Mental Health Rehabilitation and Community Services
Brookhaven
Rehabilitation and Recovery Service
WELCOME GUIDE
Your Pathway: a better future
May 2016
Welcome
Contents
Welcome to Active Pathways. We hope this Guide will help
to answer some of your questions, but if there is anything
else you would like to know, feel free to ask one of our
staff who would be pleased to help you.
Welcome ........................................................................2
At Active Pathways we believe that everyone should be
treated as unique individuals. We will work closely with
you and your support team to jointly decide on the best
therapeutic interventions required to help you meet your
needs and goals. We use a recovery based approach to
enable you to develop to your full potential and give you
a sense of meaning, self-worth and reasons for living well.
Facilities .................................................................7 - 10
Our vision
Our vision is that each person is entitled to and will have,
their own individual and unique pathway designed by them
with the support of the organisation to get from their current
situation to their desired situation. Each individual will be
supported to be an expert in their own mental health with
their voice heard, respected and acted upon.
A bit about Brookhaven .........................................4 - 5
What you can expect on your first few days .............6
Your space, Bedroom, Shared space...............................7
Smoking, Telephone, Food ...............................................8
Laundry, Internet, Visitors, Leave ...................................9
Advocacy, Fire ..................................................................10
What happens in Brookhaven .........................11 - 15
Assessment period, Recovery Star,
Multidisciplinary Team (MDT) ........................................11
Care Programme Approach (CPA) .................................12
Active Support Plans, Physical healthcare, Risk
assessment & management, Personal medication,
Cleanliness & personal hygiene ....................................13
Activities & Therapies...........................................14 - 15
Management of risk, Physical health, Dual
diagnosis, Psychological, Reduction in symptoms......14
Medication compliance, Practical support and
guidance, Employment and education,
Preparation for community transition .........................15
Modular Transition Rehabilitation Programme (MTRP) ...15
What to bring with you ...........................................16
What not to bring.....................................................16
Restricted items, Alcohol & illicit drugs,
Explicit adult content......................................................16
Ethnicity & cultural awareness ..............................17
Your rights .........................................................18 - 19
Compliments/concerns/complaints ......................19
A copy of this Welcome Guide can be made available in large print if required
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Your Pathway: a better future
Useful addresses and contact numbers................20
Brookhaven Rehabilitation and Recovery Service
Welcome Guide
3
A bit about Brookhaven
Brookhaven is a home for men and women between the
ages of 18 and 65 who require ongoing treatment in an
open recovery focused service.
Chorley
Leisure Centre
Brookhaven is located just off Gough Lane, approximately
2 miles from Bamber Bridge and within 1.3 acres of
landscaped gardens. There are excellent rail and bus
networks and limited free visitors’ parking on-site.
There are a range of shops, a sports centre and a supermarket
in nearby Clayton Brook, all within 20 minutes’ walk of
Brookhaven. Cuerden Valley Country Park, less than 2 miles
away, has meadows, woodland, lakes and parkland. Chorley,
a large market town, is 5 miles from Brookhaven and has a
wide range of facilities including a hospital, college, museums,
shops, parks and recreational spaces. Your team will support
you to access local amenities that are of interest to you.
Cuerden Valley
Country Park
Chorley Town Centre
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Your Pathway: a better future
Brookhaven Rehabilitation and Recovery Service
Welcome Guide
5
What you can expect in the
first few days
We understand that coming into a new service could be difficult
and we will offer you the support and assistance that you
may need.
When you arrive you will be greeted by one of our staff who will
show you to your room where you can safely store your personal
belongings. When you are ready, a member of staff will show you
around and introduce you to everyone.
Facilities
Your space
Bedroom
Each bedroom is furnished with a bed, wardrobe and bedside cabinet
and has en-suite facilities and access to a small personal safe. We
encourage you to personalise your bedroom and you can bring your own
items of furniture and belongings so long as they are safe and there is
space for them. We kindly request that you keep your room clean and
tidy and inform staff if there are any faults/defects in your bedroom. We
ask that you do not enter each other’s rooms as these are private areas.
