Telephone referrals only to the Acute Crisis and Assessment Team (ACAT) are received on ext 67774. The Royal College of Psychiatrists has recently established the Home Treatment Accreditation Scheme (HTAS) to institute a quality standard for HTTs, though it is unclear whether such accreditation could of itself measure effective care. Published We were not assured that the trust was collecting meaningful data to understand the scale of the issues apparent across this core service. At the HBPoS, a comprehensive assessment and physical health check was undertaken when people were brought in by the police under section 136 Mental Health Act 1983 (MHA). We observed that staff took time to communicate with patients in a respectful and compassionate manner and patients were empowered to become active participants in their care. Also, Lancaster CAMHS had only completed 50% of staff appraisals, and the trust could not give figures for the Chorley and South Ribbleservice. Complaints were received and investigated in a timely manner. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. 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 Electronic notes were clear, concise and care planning processes were evident. 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. The ward staff knew how to report incidents and as a result improvements were made to ensure patients were safe. Staff felt involved in the process. A number of maintenance and cleanliness issues in the forensic services and a lack of infection control audits in community CAMHS. The .gov means its official. There were some waiting lists but these were within the guidelines from the standard operating procedure of the service delivery timescales. However there were no KPIs in place for the single point of access services. Parents could easily contact staff and found the teams responsive to their needs. Also, some equipment in the clinic room had passed the expiry date for use. Complaints processes were clear and staff demonstrated they actively responded to issues raised by patients and their carers. Staff understood and addressed the type of problems presented by the young person and their families. Incidents were investigated and where necessary the patient was fully informed, and an apology given in line with the duty of candour. The trust had a protocol in place however this was not being followed consistently and was out of date. Suspended ratings are being reviewed by us and will be published soon. Staff were familiar with incident reporting procedures. Staff were seen to interact in a professional and caring manner with their patients, with time and attention being given to all. World Psychiatry. Cloudflare Ray ID: 7a2f0d761874a211 Patients told us that staff were caring and we observed staff treating patients with kindness, dignity, respect and compassion. The service had recently come through a period of change, due to sexual health services being tendered across Lancashire. 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. Todmorden. Seclusion facilities on Calder, Fairsnape, Greenside wards were poorly equipped. We re-inspected the service in March 2020 and found that the conditions of the warning notice had been met. However there were shifts that operated below the expected establishment. The trust was committed to reducing restrictive practices including the use of prone restraint, which was demonstrated by their strategy on this. Two patients said they found it difficult to access religious services. Complaints were well managed. Due to the concerns we found during our inspection of the trusts acute inpatient mental health wards for adults of working age and psychiatric intensive care units, we used our powers to take immediate enforcement action. We can't believe the NWPPN turns 10 this year! Staff had a good awareness of the need to protect patients from abuse and neglect and there were systems in place to support them. Assertive Community Treatment, or ACT, provides a full range of services to people diagnosed with a serious mental illness (SMI). Because of the rural location of Guild Lodge local public transport was limited. In addition, at the Junction compliance with clinical and management supervision was low. ACT teams offer complete, communitybased treatment to people in the most difficult situations. 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. Site map. Designed and Developed by: Cube Creative . There were regular checks of equipment and maintenance records were in place. Home Improving care College Centre for Quality Improvement (CCQI) Quality Networks and Accreditation Electroconvulsive Therapy Accreditation Service - ECTAS List of ECTAS Member Clinics ECTAS Member Clinics Below is a list of ECTAS Member Clinics, sorted by region and detailing their ECTAS membership status. Since our previous inspection the trust had been reviewing potential tools and had analysed activity data to inform a new model of care. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. You can view full details of the Home Treatment Team - West service in our services directory. Get contact details, videos, photos, opening times and map directions. Staff showed a clear commitment to providing the quality care which individuals needed. We found that the service had improved and met the requirements of the warning notice. Staff carried out an initial assessment that focused on peoples strengths, self-awareness and support systems, in line with recovery approaches. Staff did not create specific care plans for patients with epilepsy or moving and handling needs. We found adequate staffing numbers with a wide range of skills which matched patient need. The safeguarding team were not routinely being copied in to referrals made to childrens social care. Staff often booked the trusts pool cars to support patients with off-site activities and leave. 