Told patients how to raise a complaint or concern, and had investigated and responded to concerns and complaints. Laureate House, Wythenshawe Hospital, Southmoor Road, Manchester, M23 9LT. 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. Request quotes. Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. Most staff were up to date with mandatory training and felt proud to work for the Trust. This demonstrated a lack of connection between service delivery and the board. Staff were compassionate, kind and respectful whilst delivering care. We rated the acute and psychiatric intensive care units (PICU) services as requiring improvement. Norfolk and Suffolk NHS Foundation Trust 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. By submitting the contact form or sending an email, you are contacting your local PPN directly. So if you work in an environment or role that is unique, we would like to hear from you. The service had a good safety record; Incidents of harm in the service were low. Norfolk and Suffolk NHS Foundation Trust values and celebrates the diversity of all the communities we serve. The target was for urgent referrals to be seen within five working days and at the time of our inspection, staff saw patients within eight days. Patients requiring long term rehabilitation received appropriate intensive support. the service isn't performing as well as it should and we have told the service how it must improve. Patients were subject to restrictive interventions without the appropriate legal safeguards in place. The HBPoS were staffed by nurses from the adjacent acute wards when people were brought to the suite. Adult crisis and home treatment teams Every area in England will have a 24/7 mental health crisis service by 2021. The service did not always have enough nursing staff to meet patients needs. Staff had a low morale. HTTs were valued but service users' focus was on goals notably different to factors generally assayed by existing research. Evidence of a monitoring system was provided by the Lancaster and Morecambe team, however there was no evidence available for Chorley and South Ribble team. In the multi-disciplinary meeting we attended, a persons capacity was considered in every situation and discussed. Learn about Avondale Rd, Preston and find out what's happening in the local property market. 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 House is estimated to be worth around $1.17m, with a range from $1.01m to $1.33m. Three records did not have 15-minute recordings of the patients progress. There was a centralised process to manage bed availability and admissions. The teams help . This was reflected by the low levels of complaints received. We spoke with 11 patients and nine carers. Staff worked with hospices, hospitals, GPs and specialists for advice when needed. The Older Adults Home Treatment Team is a city-wide service that aims to assess and treat people at home to help prevent them being admitted to hospital. Patients were supported and encouraged to maintain their independence. the trust had a dedicated team to investigate serious incidents, all of whom had additional qualifications in root cause analysis. To service A&E department and Medical Assessment Wards. Used a systematic approach to discharge, using routine outcome measures to measure patients progress and time their discharge process. This requires significant improvement as patients were being deprived of their liberty without a legal framework in place for this. There were enough skilled and experienced nurses and doctors. Patients had thorough risk assessments that were reviewed and updated at appropriate times. Clinical supervision is an important tool for checking that young people have received the appropriate care and treatment. The content on this page is copied from the Home Treatment Team - West information leaflet. 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. The governance systems in place for the oversight of the health-based places of safety and mental health decision units was not effective. This is an organisation that runs the health and social care services we inspect. Management were accessible and supportive but this was not consistent across all services. Our service is aimed at people aged 65 above or those with a young onset dementia diagnosis who are presenting with an acute psychiatric crisis of such severity that without the involvement of the DHTT, they are at risk of hospital admission to a mental health ward. 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. The care plans were thoughtful and fluid, changing as and when needed. As part of each inspection, we look at the way health services provide care and treatment to people. The service engaged well with staff, patients, external stakeholders and other healthcare professionals well in order to continually improve the service. In addition staff on wards told us where the ban was being enforced there had been an increase in incidents as a direct result of the ban. Staff felt valued and supported by their colleagues and were aware of the senior management team within the trust. The ward used nationally recognised assessment tools when monitoring patients health. Inspection team . Staff employed by the service had good compliance with mandatory training, supervision and appraisals and had opportunities for specialist staff training and development. The community services for adults were delivered by staff who were committed and enthusiastic about their roles. The rooms and buildings used by patients were accessible to people using a wheelchair. Staff knew how to report incidents and these were discussed at monthly team meetings. 