If you wish to have a television and/or radio in your room we would
appreciate it if you could respect others by keeping volumes to a
reasonable level. If having a radio/television results in you having
prolonged periods of time alone in your room, staff may discuss this
with you.
Any electrical items that you bring must be tested by our electrician to
make sure they are safe to use. We will need to take a photocopy of the
warranty for any new items you buy.
Shared space
In Brookhaven we have shared areas which include:
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Your Pathway: a better future
Lounge
Dining room and kitchen
Skills kitchen
‘My space’ is a multipurpose room which
includes an education area
Activity room
Brookhaven Rehabilitation and Recovery Service
Welcome Guide
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Facilities
Laundry
Smoking
Smoking is not permitted in any area of the building and it is against
the law to smoke indoors. You can smoke only in designated areas
outside the building.
We provide laundry equipment for you to use which is located in the
Laundry Room. This includes a washing machine, tumble drier, iron
and ironing board. Bed linen is supplied for you to change on at least
a weekly basis. As part of your life skills you are expected to wash your
own clothes. If you need support with any aspect of your laundry,
please speak with a support worker or member of our nursing team.
Telephone
We have a pay phone in Brookhaven for your use at any time of the
day. You can also retain your personal mobile phone during your stay
with us.
Internet
Brookhaven has internet access in designated areas. If you would like
to have access to the internet you will need to agree this with your
multidisciplinary team.
Food
Brookhaven has a kitchen where a choice of fresh meals are prepared
daily by our catering team. All menus take into account dietary needs
and respect cultural and religious requirements. Service users are
involved in choosing menus. Meals are served at the following times:
Breakfast:
8.00 am – 9.00 am
Lunch:
12.00 pm – 1.00 pm
Dinner:
5.00 pm – 6.00 pm
Supper:
9.00 pm – 10.00 pm
If you would like food outside of these times we have a range of cold
foods such as sandwiches, salads, cereals and fruit. Our chef will also
prepare a hot meal outside of these times by prior arrangement,
although we encourage you to cook/prepare your own meals in the
skills kitchen. If you would like support with this, you can talk to a
member of our occupational therapy team. Hot and cold drinks are
available 24 hours per day.
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Your Pathway: a better future
Visitors
We understand the important role that family and friends can have
in helping you on your journey to recovery. We will try to ensure
visits can be facilitated as flexibly as possible. However, we ask that
wherever possible visits are pre-arranged through the Nurse in
Charge to ensure there is a suitable meeting room available. Children
under the age of 18 may only visit if it is in the best interests of the child.
You will need to discuss proposed visits by children with the
multidisciplinary team.
Leave
You will be encouraged to go on escorted or unescorted home visits
provided that the risks have been properly assessed.
Brookhaven Rehabilitation and Recovery Service
Welcome Guide
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Facilities
Advocacy
You can have access to a free, confidential and independent advocacy
service to discuss any issues that might be of concern to you. The
advocate can provide support and help to get your views and choices
heard and advise you on any aspect of your care that you are either
unsure or unhappy about. Our staff will provide you with details of
Advocacy Services.
What happens in Brookhaven?
Assessment period
When you are referred to Brookhaven, you will be assessed by members of
the multidisciplinary team to ensure we can meet your needs. Following
admission, you will receive more indepth assessment during the first 4
weeks which also enables you to make your own judgement about the
suitability of Brookhaven to meet your needs.
Recovery STAR
We are here to help you in your recovery from mental illness. Recovery
usually means changing things in a number of areas of your life so that
things work better for you. Making changes isn’t easy but understanding how
change works can help.
Many people who are recovering from mental illness have found it useful
to think about recovery
as a journey with
different stages. They
find it helps to think
about which stage they
are in and to get a
picture of where they
are on their journey. We
use the Recovery STAR
to help you with this.
