78 Crawley Road
At 78 Crawley Road we provide specialist rehabilitation mental health care to adults who require a period of enhanced recovery support. Our aim is to help people achieve their own individual aspirations and to live independent, meaningful and rewarding lives.
The design of the service is flexible; supporting a recovery pathway for both male and female service users through the hospital, from the intensive rehabilitation unit through towards more independence in individual bungalows. Alternatively, clients can enter and leave the programme at whichever level is appropriate to their needs and position in their individual recovery journey.
The team works collaboratively with service users to deliver personalised rehabilitation in their local area to:
- Support a personally meaningful recovery
- Improve subjective quality of life
- Enable social inclusion and participation in the wider community to achieve personal recovery goals.
The functions of the service are to:
- Provide a comprehensive assessment of service users' physical, psychological and social needs to develop personalised care plans
- Provide comprehensive risk assessment to inform the development of risk management plans that, where appropriate, will use a positive risk-taking approach in keeping with recovery values
- Provide a holistic range of evidence-based recovery-focused interventions to support recovery
- Increase engagement with meaningful occupational, social and recreational activities
- Increase stability of accommodation and move-on to more independent forms of accommodation
- Support service users to manage and improve their physical and sexual health
- Provide a service that is sensitive and responsive to service users’ cultural, ethnic, spiritual, religious and gender needs
- Reduce reliance on out of area placements and support the return of service users to local services
- Support local services in managing the flow of service users through the acute care and rehabilitation pathway
- Establish strong links with local authority and third-sector services to provide a broad range of opportunities for service users to progress in their recovery
- Reduce the frequency of admissions to mental health services
Build and regain trust and confidence in self and others – especially those people who have a role to play in the individual’s ongoing recovery.
The clinical team includes a matron, clinical nurse specialist, charge nurses, nurses and senior clinical support workers.
- Every patient is allocated a primary nurse, associate nurse and social worker.
- Weekly 1-1s by a primary nurse.
- Nursing directive / allocated nurse planner to include weekly timetable and formulation for any presenting behaviours that the team are finding challenging (written and updated by the primary nurse).
- Ensure allocated primary nurse complies with legal requirements of supporting patients with tribunal/managers hearings and other professional meetings.
- Ensure all reports are completed within the specified time,
The team also includes a consultant forensic psychiatrist and a speciality doctor at 78 Crawley Road, whose roles are to provide clinical medical leadership to the team.
- They're involved in the initial assessment of patients, attendance at the forensic care delivery service referrals meeting, and the rehabilitation hub meeting.
- They're the responsible clinicians for all inpatients at 78 Crawley Road who are all detained under the Mental Health Act – this role involves providing reports and attendance at manager’s hearings and tribunals required for those detained under the Act.
- They attend all recovery reviews, multi-professional meetings and care programme approach meetings.
- One consultant takes a lead on the physical health care of the patients and liaises with the Courtyard Surgery GP Practice.
The psychology team is comprised of a principal clinical psychologist, clinical psychologist and a peer support worker.
- Recovery forms the basis for the operational philosophy and the team is available to support individuals in planning their recovery and building on their strengths as a means to succeeding with their recovery goals.
- The team work alongside and collaboratively with individuals and their carers/families as part of their treatment, rehabilitation and recovery journeys.
- Interventions are aimed at the needs, priorities and goals of service users. Therapeutic activity doesn't sit in isolation, but is incorporated into, and complements the whole system of care for an individual.
- Staff from community teams will also be invited to be involved with individuals in the unit to help facilitate activities to fit with an individual’s ongoing community care plan.
A senior social worker and social work assistant bring knowledge of social care issues to the team. They:
- Advise the team through specialist knowledge of the Mental Health Act, Mental Capacity Act and on safeguarding.
- Obtain and provide welfare benefit advice to patients.
- Deliver psychotherapeutic intervention with other members of the team.
- Visit out of area placements to monitor provision and plan care pathways.
- Write reports and give evidence to the team.
- Encourage family and friend involvement in their loved ones care as much as possible, including overseeing invitations to professional meetings, tribunals and discharge planning meetings with the consent of the patient.
Senior occupational therapist and occupational therapist
- Occupational therapy specifically supports individuals develop and maintain their daily living skills in the areas of self-care, productivity and leisure to achieve increased occupational competence, satisfaction and independence.
- This may include working alongside service users, assisting them in improving aspects of their personal care and supporting them to enhance their domestic skills such as shopping, cooking, and budgeting.
- There's also a focus on helping service users develop structure and routine to encourage participation in meaningful activities, good sleep hygiene and opportunities for socialisation.
The pharmacist and pharmacy technician verify the appropriateness of medicines for patients.
- This includes an assessment of the need for the medicine, the choice of medicine selected, the dose regimen, the duration of treatment, the medicine formulation and the route of administration.
- Pharmacists will monitor for medicine interactions and adverse drug reactions and whether the therapy is achieving the desired therapeutic end points. For high-risk medicines in particular they will advise on appropriate levels of monitoring.
The administrative team provide a comprehensive and professional secretarial and administration service to support the team.
How to get here
Buses 23, 98 and 200 (Metrobus) stop on Crawley Road (nearest stop: Millthorpe Road).
The nearest train stations are Littlehaven (approximately 0.5 miles) and Horsham (approximately 0.8 miles).
There is a free car park beside the hospital for staff and visitors, which can be accessed via Redkiln Way and Oak Tree Way using this postcode: RH13 6EQ. Car sat-navigations will direct you to the main Crawley Road, where you will be unable to park easily.
78 Crawley Road is a 24-hour unit. Visitors need to ring a bell at the main entrance where a member of staff will greet them.
Visitors are welcome and there are no set visiting times. However, we ask residents or their carers or relatives to pre-arrange these visits with staff