All our staff adopt a holistic approach which is underpinned by the principles of the service which are safe, caring, responsive, effective and well led upholds our core values of respect, privacy and dignity. The physical space of four of the five health-based places of safety (HBPoS) we visited provided safe, clean environments to assess people. There was no current protocol for staff to follow and inconsistency in practice. The service reviewed staffing levels daily. 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). In the Preston 136 suite and the home treatment team offices at Ormskirk, there were issues in relation to maintenance of the buildings. We were not assured that service users on Community Treatment Order were being read their rights at regular intervals in accordance with the Mental Health Act and code of practice. The decreased skill mix of staff had been recognised and changes to work patterns were being discussed. 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. there are some services which we cant rate, while some might be under appeal from the provider. The trust was unable to provide consistent information relating to this core service. Staff were not all trained in basic life support and overall completion of mandatory training was below the trust target. 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. This meant that patients were less likely to be harmed by poor infection control practices or self-harm/suicide incidents. We found that Lancashire Care Foundation NHS Trust was providing a high quality service regarding end of life care (EOL). In the meantime, risk was mitigated through observation. The service had good multi-agency relationships which matched the holistic needs of patients. The service only upheld seven complaints out of 24 complaints in the 12-month period from April 2015 to March 2016. We observedhandwashing and infection control practices in home visits and at a baby clinic, appropriate cleaning of equipment between patients and use of personal protective equipment. This had improved since our last inspection. Actions had been agreed and a CQUIN target was associated the delivery of the action plan. Moss View had a ligature risk audit, which related to the HDRU only. This requires significant improvement as patients were being deprived of their liberty without a legal framework in place for this. We had significant concerns about patient safety, privacy and dignity in the Trust use of mental health decision units. There was good evidence of services and disciplines working together to improve services for patients and included: the intensive home support service, the discharge planning team, the Care Home Effective Support Service (CHESS) Team and the diabetes service. In the Preston 136 suite and the home treatment team offices at Ormskirk, there were issues in relation to maintenance of the buildings. This had a direct impact on patient care. We observed collaboration and communication amongst all members of the multidisciplinary team (MDT) to support the planning and delivery of care. Nine evidence based care pathways had been developed and were in the process of being introduced across the service. The trust had developed an EOL framework and an advanced care plan but these were still in draft form and yet to be embedded. Regular reviews were done and treatment was delivered in line with evidence based guidance. An electronic staffing recording system highlighted gaps in provision and automatically advertised bank shifts to other staff. Our rating of this service went down. 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. The crisis support units only had reclining chairs in communal areas for patients to rest or sleep in, which meant patients slept overnight in reclining chairs in communal areas. The teams are made up of multidisciplinary practitioners . Records and medicines were appropriately audited . The clinicians provided care and treatment tin line with current nationally recognised guidance. A teaspoon of this mixture is taken once every three hours will treat excessive coughing. At Avondale we can provide 24 hour, nurse lead care and accommodation for adults with a . Staff in all services were generally described as discreet, respectful, and responsive when caring for patients. We did find that a ligature point had been identified at the wards in the Harbour when the windows of the quiet room were opened into the internal courtyard. We rated three of the trusts core services that we re-inspected as requires improvement overall. J Ment Health. Staff told us they would try to re-arrange leave when activities were cancelled, however, in the womens service, the occupational therapist helped to cover leave and activities when there were staff shortages. 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. Safeguarding monitoring was in place across the service; staff were trained in safeguarding and had good support to raise safeguarding issues. People who used the services were able to ask questions, discuss care, and were involved with decision making. The trust did not have a robust mechanism in place to capture compliance with supervision. The ECR system required more time to complete details and entries made had to be transferred to other systems which increased the risk of errors and extra work for staff. However, because this was a focused inspection we did not re-rate the individual key questions or the overall service. PPN NW is a regional membership network for all psychological professionals, experts by experience and stakeholders contributing to NHS commissioned psychological healthcare across the North West of England. We rated them as requires improvement because: During the inspection we visited all four wards and observed how staff were caring for patients. They demonstrated knowledge of current, evidence-based practice. Children and adolescents had to long waits for appointments. The 136 suite at Preston had a shower room which had evidence of mould growing and cracked tiles. View photos. Key performance indicators were used to assess the effectiveness of the service offered to young people. Staff clearly expressed the trusts vision and values and portrayed positivity and pride in the work they did. For more information or if your symptoms persist and you need to make an appointment, please call us at 226-2228. Home Treatment Team - Lambeth Overview Home Treatment (Lambeth) provides a service for people, aged 18-65, with severe mental illness who would benefit from assessment and treatment at home as an alternative to Hospital. Staff on Marshaw ward said they did not have time to facilitate activities, and activities were inconsistent and not structured. Bethesda, MD 20894, Web Policies A range of activities were provided at resource centres within the hospital grounds. We also saw that supervision and appraisals were being done for staff but all wards agreed that they needed to improve this aspect. 23 May 2018. The quality of risk assessments and care plans was of a good standard overall. Patients in Guild Lodge made 65 complaints in the twelve months prior to the inspection, which was the highest number of complaints throughout the trust. Each year, we visit all NHS trusts and independent providers who care for people whose rights are restricted under the Mental Health Act to monitor the care they provide and check that patients' rights are met. 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. However, at the Junction staff did not know the agreed and allowed medication under the MHA. Our therapy team is on the ward 8.30am-4.30pm Monday to Friday It is situated close to all the necessary local amenities, such as shops, public transport links, hospital, GPs, dentist, leisure centres etc. Close menu, Royal Preston Hospital, Sharoe Green Lane, Fulwood We welcome residents/service users and their family/friends to submit reviews to carehome.co.uk This is not a formal complaint procedure or to be used for allegations of negligence, abuse or criminal activity. Staff told us they did not always feel respected, supported or valued. Team leaders told staff about outcomes and learning from incidents. They followed good practice with respect to young peoples competence and capacity to consent to or refuse treatment. The number of staff that had not completed mandatory training was below expected levels. Staff could describe incidents that had been reported and identified actions taken in response. We also smelt smoke and observed two patients smoking inside one ward. A range of evidence-based assessment tools, outcome measures and adherence to best practice guidance was evident in the care and treatment staff delivered. About us Wigan Home Treatment Team Atherleigh Park Atherleigh Way Leigh WN7 1YN Tel: 01942 636 317. Our observations of staff interacting with patients were positive. We saw some examples of excellent practice which meant people were able to stay in the community. Morale was improved following most changes being implemented from the community service review. Staff employed by the service had good compliance with mandatory training, supervision and appraisals and had opportunities for specialist staff training and development. This promoted staff safety when visiting patients homes. Postgraduate Study & Research Expand your horizons with a range of postgraduate coursework or join an inspired and ever-growing research community at Avondale University. Our Home Treatment team (Southwark) provides a community based service to support people, aged 18-65, at home, rather than in hospital. Patients and carers we spoke with were generally positive about staff. Suspended ratings are being reviewed by us and will be published soon. Bronllys Hospital While detention papers had been checked by the receiving nurse and scrutinised by an administrator, on three out of four relevant records, we did not find evidence of medical scrutiny to make sure the clinical grounds for detaining patients were made out. The low number of risk assessments for clinic locations and the fact that they were not complete orcomprehensivemeant the potential risks were not being clearly identified or addressed. The occupational therapy team said the main reason for activities being cancelled was transport being diverted at the last minute for use at appointments.

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