The Horizon Centre

Why a professional should choose the service

All non-urgent referrals for assessment that we receive are seen within 14 days, meeting our regional CQUIN indicator 2.

100% of service users admitted for more than 48 hours receive nutritional screening using the appropriate assessment tool and we achieve our 100% target in meeting our seven day follow up requirements.

We are able to work therapeutically with people in the community to prevent admissions wherever possible. Our highly skilled staff provide consultation and training to other members of staff and our partners.

Support offered

We offer a comprehensive range of support and interventions to people using service at the Horizon Centre using a multi-disciplinary approach by Doctors, Nurses, Psychologists and AHPs including:

• A range of holistic assessment, tailored care planning and risk management, medication and physical support, De-escalation and positive behavioural support
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  Specialist psychological assessments and formulation, and positive behavioural support, as well as discharge planning

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  Intensive person-centred support, assessment and diagnosis, behavioural and therapeutic plans, prescription and monitoring of pharmacotherapy, discharge planning

   

• A range of holistic and diagnostic assessments, positive behaviour support, life and independence skills, communication and sensory interventions, physical health and mobility promotion and discharge planning

Outcomes

Our timely interventions held to avoid any deterioration in the mental and physical health of our service users and avoid crises which might require admission to inpatient services. The supportive environment at the Horizon Centre provides a high quality and safe environment for the assessment and treatment of our service users, maximising the impact of our therapeutic interventions.

We ensure that the privacy and dignity of people using our services are respected at all times and we strive to meet and exceed the expectations of our patients, their family and carers.

Staff work closely with service users to develop individual coping mechanisms which in turn help to reduce the frequency and intensity of challenging behaviours. It also helps to reduce the risk of further restrictive practices within specialist or secure environments.

By working closely alongside our partners we aim to help provide equal access for adults with learning disabilities (and additional complex needs) to mainstream care services.

Referrals accepted from:

Single Point of Access

Referral criteria:

Referrals to our inpatient service will be accepted for adults (aged 18 and over) with learning disabilities in the following circumstances:

• The individual’s behaviour needs close supervision
• The origin of the individual’s behaviour may not be obvious or understood
• Intensive assessment and treatment is required
• There is a significant level of risk to the individual, their family, carers or the public
• The individual has a mental health problem that cannot be assessed and treated in a mainstream psychiatric green light principle setting as it is made worse by significant communication difficulties

Non-urgent referrals

These will be considered/triaged by the inpatient Multi-Disciplinary Team (MDT) who meet weekly. At least two members of the clinical team (one of whom must be an inpatient nurse) will visit the person referred and discuss with the referrer to complete a pre-admission assessment.

This pre-admission assessment will be completed within ten days of referral date, and within 14 days of referral the MDT will make a clinical decision and inform the referrer of the outcome.

Urgent referrals

The lead nurse on shift and responsible clinician will consider the ability to accept any referral in the immediate period. If the ward has potential capacity to admit, then a pre-admission assessment will be completed (if necessary by only one qualified member of the inpatient team) within 8-hours (in exceptional circumstances, the pre-admission assessment may not be completed face-to-face).