Provision of Mental Health Blocked Beds at Eden Mansions Care Home

Concepts

• health services
• provision of mental health
• eden mansions care home
• sandbach
• dementia care services
• block
• beds
• accommodation-based setting
• warn
• hospital discharge

Location

Cheshire East:

Description

This WARN is for the block booking arrangement for the provision of nursing dementia care services in an accommodation-based setting and is designed to support both hospital discharge and hospital avoidance.

Award Detail

Award Criteria

CPV Codes

• 85100000 - Health services

Legal Justification

The reason for the blocked booked mental health beds arose due to unprecedented demand in mental health referrals and psychiatric hospital admissions during 2021. There have also been significant pressures on care provision over the past 24 months as a direct result of the Covid- 19 pandemic. As a result, we have had significant issues in sourcing care for older people with advanced dementia and challenging behaviour. Alongside this, the acuity of mental ill health has risen very significantly with a rise in Mental Health Act assessments locally and nationally. There are bed shortages and on a daily basis people in the community, general hospitals A+E departments and wards, police stations and care homes, have been assessed as needing to be admitted, under the Mental Health Act, to a psychiatric ward but there are no beds available here. In addition to this we have high numbers of people that are unable to be discharged, and as a result have been on psychiatric wards for much longer than usual, with delays over 60 days being regularly noted in acute care meetings and the 'MADE' meetings. 'Multi Agency Discharge Events' were introduced under the NHS England framework to improve patient flow, look at blockages and how these can be reduced and challenge, improve and simplify discharge processes. We have been working with all our care homes (those with suitable registration) to try and arrange EMI nursing beds, but the demand has outstripped the supply. Furthermore, placements often breakdown when people living with dementias mental health deteriorates. The blocked booked beds are preventing admissions by providing suitable urgent short-term provision in the care home market which we are currently unable to achieve. Many of the admissions to psychiatric wards could then potentially be diverted to less restrictive alternatives. The blocked booked beds are monitored via the fortnightly contract meetings. Service users are discussed to ensure bed flow and demonstrate value for money. Utilisation of these beds has remained high throughout the previous 12 months and as services of this nature remain in high demand but short supply, there is confidence that these beds will continue to receive a high volume of use over the next 12 months.

Other Information

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