Alternative To Care – A Community Recovery Service

This service has been developed to provide a high support service in the community that offers an alternative to residential care or hospital admission across Devon. It will deliver up to 21 hours of needs led support per person, high and intensive levels of support to people on a short-term and variable basis dependent upon their individual needs and their ability to acquire and maintain independent living skills and the confidence to be able to manage their mental wellbeing.

Contact
Project Manager Accommodation & Support Services
Jacqui Blackmore
Tel: 01392 674148
jacqui.blackmore@nhs.net


More Details

This service has been developed to meet the requirement for a high support service in the community that offers an alternative to residential care or hospital admission.  The need has been identified within the Joint Strategic Needs Assessment for Mental Health.  The service will deliver high and intensive levels of support to people on a short-term and variable basis dependent upon their individual needs and their ability to acquire and maintain independent living skills and the confidence to be able to manage their mental wellbeing.  The service is being provided under a spot-purchasing arrangement with individual service agreements (SS618) for each person.    The objective is to provide a needs-led recovery focused service with accommodation for people with complex mental health needs across Devon.

The service will provide:

  • Up to 21 hours of needs led support per person but these hours can be aggregated in order to achieve a broader staff coverage.
  • The support can be delivered to people in their own accommodation or provided with the Provider’s accommodation.
  • Support to be delivered by staff trained in ST&R with designated clinical support provided within each network.
  • Overnight cover where required
  • Clusters of accommodation units such as self-contained units contained within one block, small shared units (houses/flats) clustered together. Providers have flexibility in how they provided the accommodation.
  • Transitional support for the person for up 6 weeks prior to them moving from residential or inpatient services to prepare them for moving into the service.
  • Move-on from service after approximately 12 months into the community with lower levels of support. People can have shorter stays within the service.

Key Objectives

  • To support people with complex and enduring mental health needs in the development of self-management strategies to achieve mental well being.
  • To enable people to develop everyday living skills.
  • To enable people to take on a meaningful and satisfying role in their community.
  • To support the use and implementation of recovery self-management plans such as WRAP.
  • To monitor and positively manage risk regarding the mental wellbeing of people using the service.
  • To provide an active pathway to independent living.

Clinical support

Clinical support will be provided on an individual basis by the Recovery Co-ordinator and on a general advice and support level by an appointed lead in each of the 3 networks.  Support and advice on medicines, concordance and compliance will be provided by the Medicines Management Team and/or local specialist mental health pharmacists in conjunction with the Recovery Co-ordinator.

Referral pathway / Criteria

Referrals will be via the Adult Mental Health Social Care panel which is held monthly in each network.  However, in cases of urgent need you can refer directly to Sherrie Hitchen in the IPP and Social Care team.

The service is for people who are able to manage their own medication (prompting and reminding is allowed) and are ready to work on their own recovery.  Where there is a specific need, such as for people with Autism or Aspergers, we can request providers to set up specialist provision e.g a small shared house supported by staff who have undergone additional training in this area. Overall the service is not able to offer 24 hour staffing cover but will have extensive day time cover and an overnight sleep-in if needed.

Appointed Providers in each Network

Exeter/East/Mid        Chapter 1 and Rethink
The accommodation will be in Exeter but some beds in St Andrews, Exmouth may be used.

South Network        Community Care Trust and Rethink
CCT are sourcing property in Newton Abbot and Rethink are sourcing property in Totnes.

North Network        Lycette Care and Rethink
Lycette care will have 3 beds available in Bideford and 4 beds in Barnstaple and Rethink will have 6 at Cherry Trees, Barnstaple.