The principles will normally apply but will be balanced by inspection teams using their discretion and professional judgement in the light of all of the available evidence. Three records did not have 15-minute recordings of the patients progress. We spoke with 21 staff, 11 patients and nine carers. Patients felt they were afforded sufficient privacy and dignity. In addition to the blockages at point of admission, the home treatment teams did not have effective gatekeeping arrangements and discharges from the acute wards were delayed for other than clinical reasons. Email this page There is a night practitioner available for telephone advice and guidance outside of these hours. The board was not aware of these issues, which were not in line with best practice guidance and the Mental Health Act (MHA) Code of Practice (CoP). Information provided by the trust showed staff had not received the expected supervisions and appraisals. Established in 1991, we are registered with CQC to provide care, support and rehabilitation at Avondale for adults with mental healthcare needs in a 54 bedded, purpose built home. Is this information correct and up to date? This resulted in staff on site dealing with smoking-related incidents differently as some staff allowed patients to bring smoking materials into the site while others did not. Patients had not exercised their rights to appeal and we could not be assured that this was an informed choice. Our rating of this service went down. PMC Advocacy services were accessible and available to support patients. Information provided by the trust demonstrated poor compliance with annual staff appraisals by teams. Back to Mental Health Liaison Team (MHLT) (PCMHT), Home Treatment Teams (HTT), Substance Misuse Services and Housing and Emergency Social Services Team in response to client need; Preston & Chorley. Avondale Unit, Royal Preston Hospital, Sharoe Green Lane North, Fulwood, Preston, PR2 9HT. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. We will revisit these services to check that appropriate action has been taken and that quality of care has improved. This included the police, other NHS trusts, and the local authority. There was inconsistent application of the trusts no smoking policy. Any referral from Minor Injuries Units or Community Staffing and Hospitals, please ring the above numbers for Home Treatment Teams. We rated two of the trusts 14 core services as inadequate and two as requires improvement overall. Norfolk and Suffolk NHS Foundation Trust values and celebrates the diversity of all the communities we serve. Staff were trained in and had a good understanding of the Mental Health Act and Mental Capacity Act. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding Telephone: 0161 271 0278. The service continued to have input from pharmacists, a physiotherapist, occupational therapist, integrated therapy technician and speech therapy. Any other browser may experience partial or no support. Many services were being delivered from less than ideal locations that were not owned by the trust. We witnessed several such incidents during our inspection. Incidents and safeguarding issues were recorded appropriately. This led to some patients spending several days in a crisis support unit when there were no admission beds available. Staff understood and implemented safeguarding procedures. In September 2013, the CQC asked the trust to review the environment of the seclusion room shared by Whinfell and Bleasdale wards. This occurred when patients had been assessed as needing inpatient admission, but there were no beds available. Avondale is run by Delphside Ltd a registered charity (No. However, if it is more convenient for you to be seen elsewhere we can accommodate this request. Wordsworth and Bronte wards had recently taken part in a human rights project with a university faculty; the results were not known at the time of the inspection. Despite this, longer term staffing issues had been identified in some areas and recruitment plans were in place to address future challenges. However, we found Greenside and Calder wards were not clean and hygienic. Managers ensured that these staff received training and appraisals. Care plans did not always contain the patients views. The Central Home treatment team also provide intervention to Willow House the Crisis support house based in Chorley, The Haven service based in Preston and the136 Rigby suite based at the Avondale Unit at times there may be a need for the successful candidate to undertake these roles. The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare. Insufficient staffing levels on HDRU had been identified and noted on the local risk register. Staff followed local procedures and support was available from mental health act administrators. Staff clearly expressed the trusts vision and values and portrayed positivity and proudness in the work they did. However, access to religious facilities was inconsistent. Home Treatment Team How our service can help you 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. 