Cooden Lodge Residential Care Service with Nursing. For Men with Learning Disabilities, Complex Needs and Impulsive Behaviour

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1 Cooden Lodge Residential Care Service with Nursing For Men with Learning Disabilities, Complex Needs and Impulsive Behaviour

2 Cooden Lodge is an upcoming new service for men with learning disabilities with a history of poor response to treatment, mental health problems, substance misuse problems, impulsive and aggressive behaviour, and complex needs. The service is able to provide the right care for individuals stepping down from hospital whose needs cannot be accommodated in standard residential or nursing care services. The service is also able to accept individuals that may have been living in other community services but are experiencing a deterioration in their presentation. In this case the service aims to prevent hospitalisation. The service includes access to a multi-disciplinary team to provide advice and support to the care team in the design of care plans and interventions with the residents. In conjunction with the community teams, the multi-disciplinary team are also able to intervene early and prevent deterioration, maximising the chances of a successful community placement. Our clinicians include an occupational therapist, consultant psychiatrist, specialty doctor, forensic psychologist and social worker. Men with learning disabilities, impulsive/aggressive behaviour and complex needs Intensive support to succeed in the community Specifically designed to facilitate a successful discharge from Hospital Specialist knowledge to manage and prevent deterioration in a community setting

3 Who is the service for? Cooden Lodge is a nine-bedded service designed specifically for men with learning disabilities and neurodevelopmental disorders including autistic spectrum disorders. Our residents have complex needs including mental health problems, substance misuse, forensic history or other difficulties that have prevented them in the past from stepping down into community services. Cooden lodge is staffed twenty-four hours a day by registered nurses who are trained to ensure person-centred care which supports recovery, promotes engagement and maximises the physical and mental health of the residents. They play a significant role in maximising the physical health of these men who tend to have complex presentations including the presence of epilepsy and diabetes. Support workers work closely with the residents to deliver the person-centered care and positive-behaviour support they need, under the supervision of the nursing staff. This is complemented by specific ally trained assistants to the multi-disciplinary team who deliver non-pharmacological interventions designed by the clinicians; this team includes activity coordinators, assistant psychologists and occupational therapy assistants. Resident profile Men Over 18 years of age IQ typically under 60 May have autism or autistic features May have multiple diagnosis of mental health conditions May have personality disorder traits Complex needs May be treatment-resistant May have failed multiple attempts to transition to the community May be subject to DoLS May be on a conditional discharge or a CTO May have a history of violence May have a history of sex offending May have a history of arson May have offense-related behaviours May have a history of repeated self-injurious behaviour May have a history of substance misuse May have chronic well-managed physical health problems Bramley Health 2015 Cooden Lodge Residential Care Service with Nursing 3

4 Clinically led The multidisciplinary clinical team includes: A consultant psychiatrist specialising in the treatment of men with learning disabilities and complex long-term mental health problems with significant risk histories. A consultant forensic psychologist specialising in the assessment and treatment of learning disabilities, autistic spectrum disorders, complex mental health problems, with particular expertise in risk assessment and in delivering various specialised treatments for those with a history of impulsive and aggressive behaviour. An occupational therapist focusing on maximising community integration for individuals with learning disabilities and long-term complex needs. Our occupational therapist supports the care team to prepare bespoke programmes to maximise activity, social inclusion, function and minimise behavioural outbursts, selecting activities that are consistent with the interests and personal history of the men in our care that can be carried out safely. A social worker dedicated to effective advocacy, reintegration into the community and maximising family involvement for our residents. Activities Cooden Lodge works towards our residents developing their independence, whilst achieving a balance of activities within three key areas: Self-care Productivity (work/education) Leisure Staff support residents to organise these activities into a satisfying routine which is important to their health and satisfaction, and each resident will meet weekly with their key worker to plan an activity schedule for the upcoming week. The occupational therapist will assist staff to choose activities with residents which match their interests and improve their motivation as well as independence. There is a great focus on engaging in community activities, and the service benefits from great links with main stream and supported services in the community, including work and educational opportunities. Promoting Independence in Activities of Daily Living Cooden Lodge benefits from bedrooms similar to studio flats, with an en-suite bathroom and small kitchen to enable them to prepare their own meals. This environment acts as a stepping stone towards a supported living environment. Residents are provided with a budget of money each week for them to meal plan and shop for food provisions, usually accessing the supermarket using public transport. They are then supported to individually prepare all their own meals throughout the week, with some opportunities for cooking and eating socially together if they prefer. Residents in Cooden Lodge take responsibility for the domestic chores within the home. Each resident is supported to clean their own bedroom and bathroom, and there is a rota of cleaning tasks for the communal areas. The home has laundry facilities, with service users supported to wash and dry their clothes and bed linen. 4 Cooden Lodge Residential Care Service with Nursing Bramley Health 2015

5 Outcome driven community care Our model of care is benchmarked against the new (draft) Service Model as part of the Transforming Care for People with Learning Disabilities programme, and the service is particularly aligned with empowering individuals and right care in the right place, which are two of the five areas within the Transforming Care programme. Cooden Lodge utilises the Life Star (Triangle Consulting Social Enterprise Ltd) with residents as an outcome measure and key-working tool. It is a learning disability specific tool that allows residents to measure their own progress, with the help of care staff, by setting their personal goals within each area and measuring over time how far they have got towards these goals. This can help them identify their goals and what support they need to reach them, and ensure they are making progress, however gradual, which itself can encourage hope. Why choose Cooden Lodge? Cooden Lodge is a specialist community-based residential care setting for men with learning disabilities and complex needs that successfully bridges the gap between generic community care and specialised hospital care for complex cases. Its aim is to provide individuals with the greater autonomy possible whilst managing their risks effectively and preventing hospital treatment or enabling early discharge. Reliable access to expert clinicians: Our clinical team frequently and proactively support the care team in reviewing the men in our care to avert crises before they even start Robust community care: our staff are specialised in the management of impulsive and aggressive behaviour and are able to successfully prevent unnecessary hospital admissions Cost effective: the service enables early discharge from hospital settings, including secure settings. This not only produces savings but also enables individuals to safely transition into the community where it might not have been possible before Crisis Planning: in the event that one of our residents presentation does deteriorate and they require a short admission to hospital, we will have a robust pre-agreed crisis plan, with an option of a pathway to our Locked Learning Disability service. Bramley Health 2015 Cooden Lodge Residential Care Service with Nursing 5

6 How to make a referral We accept referrals from clinicians and commissioners throughout the UK. Our assessment is free. We aim to accept all men with a primary diagnosis of learning disabilities. We aim to see any referral within 48 hours of referral have a decision on suitability within 36 hours after assessment. We are able to give a faster decision if referrers supply us with a recent complete report, including a complete risk and forensic history. To make a referral, you can contact us; By telephone on By on referrals@bramleyhealth.co.uk By fax on Via our website and download the referral form 6 Cooden Lodge Residential Care Service with Nursing Bramley Health 2015

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8 GREATER LONDON Cooden Lodge De La Warr Road, Bexhill-on-Sea, East Sussex, TN40 2JE Tel: SURREY WEST SUSSEX EAST SUSSEX KENT Bexhill-on-Sea Langford Centre All images used in this brochure are simulated environments and persons for the purpose of illustrating our services