatment - operates 8am to 8pm 7 days a week Provides intensive support in the community for people with acute mental health difficulties for a period of up to 6-8 weeks. We rated two of the trusts 14 core services as inadequate and two as requires improvement overall. East London NHS Foundation Trust 3.7. Risks identified on the board assurance framework and corporate risk register reflected those we found in core services. It was delivered by passionate staff who gave patients and their families compassionate care were however there were areas for improvement in the effective domain. Clinics were scheduled weekly at set times with some open and some pre-booked slots. FOIA The risks associated with prolonged stays in section 136 suites and decision units were not recognised. Medical staff received regular supervision, ensuring that lines of communication and support were in place. The service has adopted a new approach to assessment of new referrals to the team. This had led to an impact on the quality of care staff delivered and the loss of a number of experienced staff members. Person-centred therapeutic interventions were being delivered to patients to support them to achieve improved independence and wellbeing. There were good working relationships with other teams including child and adolescent mental health service community teams, adult services, social services and outreach teams. It was unclear if patient activities had taken place. the trust had established systems in place to support the administration and governance of the Mental Health Act and Mental Capacity Act. You can view full details of the Home Treatment Team - West service in our services directory. There were not sufficient numbers of suitably trained staff. 584 talking about this. The manager assured us this was due to be corrected. Staff reported good working links with other services within the trust and external organisations. Taking place on Wednesday 24th May 2023 in Manchester City Centre. There was not an effective, existing governance structure in place across the four clinical networks. Staff were not engaging with the patients when not on observations. This resulted in patients raising concerns with us during the inspection. There was evidence of multi-agency and patient focus groups to inform delivery of services which resulted in a more integrated approach to service delivery via the intensive home support service. Hiding UNDERGROUND from A SWAT Team! Patients without leave could not attend and patients with leave could only attend if there were enough staff to escort them. 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. 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. Across all the teams, there were issues with staffing, despite staff now being recruited specifically to work in 136 suites. There were ward-based activities and access to outside space for most wards. View on a map. The service was under increased pressure at the time of inspection due to the acuity of the patients, staffing issues and the high levels of observation required. 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. We rated community based mental health services for older people as good because: There were safe lone working practices which were standardised across each of the localities. The community services for adults were delivered by staff who were committed and enthusiastic about their roles. Staff were concerned about staffing levels, but were generally positive about the teams they worked in and local managers. Our primary aim is based on the recognition that people recover more quickly if treated at home in familiar surroundings, with friends and family close by. 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. The trust had also not appointed a board member with a specific lead role for end of life care to ensure executive scrutiny. List of ECTAS Member Clinics - RC PSYCH ROYAL COLLEGE OF PSYCHIATRISTS Our analysts have developed this monitoring to give our inspectors a clear picture of the areas of care that need to be followed up. We provide short term supportive care packages to young people and their families/carers being discharged from acute inpatient wards. Consent practices and records were monitored and reviewed to improve how patients were involved in making decisions about their care. Staffing levels were managed with low levels of sickness and few vacancies however, the managers had not taken a systematic approach to quantify the staffing levels and acuity of caseloads and neither had been reviewed for some time. The service proactively monitored and managed staffing levels to ensure patient safety. However, this policy would not be appropriate for low secure or step-down services without individual risk assessment. Staff displayed a good knowledge of both the MHA and MCA. Enter your postcode below to discover what is happening in your region. Analysis of incidents was undertaken and changes were implemented across the team. A range of evidence-based assessment tools, outcome measures and adherence to best practice guidance was evident in the care and treatment staff delivered. The information it provided did not clearly match up with sample of crisis/home treatment teams we visited as part of this inspection. Patients requiring long term rehabilitation received appropriate intensive support. This was not being consistently implemented, which had led to increased risks in some areas. The trust ensured that cost improvement plans did not compromise patient care. Staff had a good understanding of the principles and application of the Mental Capacity Act. Staff developed recovery-oriented care plans informed by a comprehensive assessment. Staffing pressures had been exacerbated by the impact of the COVID-19 pandemic. 