Through our unique delivery of a social and clinical partnership model, we will actively support individuals to develop a range of life skills and functional strategies. These will allow individuals to live the life they want to live now and in the future.
We recognise and endorse the philosophy that a hospital is not a home, but a place for extra support, during a critical time in a person’s lifetime. The emphasis of our work from point of referral will always focus on discharge preparation.
The Breightmet Centre for Autism is operated by ASC Healthcare Ltd.; The Centre is situated in the heart of the Breightmet community and is registered with the Care Quality Commission under part II of the Care Standards Act 2000 as amended by the Health and Social Care (Community Health and Standards) Act 2003. It is a specialist purpose designed and built Independent Hospital to provide services to patients who may or may not be liable to be detained pursuant to the Mental Health Act 1983 as amended by the Mental Health Act 2007 and provides exclusively for adults aged 18 and over having autism spectrum conditions (asc).
The Centre provides a combined programme of therapeutic and clinical support which incorporates flexible and creative care pathway solutions for individuals who have likely experienced varying degrees of difficulty or crisis in previous care and support settings or for those who may have previously been placed within settings providing a higher level of security.
The service values that are fundamental to our mission are that:
- We do not believe in working within a deficit model, i.e. we do not focus on what people can’t do but on their strengths. We know and firmly understand that people have undoubted strengths such as, learning and following routines and understanding visual information, and that we can support these strengths to offset their individual areas of difficulty. This is the starting point for everyone we support, thereafter we can enable their on-going development by surrounding them with good autism practices and approaches that are meaningful to them.
- Assessment and support planning begins prior to admission and will be consistently informed by the best available evidence based on actual hypothesis rather than non- factual scenarios. Assessment will always be viewed as a continuous process and not a single ‘test’, assessments will consistently and constantly inform care / support planning and staff practice. An eclectic, flexible approach utilising unique personalised resources and approaches to support the development of individual skills will be integral to this process.
- We firmly recognise that clinical expertise, specialist knowledge and research is critical to providing excellence in our delivery of care and support; our values actively promote a positive learning culture in which staff intrinsically want to develop and improve their skills, knowledge and expertise. We aim to employ professionals who will support this philosophy.
- Quality will always be at the forefront of everything that we do, as an additional benchmark and display of our quality commitment, as it develops. The Centre will become recognised for its excellence in terms of its Organisation, Management and Staff Practice and will work towards accreditation by the National Autistic Society Accreditation Service.
- All patients can expect to be central and empowered in making meaningful judgements and choices as a valued partner in all aspects relating to their care and support and in their personal development of skills and strategies for life.
- We will adopt a balanced positive approach to risk exposure to ensure each individual has an opportunity for experiential lifelong learning and development with a distinct focus on the promotion of self-esteem and the ‘feel good’ factor, which will support optimisation of physical and mental health wellbeing.
- The views and experiences of patients, their families, and other identified stakeholders will be consistently sought and highly valued to consistently inform and influence the service delivery. Through our work alongside people rather than for and developing ‘power with’ relationships, rather than ‘power over’ we firmly believe that effective strategies can be developed that will actively enable each individual to contribute to and be consulted on all aspects of their lives.
- Our multi-disciplinary team approach will ensure a ‘pooling’ of expertise which in turn will achieve and deliver the best possible outcomes for each patient.
- Evidence from research and the experience of people with asc within services demonstrates their unique vulnerability to over direction, resulting in an inter-dependence on support which may be perceived as a ‘need’ rather than as a consequence of staff approaches. We believe that what makes good services different is the ability of staff to look behind what they see and hear, avoiding neuro-typical interpretations and to recognise the underlying or intended meaning of behaviour or communication.
- The Service provided to each individual embraces the four Key Principles of Rights, Independence, Choice and Inclusion as defined in the Valuing People Strategy for People with a Learning Disability (2001).
- The European Charter for Persons with Autism (1996) has been adopted and will inform the culture of the organisation and its services.
Our Key Service Objectives
Ultimately our key objective is to provide a structured and meaningful pathway of care and support through My Shared Pathway that spans from pre-admission to discharge. In order to achieve this we will adopt and implement the following key service objectives.
- Provide our service through the recruitment, development and retention of dedicated, appropriately qualified and well-trained staff teams – this will be reflected in our staffing profile, duty allocations and staff training records.
- Ensure that each patient benefits from a multi-disciplinary team approach that includes substantial input and ongoing support from Qualified Learning Disability / Mental Health Nurses, Consultant Psychiatrists, Psychologists, Speech and Language and Occupational Therapists. This also includes the development and delivery care, support and treatment plans.
- Ensure that all patients that may be subject to detention under the Mental Health Act (2003) amended (2007) are routinely made aware of their rights in understandable formats at a frequency as desired and required.
- Provide a high quality living environment that meets clinical needs and requirements, yet remains conducive to an inclusive lifestyle and gives active consideration to individual personal and social needs.
- Provide furniture, fixtures, fittings and decoration that will comply with the requirements for registration and at the same time will reflect a homely environment and facilitate / enable personalisation of patient’s own bedrooms/suites.
- Ensure that patients, their relatives/carers, social workers, professional advocacy workers and other identified stakeholders are all encouraged to participate in the development of care, support and treatment plans.
- Deliver treatment, support, care, therapy and rehabilitation to patients, which are based upon evidence / research based practice and the ongoing cycle of assessment, planning, implementation and evaluation.
- Develop individualised behavioural strategies and intervention plans through detailed assessment. All interventions based on current best practice that embraces the ethics and principles of non-aversion, non-punitive, multi-elemental approaches.
- Ensure that each patient has a communication strategy aimed at meeting their individual needs and reducing challenging behaviours (analysis).
- Ensure that each patient has an individual risk assessment analysis and management plan.
- Ensure that each patient has a Health Action Plan (HAP).
- Ensure that each patient is encouraged and supported to have a Person Centred Plan (PCP).
- Ensure that all patients receive their treatment and support within the context of the Care Programme Approach (CPA). Regular reviews will be held that will involve the patient, their relatives/carers, their representative(s)/advocates, their case manager/social worker and multi-disciplinary team (including Consultant/RC and Primary/Named Nurses and Key workers).
- Ensure that all measures are taken to protect patients from any form of abuse in line with guidelines as set out by SOVA and also company and local inter agency policy and recommendations.
- Ensure that each patient is encouraged and enabled to achieve their maximum potential.
- Provide a range of therapeutic, educational and recreational activities that encompass individual aspirations and choices.
- Ensure that the ethnic, cultural sexual and spiritual needs of each patient are adequately supported and addressed.
ASC Healthcare are confident that this service and all that it provides are far ahead of those recommendations as set out by Transforming Care report A national response to Winterbourne View Hospital Department of Health Review: Final Report first published in December 2012.
ASC Healthcare and their intent to move away from traditional types of hospital setting within large campuses have routinely engaged with Autism Initiatives as expert advisors to this project (www.autisminitiatives.org).