This situation had deteriorated since the last inspection in 2018. Welcome to Avondale, one of the North West leading independent providers of care for adults with a wide range of Mental Health related issues. The HTT does not provide phone support for people not under their current care. Patient outcomes were collected and monitored using the national hip fracture audit and national Parkinsons audit. Information was not readily available in different languages, staff stated they could access an interpreter as necessary. This was a focused inspection with emphasis on specific key lines of enquiry within the safe domain, the responsive domain and the well-led domain. Processes were in place to monitor performance. 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. We found a good incident reporting culture where staff were clear on what to report and who they should report to. This meant that some patients were not receiving person centred care. Staff in teams felt they were effective in their jobs and patient surveys showed similar findings. There was a multidisciplinary approach to the delivery of care. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Staff were seen to interact in a professional and caring manner with their patients, with time and attention being given to all. Staff were positive about the team managers and felt they got the support they needed. Patients who used the service said that staff engaged with them in a caring, kind and respectful manner. However, it was noted that mandatory training figures for the wards did not match the figures provided by the trust and the system of core and effective training was confusing. Young people were given information and support from independent advocates about their rights under the Mental Health Act. We found the team in North Lancashire had experienced problems in obtaining new accommodation and this had a negative effect on morale amongst staff. Avondale is run by Delphside Ltd a registered charity (No. The effectiveness of these systems was subject to ongoing review. Prescribing was in line with National Institute for Health and Care Excellence guidance. This included increased staffing for community teams and closer working relationships with partner agencies. There was not an effective, existing governance structure in place across the four clinical networks. The staffing levels had improved since the last inspection to between 90% and 100%. There was strong medication management. The site is secure. There are new and exciting developments happening with a new Intensive Home Treatment programme across Milton Keynes, Bedfordshire. 11 September 2019. We provide short term supportive care packages to young people and their families/carers being discharged from acute inpatient wards. Uptake of mandatory trainingwas in line with trust policy. The service provided safe care. Formal clinical supervision was not happening in line with the trust policy. They reviewed patients risk regularly and they responded appropriately when risk changed. Families engaged with the Childrens Integrated Therapy and Nursing Servicewere involved in writing their childs care plan. A number of seclusion rooms, a health-based place of safety, and the use of Extra care Areas in the adult mental health service and that child and adolescent mental health service (CAMHS) that were not compliant with the Royal College of Psychiatrists standards and the Mental Health Act Code of Practice. There were no waiting lists for the services provided within this core service. However, the governance structure from senior management level to ward level was in the process of being developed and was still in draft form at the time of our inspection. The treatment can take . The ward had dementia, safeguarding, tissue viability, end of life and infection control champions. Staff had a low morale. The safeguarding team were not routinely being copied in to referrals made to childrens social care. Care records were holistic, comprehensive and showed evidence of patient and carer involvement. 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. Most non-refrigerated medicines must be stored at less than 25C to ensure they remain effective. PMC 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. Staff had been advised to assess capacity and that patients were then detained in their best interests, but this is not a lawful deprivation of liberty. The ward environments were subject to constraints in observation. Care plans did not always contain the patients views. Performance & security by Cloudflare. Used a systematic approach to discharge, using routine outcome measures to measure patients progress and time their discharge process. Advocacy services were accessible and available to support patients. 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. To date we have received 419 referrals into the team, and our service is open 7 days a week, from 9am to 9pm Monday to Friday, and 11am to 7pm at weekends and Bank Holidays. During the inspection there were two patients with these sub-acute conditions. Postgraduate Study & Research Expand your horizons with a range of postgraduate coursework or join an inspired and ever-growing research community at Avondale University. Of these responses 99% of patients would either highly recommend or recommend the service to friends and family. There was a gym and a sports hall for physical activities. Risks identified on the board assurance framework and corporate risk register reflected those we found in core services. People did not have to be admitted to hospital when they were prescribed clozaril as staff carried out monitoring in the person's own home. 