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Reductions in bed space for those with special needs

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WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY DEPUTY M. TADIER OF ST. BRELADE

ANSWER TO BE TABLED ON TUESDAY 14th JULY 2015

Question

Will the Minister outline what unit closures and reduction in bed space there have been in the past 4 years in Special Needs, Elderly Care and Adult Mental Health Services?

If there have been closures or reductions in bed space, what replacements, if any, have been made and what is the net loss or gain?

Answer

Over the last 4 years, the following developments have taken place:

Special needs

HSSD Special Needs Service has developed and implemented its Community Living Strategy to enable adults with moderate to severe learning disabilities the opportunity to move from institutional models of care – originally St Saviour's Hospital and then group home settings in the community – to bespoke fit for purpose homes for life, based on personalised care and support.

Reflecting these moves, there has been a reduction of 6 beds directly provided within the HSSD Adult Service Residential Service:

- 4 people moved to be supported by Les Amis, as a better option for their long-term care and support

- 2 people passed away.

HSSD now supports in the community 29 adults with moderate to severe learning disabilities and/or on the autistic spectrum, with additional complex needs.

Elderly care

  1. Mental health

There has been a reduction of 28 beds directly provided by HSSD Older Adult Mental Health Services as set out in the table below. The service now provides 67 beds for functional and organic mental health assessment and treatment.

 

Ward name

Service area

Original  bed numbers

New  bed numbers

Comments

Lavender

Older Adult

10 beds

0

Contracted out to Lakeside

Beech

Older Adult (dementia)

17 beds

- 14 assessment

- 3 respite

11 beds (assessment)

Refurbishment  has  created single room occupancy

Respite beds are commissioned with 3rd party provider

Cedar

Older Adult (functional)

16 beds

-15 assessment

- 1 respite

14 beds (assessment)

As above

Oak

Older Adult (end  stage dementia)

26 beds

24 beds

Reduced  occupancy  in  moving from 4-bed rooms to 3 bed, and from 2-bed rooms to 1 bed

Maple

Older Adult (moderate to  severe dementia)

26 beds

18 beds

Reduced occupancy as above

  1. Nursing care

There has been a reduction of 7 beds directly provided by HSSD Older Adult Residential & Nursing Care Services:

- Sandybrook provides 26 beds – no change

- The Limes has reduced from 33 beds to 26 beds to:

  • manage safe care within the current staffing levels
  • reduce risk associated with lower level (as in ground floor) accommodation in compliance with fire regulations.

Presently, HSSD Older Adult Residential & Nursing Care Services provides 52 beds.

In line with the recommendations in the HSSD White Paper, Caring for each other, caring for ourselves', HSSD commissioners continue to work in partnership with private, community and voluntary providers in developing strategy to stimulate the market. New developments, such as Lakeside and expansion at Silver Springs and St Ewolds, help to increase choice across the market, reducing reliance upon direct States provision.

Adult mental health services

The number of beds available in Adult Mental Health Services over the last four years is unchanged.

Orchard House continues to provide 17 in-patient functional mental health assessment and treatment beds.

Clairevale continues to provide 10 beds. Its role has recently been enhanced, becoming a pre- and post- admission unit to reduce the need for individuals to be admitted to an acute mental health unit. This is intended to improve the patient experience, particularly for voluntary patients.