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 rated The Lancashire Care NHS Foundation Trust as good because: There was an open and transparent approach to the treatment of people who used services that allowed for identification of safeguarding issues or inefficient practice. We are fully committed to ensuring that all people have equality of opportunity to access our service, irrespective of their age, gender, ethnicity, race, disability, religion or belief, sexual orientation, marital or civil partnership or social and economic status. Annual Statement 2009 for - PDF - (opens in new window), Annual Statement 2010 for - PDF - (opens in new window), In Monday toSunday between 8:00 and 20:00 on telephone01284 719724 or from 20:00 to 9:00 telephone0300 123 1334. The service dealt with complaints promptly, positively and efficiently. Issues affecting waiting times such as staff performance, sickness and vacancies were monitored and addressed promptly. Telephone. In addition, at the Junction compliance with clinical and management supervision was low. This had not improved since our last inspection. Patients were treated with dignity, respect and kindness and staff were dedicated and enthusiastic about involving patients in their care, However we received mixed comments from patients we spoke with and from comment cards we received gave mixed views about patients experience of dignity, respect and support. We can support you if you are 16 or under and in full-time education. | View photos, details, and schools for 30 Hilton Drive If in doubt about the locality you are in, please ring a team and they will guide you. Designed and Developed by: Cube Creative . NIHR Lancashire Clinical Research Facility Avondale Unit, Sharoe Green Lane, Fulwood Preston, PR2 9HT . Moss View had a ligature risk audit, which related to the HDRU only. This was not being consistently implemented, which had led to increased risks in some areas. The trust had introduced a smoke free initiative across all services in January 2015. They had looked at reducing or avoiding admissions and out of area treatment. It became routine in September 2014, again with the expectation that the number contacted would increase each quarter. Offered patients activities and education. Held multi-disciplinary staff meetings to discuss and review patients needs, to make sure patients received the best possible coordinated care and treatment. For a reported incident we looked at, it was not clear whether a root cause had been established. The ward did not participate in national audits to monitor outcomes of some of the conditions that were being treated, for example, hip fracture and sentinel stroke national audit programme. There's no need for the service to take further action. Adult crisis and home treatment teams Every area in England will have a 24/7 mental health crisis service by 2021. Staff had knowledge and skills to deliver effective care and treatment and staff received support and supervision from their managers and peers. government site. there are some services which we cant rate, while some might be under appeal from the provider. There was a clear framework by which the trust was held accountable for its actions, each clinical network had a clear, effective governance structure from board to ward. Staff did not review all adverse incidents and debriefs and lessons learnt did not always take place. This practice was of concern because the trust did not recognise under 18-year olds as children. Any other browser may experience partial or no support. Annual appraisal rates for non-medical staff in community health services for Children, Young People and Families was 73%. In one case, the lack of response to a patients request led to a serious incident. Telephone calls from service users often went unanswered. Patients spoke highly about the care they received from the staff within each of the older adult services. However, we found that learning from incidents, complaints and the sharing of learning needed to be embedded and shared consistently across services. Staff also had a good understanding of issues of consent and Gillick competence in their work with young people. Immediate concerns raised by patients on those visits are discussed, if appropriate, with hospital staff. We found incomplete assessments, wound evaluation charts not updated at least fortnightly in line with the trust management of wounds policy, and not all entries had the time of entry documented. The ward was undergoing a deep clean during the inspection. All the mental health decision units had now been closed. Staff were discussing patients religious needs with them but, in one record, these discussions were not fully reflected in the patients care plans. Because of the rural location of Guild Lodge local public transport was limited. Most staff understood the trusts visions and values. During the inspection we received feedback from 35 patients. Clinical premises where service users were seen were safe and clean. The service participated in National Institute for Health and Care Excellence audits such as the use of waterlow scales and end of life care. Comprehensive risk assessments for patients were completed and reviewed and clear crisis plans were in place where patients were assessed as. Avondale Clinical Decisions Unit provides a period of assessment for people experiencing a mental health crisis. 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. Leave a review Report an issue with the information on this page Information supplied by Lancashire & South Cumbria NHS Foundation Trust The trust had a range of mandatory training available to staff and staff compliance met the trust target of 85%. Treatment Team (RITT) 65+ years Specialist Older Adult Services covering Blackpool, Fylde & Wyre. The community services for adults were delivered by staff who were committed and enthusiastic about their roles. Patients and carers we spoke with were generally positive about staff.