Here in Powys we have two Dementia Home Treatment Teams who provide a rapid response, assessment and intensive support to patients in their own homes, residential and nursing homes and community hospitals. Avondale Clinical Decisions Unit works in collaboration with the Mental Health Response Service and treatment units across the unplanned care pathway. Reports were of a good standard and there were systems in place to share learning. Relatives were encouraged to stay with their loved ones while they were cared for on the ward and a named nurse was assigned to the patient and family. Staff understood and addressed the type of problems presented by the young person and their families. 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. Referrals can be made by Mental Health Hospital Teams, Psychiatric Liaison Teams, Community Mental Health Teams, out of hours GP services, Police and . Activities did not always take place. Clinics were visibly clean, tidy and organised. Theydid not know the trusts risk assessment policy. The service reviewed staffing levels daily. Staffing levels were reviewed daily and in twice weekly meetings. Hurstwood ward was due to close in December 2016 and a new location with more space was planned. We have a range of accommodation options across the county. How we can help OA Single Point of Access - for referrals operates 9-5 Monday to Friday. We found a good incident reporting culture where staff were clear on what to report and who they should report to. Social inclusion teams worked to ensure peoples holistic needs were met and worked with hard to reach groups in innovative ways to promote mental well-being. Staff were able to access patients electronic records across the trust. Conclusions: The service continued to have input from pharmacists, a physiotherapist, occupational therapist, integrated therapy technician and speech therapy. The service carried out the NHS Friends and Family Test. The home treatment team service for older adults functioned from April 6 to August 31 2020. Adherence to the principles of the Mental Health Act and its associated Code of Practice was good throughout the trust. I spoke to a practitioner on the home treatment team at about 4AM Sunday morning - who advised me someone may be available to attend the dentist with me - as I was absolutely terrified. The quality of risk assessments and care plans was of a good standard overall. Feedback from patients was mixed regarding involvement in their care plans. We saw activities with patients that showed consideration for mental state and abilities, and staff were able to make the activities meaningful. Of these, six services (31%) reported that home treatment teams dedicated to the management of acute mental disorders had not been established. There were clearly defined roles and responsibilities within the service supported by an effective management structure. The nature of this support will be discussed with you and the people who support you. The procurement process and mobilisation of new teams created some obstacles and challenges for the staff andalso some changes in the services systems. It was unclear if patient activities had taken place. Out of area placements and delayed discharges were monitored. No rating/under appeal/rating suspended Clinical evidence summary tables. Ward facilities were designed with disabled access, ensuring that wheelchairs could be used freely on the wards, and bathrooms had brightly coloured equipment so patients could easily identify facilities. Full information about our regulatory response to the concerns we have described will be added to a final version of this report, which we will publish in due course. There are new and exciting developments happening with a new Intensive Home Treatment programme across Milton Keynes, Bedfordshire. Our rating of services improved. We found the service had made inroads into developing their service and there remained six members of staff on six temporary contracts. Physical restraint was rarely used as staff were confident in the use of de-escalation techniques. There were enough skilled and experienced nurses and doctors. We have judged the service as requires improvement because: However, the unit was clean and well maintained. Clinic room temperatures exceeded the maximum of 25 degrees on numerous occasions on four wards. The requirements of the warning notice had been met because: Our rating of this service improved. This meant that the trust did not have adequate oversight of this and there was a reliance on managers reporting compliance. :<@79=1@;5>984>23",o="";for(var j=0,l=mi.length;j