Fire
In the event of the fire alarm being sounded, you are required to follow
the instructions of staff or make your way directly to the identified
assembly area.
All fire exits are clearly signposted around the unit and fire extinguishers
are located throughout the building. Staff will show you your personal
evacuation plan.
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Your Pathway: a better future
Multidisciplinary Team (MDT)
A team of professionals including occupational therapists, nursing staff and
support workers will support your recovery. You will be registered with a
local GP.
Brookhaven Rehabilitation and Recovery Service
Welcome Guide
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What happens in Brookhaven?
Care Programme Approach (CPA)
Active Support Plans
Active Pathways is committed to involving people who use our services in
planning their care. The Care Programme Approach is the framework for
providing care to people over 16 who have mental health problems. It is the
way of assessing your needs and planning with you the best way to ensure
that your needs are met.
You will have your own active support plan which will be developed in
collaboration with support staff. This will offer a meaningful way of tracking
your progress against each of your personal needs and will be a means of
celebrating the achievements you have made on your recovery journey.
What does it involve?
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An assessment of your health and social care needs
You will be offered a written Care Plan detailing the
help and support that you will receive
Regular review meetings to discuss how your care
plan is working and agree together changes that
may be needed
A named Care Co-ordinator who will work specifically
with you
We will meet with you to discuss and assess your health and social care
needs and the care and support you need. We will support you through
group work and individual sessions which will be delivered by staff to
enhance your social and emotional development. Supported learning
programmes will be delivered within Brookhaven and in community based
settings. With your permission, other people who know you well, e.g. your
carer, or close relative, may be asked for their views about your needs.
Additionally your GP and other professionals involved in your care will be
consulted. We will take account of your gender and any issues of culture and
ethnicity that are important to you. With your full involvement, we will agree
a plan of your care. You will be given a written copy of your Care Plan to sign
if you are in full agreement.
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Your Pathway: a better future
Physical healthcare
We recognise the importance of good physical health. A named nurse will
support you with your physical health needs, in collaboration with our
service physical healthcare lead, your GP and other healthcare professionals
as required.
Risk assessment and management
You will be involved in writing your care plan and assessing and managing
your own risks. We will help you to understand ways of reducing risk as part
of your recovery.
Personal medication
All medication you bring with you must be handed to the
nursing staff who will store it in the treatment room when
you arrive or given to family members/carers to take home.
You may also look after your own medication in a locked
cabinet in your bedroom and administer it yourself. If you
would like to participate in our self-medication programme
then you should discuss this with your doctor at your next
multidisciplinary meeting.
Cleanliness and personal hygiene
During your stay, we would like to encourage you to maintain a good
standard of personal hygiene. Please keep your bedroom clean and tidy. An
untidy room can create health and safety, fire and infection control hazards.
Please ensure you are appropriately dressed when you are in the main
communal areas.
Brookhaven Rehabilitation and Recovery Service
Welcome Guide
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What happens in Brookhaven?
Activities and therapies
Practical support and guidance
The programme helps you to build on existing skills and
develop new ones in preparation for living in the
community. We will help you to develop practical skills
including, using the bus, cooking and self-care.
Management of risk
Employment and education
The therapeutic programme will help you to manage your own risk more effectively.
Brookhaven staff will support you to recognise your own risk factors and take
appropriate action to ensure a positive response to ensure you can live with less
risk to yourself, including vulnerability and self-neglect.
The ability to live independently and remain healthy in the community will be largely
dependent on your ability to gain meaningful paid employment. We provide
a range of opportunities to acquire educational qualifications, enhance a CV, gain
interview experience, and participate in voluntary and paid employment.
