"outcome focused specialist health care and rehabilitation"
Where we are - Wales
Orchard
4 single and 1 double apartment-style accommodation for people with a mild – moderate learning disability who find it difficult to share accommodation due to clinical presentation or rehabilitative needs.
Client Group and Admission Criteria
The admission criteria is for service users with a primary diagnosis of learning disability/mental impairment with complex behaviours who require an intensive support service. The pre-admission process is managed by referral via MHC's placement team. The service's aim is to support, stabilize and provide a pathway to other 'ordinary living' models of care within the existing resources of MHC. Admissions are on a short and medium term basis.
The use of the Mental Health Act 1983 would follow established procedures for residential services that exist currently such as Guardianship Orders or Section 17 leave from a detained bed.
The clinical profile baseline information collated during the initial 13 week assessment period would then lead the way in determining the care plans, risk assessments and other therapeutic needs which are recorded. The resultant care plans, risk assessments / management plans and PCP should define and support the pathway.
The Service and Staff Team
Orchard provides six intensive residential support service beds which meet the needs of service users who have a learning disability and who may display complex behavioural challenges to themselves, others and services. As an Intensive Support Service, Orchard would be a 'step-up' service for service users who may have complex needs or who may suffer a relapse. It also offers a 'step-down' facility for service users discharged from hospital on Section 17 Leave or under Guardianship Order (1983 Mental Health Act).
Orchard will provide a care pathway to integrate current and future residential services inclusive of meaningful daytime activity.
Orchard will be a core component in the care pathway for individuals with a learning disability and complex behaviours. This model of care allows a whole system approach and a care pathway that can be re-introduced at varying stages of rehabilitation dependent on the clinical needs of the individual.
The service provides fluidity and a contingency at times of crisis, which allows an effective service provision solution within the Company's service structures for this complex group of people.
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