We offer outcome focussed rehabilitation for people who require either short or longer term residency.
Following a referral to the service and the receipt of relevant clinical information, the resident will be assessed by members of the MDT and a bed will be offered if the service user meets the admission criteria. The bed offer will include an assessment report, initial care plan, risk assessment and time line. On admission, staff will put in place a 24 hour care plan, and a full assessment of the persons mental state will be completed by the qualified staff. Within 72 hours a comprehensive needs assessment will be completed working in partnership with the person and robust care plans will be produced which will guide the treatment/ rehabilitation programme that the staff and users will follow. These will be reviewed by the multi- disciplinary and referring team (care co-ordinator) on a regular basis. Registration will also be made with a local GP (where the service user is not already registered) and a full medical examination completed.
Discharge plans are devised and agreed by the service user and these are monitored and reviewed regularly. A joint decision to discharge is made by the multi-disciplinary team in conjunction with the referring team when they feel the service user, where appropriate, is ready to make this transition.