Physical health
Preparation for community transition
We are here to provide a psycho-educational approach to your physical
health which includes; diet and exercise, medication management, giving
up smoking, management of physical health conditions, dental hygiene,
sleep, impact of stress on the body and lifestyle choices
Discharge is the ultimate aim of the service and therefore every effort is made to
prepare you for life in the community, including, management of finances, budgeting
and paying bills, developing social and family networks, citizenship activities and
relapse prevention.
Modular Transitional Rehabilitation Programme (MTRP)
Dual diagnosis
Brookhaven is able to provide a structured approach to substance misuse, including
supportive programmes for drug and alcohol issues. We have staff who are trained in
the delivery of Cognitive Behavioural Therapy (CBT) approaches and a core team of staff
trained in the management of substance misuse. We are using evidence based
approaches & models supported by the National Treatment Agency for Substance Misuse.
Psychological
The service will continue to provide psychological
support including programmes for stress, anger and
anxiety management. We are able to provide 1:1
Psychology assessment and support on a needs led basis.
Reduction in symptoms
It is recognised that you may continue to have complex mental health difficulties
which will impact on your ability to function in your day-to-day life. This may include a
lack of motivation and other negative symptoms. The staff team will work with you and
help to support a reduction in symptoms and improvements in your overall quality of life.
Medication compliance
The ability to self-manage medication within the community is an important part of
relapse prevention. Using a psycho-educational approach we will support you to
fully understand your medication, the need for compliance and through a structured
approach will introduce a self-managed medication programme.
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Your Pathway: a better future
We facilitate a programme known as the MTRP, this is a more advanced programme
for those people who do become progressively engaged in their recovery. The
programme provides a safe environment where elements of recovery can be
explored and developed within a therapeutic group environment. This is a 6 module
programme which includes a wide content of material, including:
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Development of Self
Symptom Management
Understanding Recovery
Employment and Education
Family and Social Support Networks
Relapse Prevention.
The MTRP is facilitator led and workbook based within a group work setting. The
group dynamic is a large part of the therapeutic, peer support based, element of this
programme as well as other positive aspects such as setting of recovery goals,
emphasis on development of social connections, and personal strategies to manage
symptoms and foster positive mental health.
People who participate in the programme will be expected to enter into a therapeutic
contract and commit to attendance and completion of homework exercises. The group
is fun but has a serious therapeutic message and forms a large part of the treatment
strategy. People who participate in the programme will be assessed before, during
and after the programme to evidence progress and the development of new skills.
Brookhaven Rehabilitation and Recovery Service
Welcome Guide
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What to bring with you?
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Ethnicity & cultural awareness
You should bring what you need for day-to-day living. You will have room in
your bedroom to store personal belongings but please be aware that space
may be limited.
We will provide safe and secure facilities for you to store your valuables and
money and there is a safe available. However we advise you not to bring
valuables or more money than necessary for your day-to-day living.
What not to bring
Restricted items
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At Active Pathways we work on the basis of the least restrictive access to
personal property. However there may be restrictions on certain items. For
your reassurance your property will be checked and recorded with you.
The discrimination, harassment or abuse of another service user, member
of staff or visitor on the basis of ethnic origin, race, colour, age, gender,
sexual orientation, religious orientation, or any other reason will not
be tolerated.
Alcohol and illicit drugs
Such behaviour causes offence and will be monitored and documented.
Alcohol and illicit drugs are not allowed within the service. You may consume
alcohol away from Brookhaven. It is a criminal offence to be in possession
of illicit drugs. We may take random urine and breath samples to screen for
alcohol and illicit drugs and we would expect you to co-operate with these
checks for the safety of yourself and other service users. Anyone found in
possession of illicit drugs will be reported to the police.
Should the discriminatory behaviour continue then the offer of a placement
at Brookhaven may be withdrawn and the matter referred to the police and
safeguarding authorities for investigation and potential criminal prosecution.
Explicit adult content
Pornographic magazines and/or books will be individually risk assessed for
suitability at Brookhaven. If deemed acceptable, they must be kept discreetly
in the individual’s bedroom at all times. The display, exchange, showing to
others, watching on television or taping of pornography is prohibited.
