Specialist Residential Services
Our residential homes are located in quiet neighbourhoods, ensuring comfort while promoting community engagement. We focus on helping service users lead fulfilling lives with the support of our dedicated team.
Our approach to Residential care is based on our very successful experience in providing residential and supported living services in the community. Care is delivered via integrated health and social care approach to assessments, promotion of health, rehabilitation and community integration. The primary objective of our residential service are:
- To reduce the length of stay of service users in acute hospitals setting
- For service users who no longer require care that can only be provided in an acute setting and are medically ready for discharge but who require a level of care that can only be provided in a residential or supported living setting.
- For people that have had mental problems and forensic history but have no alternative accommodation and are not safe to be discharged home.
- To enable assessment for on-going care needs to happen outside of an hospital setting
- To provide an opportunity or re-ablement and rehabilitation, and to maximise independence.
- Work with local Community Mental Health Teams to ensure care optimisation
We cater for variety of people with intellectual challenges and mental health needs. We focus on a person-cantered approach to support full and meaningful lives for each person, keeping in mind their own unique abilities and interests. Families are welcome and encouraged to participate in the care and support of their loved one.
Our staff are trained to manage a variety of complex care plans including challenging behaviour, Personality disorder, Schizophrenia, depression, bi-polar disorder, Dual diagnosis, Complex needs and / or multiple diagnoses.
Our homes are staffed 24 hours based on a shifted staffed model. The hours are scheduled and reflective of the needs of the people living in the home with each location providing unique services. We encourage a family dynamic based on respect that represents the core values of our philosophy of treating of people with dignity.
Our Approach to Residential Care
Residential care designed to improve your quality of life with care principles to enable a partnered approach to care. Supports may include but are not limited to:
Personal Care
- Support or prompting with personal care, washing, bathing/showering and maintaining good personal hygiene;
- Support or prompting with getting up and going to bed;
- Assisting, prompting and or administration of medication including self-administration of medication. Cognithan has Policy for Administering Medication.
Meaningful Activities
The primary objective is to create enriching, supportive, and interactive environments that empower individuals with disabilities to foster social connections, enhance their skills, and enjoy recreational activities. We offer a diverse range of activities, including:
- Plan and engage service users in meaningful activities
- Take account of needs in relation to education, employment and leisure
- Ensure access to community facilities
- Ensure access to valued and culturally appropriate activities
Mental Health Care and Wellbeing
- Minimising Behavioural Symptoms
- Encouraging Engagement Keeping the Person Safe
- Supporting the Family
- Relapse prevention, mood management skills, behavioural management techniques,
- Promoting and monitoring mental and physical well-being.
Occupational Therapy
Cognithan Occupational Therapy (OT) is a small, community-based practice which focuses on providing personalised support and focused psychological strategies for adults who are experiencing mental health challenges, learning disabilities, autism and may have a primary psychosocial impairment.
Our Approach
Assessment
An initial session is an opportunity to meet, build a relationship with the service user, hear about the strengths and challenges, and to discuss goals and treatment plan. As individual, therapy sessions are developed to incorporate the service user’s interests while working through their challenges. Sessions are structured to be challenging, rewarding, motivating and educational. From that initial assessment, you may choose to move forward with sessions focused on the following:
- We provide occupation-based practice which focuses on how a learning disabilities and mental health condition/ psychosocial impairment is impacting and/or interfering with a person’s functioning in day-to-day life; with activities of daily living, we use holistic approach to promote inclusion and reintegration into the community. We use graded exposure strategy.
- We are passionate about utilising Occupational Therapy (OT) skills to make a difference in the lives of those who are experiencing mental health challenges / have chronic and complex mental health needs.
- We support service users to identify and implement skills and strategies needed for recovery. To optimise your mental wellbeing so that you can do more of the things that you care about and take actionable steps to move forward with living a healthier and happier life.
Therapeutic Programs
Support is person-centred, flexible and delivered at a pace to suit each individual and their needs, assisted through a range of therapeutic programs including:
- Comprehensive assessments of emotional, social, and cognitive abilities
- Tailored therapeutic plans integrated within individual care plans
- Structured weekly programs featuring group and individual therapy
- Continuous progress evaluations
- Nurturing your spiritual wellbeing
- Delicious food, made fresh
- Personalised and professional support to identify and implement functional goals to promote independence, activity participation and mental health recovery.
- Coping skills and compensatory strategies to better manage emotional, psychological, relational, motivational, behavioural and life challenges.
- Support to manage and minimise the impact on functional capacity of impairments attributed to a mental health or learning disabilities conditions.
- Support with emotional regulation and self-management strategies.
- Support with making adjustments to everyday activities to enable individuals to develop skills and confidence, enhance functioning and empower engagement in activities of daily life.
- Support to improve functional abilities resulting from psychosocial disability support needs.
- Assistance to develop life roles, relationships, responsibilities and daily routines.
- Support with identifying and overcoming barriers and obstacles to wellness, mental health recovery and participation in everyday life.
- Assistance with developing mental health promoting habits and activity patterns.
- Supportive counselling to work through the complexities and challenges of living with a mental health condition and to apply relevant and helpful focused psychological strategies to promote mental health recovery and living one’s life to the full.
Risk Management
Our services have a systematic and thorough approach to risk management that:
- Identifies risk issues for each resident and ensures each resident has a risk assessment in place
- Supports residents to take positive risks
- Where possible, encourages residents to identify and manage risks and participate in the process;
- Identifies the hazard from each risk issue, who is at risk and the possible harms;
- Ensures risk is assessed following an incident or change of circumstance
- Decides on a course of action and prioritises it;
- Has robust staff lone working procedures and risk assessments in place that are reviewed at least annually.
We will update the risk assessment and any subsequent risk management plan for each resident frequently where an individual’s circumstances change. If the risk assessment identifies any risks to staff, residents or others (including members of the public) then all necessary steps should be taken to mitigate the risk. The Commissioning Team will be informed where risks are classified as significant or critical. Where appropriate, other agencies and relevant individuals should be involved in the risk response planning and implementation process.
We will maintain links with the local Safeguarding authority and providing information on complaints and provider performance relating to duty of care.
We will support Service Users to develop an understanding of what constitutes abuse, to maintain their personal safety and to report concerns appropriately.
Managing non-engagement
The service will be proactive, responsive and creative in engaging people, using means appropriate to each individual’s abilities and communication methods. We will have in place clear processes and protocols for managing non engagement of residents which will include working in partnership with other stakeholders, and professionals, to develop crisis plans and strategies for reengagement.
Who is our service for?
Our residential services are for men and women with learning disabilities and neurodevelopmental disorders including autistic spectrum disorders. Some of them have complex needs including mental health problems, substance misuse, forensic history or other difficulties that have prevented them in the past from stepping down into community services. We care for service users who meet any of the criteria:
- Informal service users and those subject to Home office restriction such as those on Section 37/41, Section 17 leave, Community Treatment Orders or Guardianship.
- Those who are moving through the forensic rehabilitation programme.
- May have autism or autistic features