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. Team leaders had no consistent system to monitor the uptake of clinical and management supervision of staff. Information provided by the trust showed staff had not received the expected supervisions and appraisals. 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. Home Treatment Team - Exeter, East and Mid Devon | DPT Assessments were carried out in a timely manner, reviewed and reflected in care plans. There was good adherence to the Mental Health Act and the Mental Capacity Act. Staff worked with hospices, hospitals, GPs and specialists for advice when needed. The Unit has 14 beds, providing both male and female accommodation. The Specialist Triage Assessment Referral and Treatment Team provides timely triage, assessment, onward referral/signposting and treatment for Service Users referred without the need for multiple assessments. Home Treatment Team - Exeter, East and Mid Devon Incidents were reported appropriately and lessons were learnt. People were offered a copy of their care plan. Is this information correct and up to date? We provide care for people who live in the London Borough of Lambeth. Todmorden. Also, some equipment in the clinic room had passed the expiry date for use. LD30LU Feedback from patients who used the services was positive, regarding how staff treated patients and their families. Unable to load your collection due to an error, Unable to load your delegates due to an error. Patients consented to treatment and were informed about their treatment and were actively involved in decisions about their care, which included choices about date of appointments. Patients made complaints about a wide range of issues including concerns about safety on wards, availability and quality of food, cancellation of leave, and staff behaviour. NorthWestern Mental Health is a service of The Royal Melbourne Hospital. Advocacy Voiceability (ESAN) 01473 329671, Alcohol and Substance Misuse Turning Point 01284 766554 2 Looms Lane, Bury St Edmunds, Alzheimers Society (Helpline) 0300 222 11 22. Home Treatment Team - Home Treatment Team - Somerset NHS Foundation Trust Welcome to the City of Avondale, Arizona! Senior managers did not respond promptly to failings within the service. Understanding of your current mental health issues. Escalation procedures for urgent referrals were in place. Discharge plans were discussed from admission but were based on individual patient needs and did not follow any benchmarked outcomes. Patient outcomes were collected and monitored using the national hip fracture audit and national Parkinsons audit. About Us. Despite this, we found a committed competent staff group who were patient focussed. There was equipment which could be used as weapons. 20 Home Remedies Everyone Should Know - SVT Health & Wellness Staff carried out risk assessments of patients on initial contact and updated this regularly. Ten ex-HTT patients were interviewed on the care they had received, using thematic analysis of semi-structured interviews. Guild Lodge was utilising recovery-based models of care such as My Shared Pathway and Recovery Star, though implementation was inconsistent across the wards. Families and carers were involved in this process where appropriate. Referrals for patients with functional and organic disorders could be made to the generic home treatment team service within the trust. There was a gap in service provision for young people aged 16-18 years old. Staff delivered care and treatment based on young peoples needs. Staff were not appropriately monitoring patients after the administration of rapid tranquilisation. The trust used high numbers of bank and agency staff on their wards. Overview - Avondale Unit - NHS 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 136 suites were generally in keeping with the standards in the Mental Health Act and its code of practice. National guidelines were being followed. They assess adults who're having a mental health crisis or need intensive home-based support and treatment. A separate gardening project aimed at providing vocational qualifications and employment opportunities to patients. the service is performing well and meeting our expectations. Staff cared for patients in a respectful and dignified way. Covid-19 and home treatment service for older adults - GM All locations which we visited were fully accessible for wheelchair users and those with limited mobility. However the level of staff training on these areas was below expected standards. Safeguarding supervision was practitioner-led and delivered in a group setting where each practitioner would bring one case to discuss. Patients and the ones who were close to them were involved in their care decisions. 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. The service actively monitored and managed risk well. Our observations of staff interacting with patients were positive. Incidents and safeguarding issues were recorded appropriately.

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