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. At the time of our inspection the antenatal contact was not being delivered consistently to all pregnant women in the trust. Records and medicines were appropriately audited . We found the service had made inroads into developing their service and there remained six members of staff on six temporary contracts. Keep posted for updates on our trials, fundraising events and achievements. Staff were able to access patients electronic records across the trust. In some cases staff were still being slotted into positions in the team. This meant that managers did not have an accurate picture of safeguarding activity across the trust. Our rating of this service went down. The services were not routinely undertaking fire drill testing at each of the team localities. Managers ensured that these staff received training and appraisals. Staff felt respected, supported and valued. This had resulted in significant issues with recruitment and high levels of sickness. We found evidence that demonstrated the teams implemented best practice guidance within their clinical practice. There were good personal safety protocols in place including lone working practices. reason for each breach was nowdocumented, along with, Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983, and the Mental Health Act Code of Practice. Patients using the service told us that they were treated with dignity and respect and described the staff as caring and helpful. Website address not added, Address: Royal Preston Hospital, Sharoe Green Lane, Fulwood, Preston, Lancashire, PR2 9HT. The action you just performed triggered the security solution. Staff were positive about the new system. Specialist Occupational Therapist National Health Service. We gave the overall rating for community-based services as requires improvement because: We rated wards for older people with mental health problems as requires improvement because: We rated child and adolescent mental health inpatient wards asgoodbecause: We rated forensic inpatient/secure wards as requires improvement because: The physical environments of Calder, Fairsnape, Greenside and The Hermitage wards needed improvement. Get contact details, videos, photos, opening times and map directions. The referral system enabled anyone to refer into the service, including self-referral from people or their carers. There was good adherence to the Mental Health Act and Mental Capacity Act. The wards they were on sought to create an environment that reduced restrictive practise. You can view full details of the Home Treatment Team - West service in our services directory. We inspected the mental health liaison services in the emergency departments based at the following locations, all part of the Lancashire and South Cumbria NHS Foundation Trust: We looked at the impact of mental health liaison within an urgent emergency care centre, as well as any possible impact on patient safety. There were concerns expressed by staff and reflected in the services risk register over the capacity of teams. The Home Treatment Team is likely to meet with you initially, following your contact with one of our triage and assessment teams. Llanfair Road We provide specialist assessment, active therapy, treatment and the opportunity for recovery to older people with a mental health problem. Keywords: This was because many patients on a community treatment order were not routinely given information about their rights or informed of their rights to an independent mental health advocate verbally. Staff understood their roles and responsibilities to raise concerns and report incidents and near misses. Many services were being delivered from less than ideal locations that were not owned by the trust. It became routine in September 2014, again with the expectation that the number contacted would increase each quarter. Staff were not all trained in basic life support and overall completion of mandatory training was below the trust target. The trust was unable to provide a definitive list of teams that fitted within this core service. Home; Location; FAQ; Contacts Careers. Feedback from people who use the service was positive. The nursing staff were working with primary and secondary health care professionals to adopt nationally recognised best practice tools, including the gold standard framework, preferred place of care, the priorities for care for the dying person and advanced care planning to replace the Liverpool care pathway. We can accept referrals from health professionals for individuals or carers who require a period of respite for a weekend or one or two weeks depending on availability of accommodation. There was specialist training available for each care pathway. Bleasdale, Elmridge, Mallowdale, Fellside, Forest Beck, Marshaw, Dutton, Whinfell and Langden wards were in good condition and presented safe, clean and pleasant environments, Fairsnape and Fairoak needed some updating and Calder, Greenside and The Hermitage were in a poor condition. 10 Avondale Road, Preston, Vic 3072. , Preston, Lancashire, PR2 9HT Avondale within Maricopa County. Staff had completed their basic and intermediate life support skills but one member of staff was unconfident about using the handled suction machine. It was unclear if patient activities had taken place. Following that inspection the core service was rated as good in each domain and good overall. Our rating of services improved. Where families and / or carers were involved their opinions and views were also reflected. Staff involved patients and their carers in the care and treatment they received. Staff did not always interact proactively and positively with patients. 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. the service is performing badly and we've taken enforcement action against the provider of the service. Thomas MACDONAGH, FY1 Doctor of Lancashire Care NHS Foundation Trust, Preston | Contact Thomas MACDONAGH Avondale Unit RPH, North West Posted today Applied Saved. To help with your recovery it is important to work closely with other people who support you. We can support you if you are 16 or under and in full-timeeducation. Crisis teams can: visit you in your home or elsewhere in the community, for example at a crisis house or day centre visit you in hospital if you're going on leave or being discharged The Clinical Director for the children and families network provided a monthly quality and performance report to the Quality and Safety sub-committee and performance was monitored against a variety of targets and data. 19 Avondale Road, Preston. Patients without leave could not attend and patients with leave could only attend if there were enough staff to escort them. 