Who is our service for?
The service is a 24 hour inpatient acute assessment and treatment service for people with learning disabilities and complex health needs. The service is based at Heath Lane Hospital, West Bromwich, has 10 beds and can support men and women in separate facilities. It is located in a single story building that is fully equipped to accommodate individuals with physical disabilities.
How do we help?
The service aims to provide three core functions of support:
- Holistic assessment of and treatment for mental illness or disorder in an individual who has a learning disability with associated emotional and behavioural distress, where it cannot be safely / appropriately managed in the community.
- Creation of a safe place where people feel they are able to take steps towards their recovery.
- Reintegration of the individual back into the community after hospital treatment, including provision of support/guidance to families and support providers in conjunction with Community Learning Disability and Intensive Support Teams.
Admission will be recovery focused with a view to individuals returning to live in the community with appropriate levels of support.
The service aims to achieve the shortest length of stay compatible with thorough assessment and treatment and robust discharge planning from the multi-disciplinary team.
The service provides:
- Detailed assessments of bio-psychosocial needs and behaviour. People who use services and their families are expert partners within the assessment process and assessments take full account of a person’s mental/physical health needs as well as cognitive and communication needs.
- Behaviour support plans and support to implement them. Recommendations could include, for example, environmental modifications, carer advice regarding safe and constructive response to occurrences of behaviours. The plans will take account of the person’s hopes and aspirations.
- Support in the development of person centred plans if the person doesn’t have one, including communication and/or hospital passports or Health Action Plans.
- Positive behaviour support (PBS) plans for all appropriate patients.
- Bespoke, person-focused training to ensure that person centred plans (PBS plan, sensory plan, Hospital Passports) are understood, implemented correctly and monitored for effectiveness.
- Enablement for people to access physical healthcare services as needed. Staff are trained to recognise physical health care needs and proactively manage them with a minimum standard for physical health checks whilst the patient is on the ward.
- Effective, evidence based, solution focused interventions aimed at moving from inpatient into community settings in liaison with the Intensive Support Team and Community Learning Disability Teams. People develop new strategies by which to better meet their own needs. Families and other sources of support have increased confidence and skills in supporting the individual and remain fully involved.
- Risk assessments and management strategies that ensure the wellbeing and safety of all.
- Recovery and discharge plans which are discussed at each care review.
- Application of the Mental Capacity Act including Best Interests and Deprivation of Liberty Safeguards (DoLS) for people who lack capacity.
- Mental Health Act (MHA) administration with enablement of people detained under MHA to have appropriate access and support from an advocate.
People are admitted into Penrose under the care of a Consultant Learning Disabilities Psychiatrist, and are looked after by a team of nurses. A multi-disciplinary team of specialist health staff are able to provide a range of assessments and interventions. Specialist psychologists, occupational therapists, physiotherapists, and speech and language therapists are all part of the multidisciplinary team.
The team works with people in order to identify and meet their individual treatment needs. The aim is to support people to move back into the community as soon as possible. Individuals are fully involved in planning their care and discharge.
Multidisciplinary meetings take place on a twice weekly basis, and everyone involved in an individual’s care is invited to these meetings to contribute to both care and discharge planning. We have a specific care pathway that supports someone through pre-admission, admission, care and treatment, pre-discharge, and discharge. This process is underpinned by the Care Programme Approach (CPA). We aim to ensure that individuals have the shortest, most therapeutic stay possible. At appropriate times one or more of our LD community multi-disciplinary teams will also be involved to facilitate this. We work alongside the local authority in helping people return to their homes or find alternative accommodation with the correct level of support. We ensure that every service user has an allocated care co-ordinator to support them when they return to the community.
We aim to ensure that individuals are included in all decisions about their care and treatment. Where there are difficulties with communication, we work closely with family members and/or advocates, while still making sure that individuals are involved in making as many of their own choices as possible.
Who can refer into our service?
Referrers (which may include Carers, Local Authorities, Care Commissioning Groups (CCG’s), Community Learning Disabilities Teams (CLDT), Intensive Support Team (IST), Behaviour Support Team (BST), GP’s) can refer into the service via the LD Community Pathway.
Hospital admission process
Hospital admission will be determined collaboratively in a Whole Pathway meeting by the Community Intensive Support Team, the Consultant Psychiatrist or their deputy and the Penrose MDT in consultation with the Clinical Commissioning Group. Admission will be on the basis that all clinical intervention/support provided by the Community Intensive Support Team is no longer appropriate, safe or effective.
On the basis of a Community Treatment Review (CTR), the service is given notice that a person is to be admitted. At that point the multi-disciplinary team (MDT) will prepare for the admission.
Where a community CTR has not been carried out prior to admission a CTR should take place within 10 working days of admission.
Out of hours referral
At the point of referral and if admission is identified the on call manager will notify the Director on call who will escalate to a designated CCG Director in order to seek commissioners authorisation for the admission and/or next step.
What about families and carers?
Families and carers can provide essential support to someone who has been admitted to Penrose. We invite them to be involved throughout someone’s stay. Ways in which they can help include:
- providing our staff with information about a person during their admission
- maintaining contact with the person
- being involved in decisions about the person’s care, treatment, and future discharge
We welcome visitors, and support people to keep in touch with family members, carers, and friends.
How do you reach us?
You can contact Penrose House at any time. Ask for the nurse in charge when you call.
Heath Lane Hospital
Tel: 0121 612 8400