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Care Pathway

St George Healthcare Group have developed a Care Pathway which provides high quality care to meet the individual needs of the patient and includes an agreed way of working and a comprehensive set of policies and procedures from referral to discharge.

Pre Admission

The unique Care Pathway will provide where identified:

Comprehensive and timely pre-assessment
Rehabilitation programmes including daily living skills
A comprehensive range of therapeutic programmes
Step down to least restrictive environments
Robust risk management plans
Plans for supported community living

Transition period

During the period before admission, there will be contact between the patient, commissioners and the Multi Disciplinary Team (MDT) who will be working closely with them. Staff will work with the patient to ensure they understand their initial care plan, proposed for admission.

Admission

The patient will be initially orientation to both ward and staff, an explanation of the facilities available to our patients will be given on admission. If required a DVD in British Sign Language (BSL) will be available, explaining our service facilities.

Assessment Phase

This is dictated by service specification and includes risk assessments, mental health assessments, life skills and rehabilitation needs. At the end of the assessment period the individual care plan will specify treatment targets for the patient to be discussed at the Care Program Approach (CPA) meeting.

Treatment and Rehabilitation

The treatment and rehabilitation will take place in the hospital environment, this will include learning new skills for independent living, practising old skills, psychological therapies and where identified, offence work and risk management will be undertaken.

Discharge

Planning for discharge begins at admission. Stakeholders and carers will be involved in discussions about discharge from an early stage. Guided by robust risk assessment, discharge to St George Health Care Group community placement may allow an improved quality of life whilst maintaining the same cognitive rehabilitation approach to care, access to the MDT and proper supervision. The needs of Deaf people will be considered in keeping with their special cultural and linguistic needs in addition to all the principles outlined above.