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 had access to a range of information. Send email. This meant staff that may administer medication not permitted under the MHA. There were not sufficient numbers of suitably trained staff. This involves intensive home treatment, with visits arranged depending on your needs. Print this page skip to Main Navigation; skip to Content Menu. Nine evidence based care pathways had been developed and were in the process of being introduced across the service. While staff were completing comprehensive risk assessments in most cases, there was a small number of patient risk records, which had not been reviewed recently. We rated it as requires improvement because: Lancashire Care NHS Foundation Trust: Evidence appendices published 23 May 2018 for - PDF - (opens in new window), Published 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. Staff followed local procedures and support was available from mental health act administrators. Sickness and vacancies accounted for the issues which were managed by bank staff or overtime. The development of the HBPoS and joint working arrangements with the police reduced the numbers of people being assessed in police cells. They minimised the use of restrictive practices, managed medicines safely and followed good practice with respect to safeguarding. Maudsley Hospital, 5 Windsor Walk, London, SE5 8BB. Epub 2012 Jan 17. The ward teams included or had access to the full range of specialists required to meet the needs of patients on the ward. Ashton Under Lyne, We examined training records of 193 staff employed and we found only 22 (11%) had completed the required training. Overall compliance was 83.9% at January 2015. Recently the whole care sector has been subject to staffing crisis and as a service Avondale have been extremely proactive and successfully recruited additional qualified nurses when others have struggled. Care plans were centred on the persons identified needs. Staff demonstrated they understood safeguarding procedures and incident reporting; and we saw that debriefing and support was available to all staff, after a serious incident had taken place. Staff felt involved in the process. 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. Published Patients were given information and support to ensure appropriate representation and aid understanding of their rights. The service continued to have input from pharmacists, a physiotherapist, occupational therapist, integrated therapy technician and speech therapy. We saw care plans at one unit were particularly personalised, holistic, and recovery focused. Avondale Unit, The Royal Preston Hospital Town Preston Salary 33,706 - 40,588 per annum, pro rata Salary period Yearly Closing 14/03/2023 23:59. 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. A crisis resolution team (CRT) or home treatment team (HTT) is a service that operates around the clock to provide support for people dealing with a mental health crisis, and is made up of psychiatrists, mental health nurses, psychologists, social workers and team assistants (Home Treatment Accredited Scheme, 2019). 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 service had met the requirements of the warning notice because: The service had enough nursing and medical staff, who knew the patients and received basic training to keep patients safe from avoidable harm. This meant that staff had a good understanding of patients needs and how to deliver particular care. The rotas in use did not provide oversight of all shifts at each location so that the provider could understand whether they are meeting the safe staffing establishment. Theydid not know the trusts risk assessment policy. 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. The trust was aware of this and new initiatives had been introduced but yet to be embedded. Feedback from patients was mixed regarding involvement in their care plans. There were concerns about whether the staffing establishment at the Orchard could support management of the HBPoS safely. We had significant concerns about patient safety, privacy and dignity in the Trust use of mental health decision units. Leaders within the service were aware about the issues the service was facing. An example was given of a service user receiving the same halal microwave meal every day. This meant that opportunities for lessons learnt were not always followed. A range of activities were provided at resource centres within the hospital grounds. Specialist community mental health services for children and young people, esb.services_rated.community health (sexual health services), Community health services for children, young people and families. Essential training was training required for specific staff roles. If you would like this information in large print, audio, Braille, alternative format or a different language, please contact Customer Services and we will do our best to help. Overall, we have judged that community health services for children, young people & families is Good. We can also speed up discharge from inpatient care by making sure intensive home support is available for a short period after discharge. 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. Services have been transferred to this provider from another provider, Acute wards for adults of working age and psychiatric intensive care units, Wards for older people with mental health problems, Mental health crisis services and health-based places of safety. The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare.