Forensic History – Section 37/41
Most people who have been discharged from forensic mental health services will be eligible for aftercare services under section 117 of the Mental Health Act 1983. Moreways Healthcare provides individuals with severe mental illness with the mental health and social care they need rather than continuing their pathway through the criminal justice system. We work alongside Probationary Services and the Criminal Justice Mental Health Liaison Teams to ensure that individuals have the appropriate support required to prevent them from re-offending.
We have a long history of working with individuals with a forensic history, particularly those on S37/41. We understand the complexities and legalities involved in their placement within the community. We assess risk and ensure that we work in a way that promotes independence, with ongoing monitoring and management of the identified risks.
We have supported individuals conditionally discharged from secure units or prison into our 24 hour supported living schemes. With skillful support from our team, working closely with the forensic outreach service, and probation services, we have enabled some to move into their own council flat. For many individuals with a forensic history they may be suspicious of health and social care professionals and when discharged into the community, they reluctantly engage with services. We have demonstrated that we genuinely care about their well being and future and that it is not just a job. Hence we our team has developed excellent working relationships and good communication with all our past and current forensic clients.
We can support an individual to move from our 24hour supported living accommodation into our semi independent scheme. This is with a view to maximising independence and ensuring that an individual is ready and mentally able to cope with the pressures of living more independently.
Moreways Healthcare provides:
- a strong history of positive outcomes
- excellent value for money
- a professional and personalised service working in partnership with care teams
- staff support available 24/7 in all our homes
- knowledgeable staff teams backed up by professional clinical supervision
- safety, security and a stable, therapeutic environment
- residents have many opportunities to develop skills and gain greater independence
And, as a healthcare organisation, we invest significantly in staff training and the ongoing improvement of all services.
Experienced Healthcare Professionals
Your health is your most important asset. You should entrust it only to the best professionals.
Personalised Support Plan
Support choices perfectly match your goals of support complications with early intervention.
Quality and Safety
All team members have been trained thoroughly to assist in any situation.
Your support plan is designed for steady progress, with every phase promptly implemented.
- 51 individuals move on from our services on an annual basis and 76% of these are positive transitions to more independent living
- The average length of stay between 2018 and 2020 was 22.5 months.
- 97% who identified a need to better manage their health, felt they had done so by the time they left our services.
- 87% did not reoffend during their time with us
- 79% were able to better manage a substance misuse problem
- 97% participated in at least one activity organised over the last year
- 93% are better managing their physical health
- 85% of residents say they are satisfied overall with the services we provide them
- 82% of residents rated staff as always polite and helpful
- 75% say they have contact with staff at least once a week
Developing Life Skills
Activities, classes, learning and recovery
We place particular emphasis on encouraging residents to engage with physical activities, creative enterprise and learning opportunities in order to facilitate their recovery. Every year at Moreways Healthcare, and during open days at our care homes, residents are encouraged to take the lead in putting on exhibitions of creative work, as well as assisting us with the planning and delivery of these events.
A professional and personalised service
Each resident is allocated a keyworker and has support available 24/7. We look to identify key areas for development with all residents, starting with our initial assessment and a staged process of move in. This work is followed up in weekly keywork sessions and feeds regular updates to each residents’ care plan.
Feedback from residents, CQC reports, and our funders and partners in the NHS and local authorities, has all indicated that our staff are proactive, respond quickly to developing situations and are good at maintaining contact with service users and their care teams.
Assessment and Planning
Everyone referred to Moreways Healthcare with an offending history or risk undergoes a specialist assessment process. Getting things right at this stage underpins the effectiveness of everything else, so assessments are comprehensive and thorough.
We provide different types of nationally recognised, specialist assessments and recommendations.
The assessment also involves meeting current and former support providers, family members/circles of support (if appropriate and agreed by the individual), care managers and professional partners and sometimes people from the criminal justice agencies. This helps us get much better information about the person we are going to support.
The assessment will identify needs and required outcomes for the individual, which will form the basis of a detailed support plan. The team will use this to ensure that the person gets the very best support.
Running parallel with the support plan is the Moreways Healthcare Risk Trigger Response (RTR) plan, which informs our risk assessment process and provides each team and person we support with a comprehensive overview of risks, indicators and the responsive action that must be taken.
We use the nine principles of the national service model to gather outcome information and to populate the personalised support plan, encouraging others to contribute throughout. This information is then captured in an outcomes-based, person-centred plan.
This is a pragmatic plan which details positive outcomes and aspirations actively led by the person. Where an individual’s outcome is perceived to be unrealistic or unachievable, we will not immediately discount it but will encourage the person to look at steps to achieving this. This will always be delivered positively and based on a ‘can do’ attitude rather than a ‘cannot do’ attitude.
Screening, Assessment and Costs
Following initial screening, we will arrange a detailed, bespoke assessment at an agreed cost. We will decide together if we can support someone well. We will agree a timeframe together. We will send you a plan and a cost.
If you, or we, do not think we are the best provider, the assessment can help you identify the right one.
There might be the potential to look at an integrated personal budget or direct payment. We expect the cost to fall over time as the person becomes more independent, leading to complete fade out of our support over no more than seven years.
Costs must be agreed before we move to transition planning.
We will agree a named person from the operational team to liaise with the referring partner and a named person from the practice development team to liaise with the place the person is currently living. We will agree who else needs to be involved with someone when they move into their own home in the community and how the reviews will happen.
We will recruit a team of people with the involvement of the person and their circles of support. We will take time to get to know the individual. We will agree how and who will be involved in monitoring.
Our environment is complex and requires us to respond to many different stakeholder agendas. We support people who often fall between definitions or eligibility criteria but have been, or are at risk of, being high cost users of services.
Our commissioners include Local Authorities, the NHS and the Probation Service. Much of our work is jointly commissioned.
We work closely with NHS England Transforming Care Partnerships, Association of Directors of Adult Social Services and the Local Government Association. We are regulated through the Health and Safety Executive, the Care Quality Commission.
Regular contact is maintained with family, friends and other professionals within their circle of support, and where available we encourage independent advocates to contribute to the personalised plan.
We also work closely with the police, landlords and housing associations.
We work through Multidisciplinary teams and in the context of the Mental Health Act (2007), Mental Health Code of Practice (2015 Mental Capacity Act (2005), Health and Social Care Act (2012), Care Act ( 2014), Multi Agency Public Protection Arrangements (MAPPA) (2012), Human Rights Act (2010), Equality Act (2010), and the Health and Safety at Work Act (1974), among others.
Head Office Opening Hours
Monday – Friday 9.00 – 18.00
Saturday 11:00 – 14.00
Our Specialists Timetable
All our staff are friendly and happy to help
0333 016 5288
Contact us now to discuss referrals.
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