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Your Pathway: a better future
Brookhaven Rehabilitation and Recovery Service
Welcome Guide
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Your rights
As a person living at Brookhaven you have the right to:
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be treated with dignity
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have your privacy respected
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have your social, emotional, physical, psychological and spiritual
wishes and needs acknowledged and fulfilled wherever possible
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be informed and consulted about any matters that may affect
your life in the home
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participate fully in the planning of care, and to have any proposed
care, treatment or options explained to you, so that you may make
decisions about the care that you receive
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choose to be alone, undisturbed, and free from intrusion, as far
as possible, within the constraints of living with others in a nursing
or residential care home; and the right to have all your personal
information kept confidential
the maximum level of independence, choice and control possible
be listened to and supported to express your needs and wants
be assisted to maintain confidence and a positive self esteem
be shown respect and courtesy and to be treated as a unique
and valued individual
live in a safe, warm, clean and comfortable environment, where
the homes’ philosophy and care practices support you, and enable
you to enjoy the quality of your life
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maintain links with family and friends; to be supported in doing
this, and to have the opportunity to welcome your visitors or, to
ask for those people who you do not wish to see, to be excluded
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maintain responsibility for your personal affairs and to have
confidentiality maintained at all times
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have a person independent of Brookhaven, or the Company,
represent you over any issue, for example, to raise concerns or
make complaints on your behalf
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comment and make known any concerns or complaints that
you have about the home, or the Company, without feeling under
stress or threat
Your Pathway: a better future
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have access to your care notes, except when your General
Practitioner or Medical Consultant has specifically identified that
this may be detrimental to your well being
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choose a General Practitioner to provide general medical services
for you, should they agree to register you on their GP list
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have a Named Nurse or Keyworker, who will be accountable for
ensuring that you receive the care and support that you need
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where practicable, to have your personal possessions and clothing
around you, and to have them cared for appropriately
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fully exercise citizenship rights, such as your right to vote
Compliments/concerns/complaints
We welcome feedback from you whether it is positive or negative as a
way to continually monitor the quality of the service we provide.
There are a number of ways you can feedback:
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COMMENTS BOX
SERVICE USER SATISFACTION SURVEYS
SERVICE USER FORUMS
SERVICE USER REPRESENTATIVE
Complaints procedure
As an organisation, we promote a culture of openness, honesty and
transparency and treat all concerns and complaints seriously. When you
arrive we will provide you with details of how to make a complaint if you
are unhappy or have concerns about any aspect of your care and
treatment. If you wish to see a copy of our Complaints Policy, you can
request this from the manager. If you, a member of your family or any
other person wishes to raise a complaint either orally or in writing you
should make your complaint to the Registered Manager. An advocate,
member of staff not involved in the complaint, or other person of your
choosing can support you to make your complaint. If you are not satisfied
with the outcome of a written complaint you can write to the Head of
Operations. Alternatively complaints can be made to The Care Quality
Commission, or your care manager.
We have a zero tolerance of all forms of abuse.
Brookhaven Rehabilitation and Recovery Service
Welcome Guide
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Mental Health Rehabilitation and Community Services
Useful addresses & contact details
Brookhaven Rehabilitation and Recovery Service
Gough Lane, Bamber Bridge, Preston, Lancashire PR5 6AQ
Tel: 01772 646650
Head Office Active Pathways Ltd
Connect House, Kingston Road, Leatherhead KT22 7LT
Tel: 01372 700866
Care Quality Commission
Citygate Gallowgate, Newcastle Upon Tyne NE1 4PA
Tel: 03000 616171
Adult Social Care Safeguarding
Tel : 0300 123 6721
The Parliamentary and Health Service Ombudsman
Millbank Tower, London SW1P 4QP
Tel : 0345 015 4033
www.active-pathways.com