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. In rating the trust, we took into account the previous ratings of the core services not inspected this time. Hiding UNDERGROUND from A SWAT Team! Patients described their need to make contact with family and friends. The health-based places of safety provided a safe environment for the risks of people in a crisis to be managed. Appropriate risk assessments and paperwork was in place for individuals on community treatment orders. This is achieved by matching the finest raw materials with bespoke production processes. We rated Lancashire Care NHS Foundation Trust specialist community child and adolescent mental health services as good because: All parents and young people said staff were welcoming, caring and respectful and listened to them. Advocacy services were accessible and available to support patients. in community health services for children and young people, not all safeguarding cases were being supervised and the trust safeguarding team was not routinely copied into referrals made to childrens social care, in the community child and adolescent mental health service, not all patients had an up to date and current risk assessment in their care record, in the acute wards and psychiatric intensive care units, significantly less than 75% of staff were trained in life support, the trust policy did not adequately deal with all the requirements of nursing patients in long term segregation in line with the Code of Practice, staffwere not always providing person centred care to patients on a community treatment order, there were problems with the quality of care plans on Elmridge ward, in child and adolescent community mental health services and in community health services for adults, compliance with supervision and appraisal was below 75% in some services, the trust did not notify CQC of applications for Deprivation of Liberty Safeguards in more than 75% of cases between January 2015 and February 2016, there was a high demand for mental health beds, which meant that some patients were either being placed out of area or requiring intensive support from community teams. All four courses fell below 75%. Our rating of the trust stayed the same. This had a direct impact on patient care. High use of out of area beds was another symptom of the problem. Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. The quality of risk assessments and care plans was of a good standard overall. The staff in the team highlighted that the Transfer of Undertakings (Protection of Employment), process had been stressful. The residents and staff are already looking forward to being part of this project and that in turn will help support their general wellbeing too. Provide 24 hours nursing care that is person centred and care plan led, with individuals input and objectives key to this process. Despite this, longer term staffing issues had been identified in some areas and recruitment plans were in place to address future challenges. The teams are made up of multidisciplinary practitioners . A separate gardening project aimed at providing vocational qualifications and employment opportunities to patients. The staff showed empathy and concern and were caring to the people they treated and understood the anxieties of patients in relation to sexual health treatment. Service and service type . Despite this, we found a committed competent staff group who were patient focussed. We also found some gaps in the recording of observations on some wards. The low number of risk assessments for clinic locations and the fact that they were not complete or comprehensive meant the potential risks were not being clearly identified or addressed. Despite the challenges staff faced due to the increased acuity of patients, staffing issues and increased demand for beds in some core services, staff remained committed and motivated to providing the best care possible and improving services for patients. FOR SALE. There were good relationships with other teams and external organisations to ensure needs were met. This indicated it was not the patients voice. Keywords: 11 September 2019. The existing ratings from our inspection in June 2019 remain in place. Staff understood their roles and responsibilities to raise concerns and report incidents and near misses. The ward layout was well planned in the Harbour services: the layout used space to good effect. Wards received monthly performance reports. During the inspection we found: Patients admitted to health-based places of safety (136 suites) were unlawfully detained beyond the legal timeframe for their detention. The service did not meet the Department of Health guidance on same sex accommodation. They viewed staff as kind, considerate and caring. Our crisis assessment and treatment teams (CATT) are a mental health service based in the community. At Avondale we can provide 24 hour, nurse lead care and accommodation for adults with a . Capacity was being assessed on admission and was reviewed as required. 9 Avondale Road, Preston, Vic 3072. Our Dementia Home Treatment Teams provide an intensive, safe home treatment service in the least restrictive way. Leaders had the skills, knowledge and experience to perform their roles. This meant that patients were less likely to be harmed by poor infection control practices or self-harm/suicide incidents. Staff generally assessed and managed risk well. Staff supervision rates had been low over the last 12 months.