Adult Crash Pad & ERT Service

The aim of the LDA Hospital Avoidance Pathway Learning Disabilities is to support and accommodate adults with learning disabilities and autistic adults by providing 24 hour access to the ERT and Crash Pad, and to work with existing BCHFT community health services, local authority services and the wider system by: • Preventing/reducing harm and behaviours described as challenging, • Support for crisis interventions, placement breakdown and mental health deterioration, • Working collaboratively with all stakeholders to promote and maintain an individuals' mental health and well-being • Where possible, avoiding hospital admission by supporting people with complex needs to remain in community settings. Working with the person in their own residence, preventing the need for the use of restrictive practices, inpatient services and out-of-area/residential placements. This will include at a local level all relevant services, including schools and care/support providers. • Support for people to transition back out of hospital into community settings. • Provide emergency access to short stay crisis accommodation, supporting citizens in a robust way, informing care planning to help determine and inform future support and accommodation and where possible support to return to their usual accommodation, family home or any other longer term provision. The outline for the ERT is as follows: • Responding to emergency calls from BCHFT Commissioning and Case Management Team 24 hours a day, 7 days a week. The response time will be 2 to 4 hours • Managing crisis and supporting people in their existing home environments alongside existing services (IST, CRHT, HTT etc),or wherever the person is at the time • Supporting the social care economy by enhancing community providers by enabling additional capacity, advice and guidance at short notice • Providing emotional support and implementing therapeutic interventions as determined by professionals • Providing additional support for those admitted short term to acute and locked rehabilitation settings • Liaising with local authorities, ICB's and other public agencies • Assessment and review of individual care and support needs • Liaising with CQC & local Safeguarding Teams as and when required • Attending enhanced MDT's or C(E)TR's as required, or when potential support may be required • Supporting transition to and from inpatient settings and other settings as determined by the clinical teams. • Support will be based on personalised consider reasonable adjustments in line with the individual's ability, needs and preferences • The service will provide short term interventions and support, whilst planning for long term support • Providing reports/evidence and data as agreed with the lead commissioner/clinician/case manager • Participating in follow up MDT's with key stakeholders. • Communicating with the individual using the service and their families re: changes to short term care and support, advocating in meetings and ensuring the person's voice is heard • Supporting the individual to access the crash pad if determined and agreed by the commissioning and case management team. The outline for the short stay crisis provision (crash pad) is as follows: • Access to 2 immediate beds available (dependent on age and risk matching) for a period of up to 14 days - BCHFT and the 4 Black Country Local Authorities are able to make a decision for an extension if required, following appropriate risk assessments and consideration to blocking the crisis provision for further admissions. • Crisis beds are designed to support risk management, support further assessments, and facilitate appropriate discharges where inappropriate/unnecessary admission has occurred whether this be to an inpatient provision, A&E, acute hospitals, police custody, or as a means to avoid the admission to any of these areas. • Availability and access to the crash pad will be within 8 hours from referral. • The appropriateness of using the crash pad will be guided by the clinical teams and/or social care teams to identify when a citizen would benefit from the service and as a means to avoid to avoid hospitalisation or a breakdown in their usual living circumstances. • The use of the crash pad may also be identified via a CeTR, LAEP, urgent or enhanced MDT • Consideration and support will be given to the person's wishes and goals at all times, throughout their stay at the crash pad • Exclusive use for citizens who are the responsibility of BCHFT All use of the crash pad is to be agreed by the LDA commissioning and case management team.