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. Monitored patients physical healthcare, with links to GP surgeries to respond to any continuing physical health needs. Managers showed good leadership and supported staff to deliver high standards of care. Improved communication between the Accident and Emergency Department, Mental health services and other departments within the Acute Trust Hospital setting in relation to patient care and management. These upgrade works will ensure that additional water can be transferred between Silvan and Greenvale reservoirs to accommodate for the area's future growth and ensure the community continues to be provided with a reliable and secure water supply. Epub 2019 Nov 18. Staff received training in the MCA and there was an on-going training schedule to ensure they remained skilled. Community-based mental health services for adults of working age. Llanfair Road They assess adults who're having a mental health crisis or need intensive home-based support and treatment. The Longridge ward team were positive and proud of the service they provided for the local community. The staff showed knowledge of procedures and requirements that helped maintain their safety. There was good use of de-escalation techniques across the wards. Home Treatment Teams | DPT The service proactively monitored and managed staffing levels to ensure patient safety. 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. The service followed British Association for Sexual Health and HIVGuidance on the assessment and treatment of patients. These staff were responsible for ensuring ward procedures were up to date and provided advice and support to their colleagues. Home treatment team (HTT) - NELFT NHS Foundation Trust Understanding of your current mental health issues. This had not improved since our last inspection. We found the risk register was now up to date, reviewed monthly and actions taken where needed. Care plans were person centred and tailored to the individual. Search for local Hairdressers near you on Yell. It became routine in September 2014, again with the expectation that the number contacted would increase each quarter. sharing sensitive information, make sure youre on a federal The MHCS worked within the principles of the recovery model. However, if it is more convenient for you to be seen elsewhere we can accommodate this request. Problems with staffing levels meant often there were not enough staff to provide escorts. The service did not collate quality measures in relation to primary reason for referral making it difficult to assess condition specific waiting times in line with National Institute of Health and Care Excellence guidance. There were a number of wards and services which had furnishings or fittings that had ligature risks (places to which patients intent on self-harm might tie something to strangle themselves). We rated it as good because: We have taken enforcement action against this service which has limited ratings for some key questions to inadequate. Our rating of this service went down. Avondale Staff were aware of incidents that had occurred on their own ward or within their own locality. Covid-19 and home treatment service for older adults - GM 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. Patients physical health needs were routinely monitored and acted upon appropriately. Governance structures and performance management did not always operate effectively to assure staff had completed their mandatory training. Supervision and appraisal figures were low. Staff had manageable caseloads which helped to promote staff keeping patients safe. Planning and delivery of service took patients individual needs and circumstances into consideration. home treatment team avondale preston - ptmkm.ippt.pan.pl Adult crisis and home treatment teams Every area in England will have a 24/7 mental health crisis service by 2021. 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. Staff spoke highly of their line managers and told us they felt listened to. We saw a piece of work analysing the main reasons for staff sickness absences and considering how these could be addressed. This issue had been added to the trusts risk register which showed it had been identified as problem. The recording of patient information did not optimise the sharing of patient data between staff of differing services and teams. New scientific research has led our team to the use of reliable, gentle treatment thats effective, consistent and safe for the management of a vast range of health conditions. This had improved since our last inspection. Although the trust had a training schedule in place, staff had not completed all their mandatory training. Patients individual care and treatment was planned using best practice guidance. Team leaders told staff about outcomes and learning from incidents. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Feedback from people who use the service was positive. 12 hour shift + 5. The ward used nationally recognised assessment tools when monitoring patients health. 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). staff were knowledgeable about their responsibilities in relation to reporting safeguarding concerns including to external agencies, most care plans were of good quality with evidence of patient involvement, services were being delivered in line with national guidance and best practice, the trust was compliant with the workforce race equality standard and was acting to understand and close the gap between treatment of white staff and those from Black and minority ethnic backgrounds, staff built and maintained good working relationships with agencies and stakeholders external to the trust. We support people who live in the London Borough of Southwark. We rated 10 of the trusts 14 core services as good overall. Staff told us they did not always feel respected, supported or valued. We saw guidance and procedures for caring for the dying patient and appropriate use of medicines. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. Of these, six services (31%) reported that home treatment teams dedicated to the management of acute mental disorders had not been established.