Solent NHS TrustHigh quality community and mental health services

Community Care Home Team

The Care Home Team provide professional nursing expertise and clinical leadership in order to support residential and nursing homes in Portsmouth City to maintain the health of their residents. This includes:- • Assessment of patients with complex mental of physical health needs. • Providing an urgent triage response within 4 hours for complex nursing care to avoid hospital admission. • Providing support, training to care home staff, patients and relatives. • Provide patient related clinics within the care homes. • Provide educational clinics within the care homes.

Referral Criteria

Patients must be registered with a Portsmouth City GP and be resident within care homes / nursing homes within the local area

  1. Patients may be referred who need Community Care Home Team assessment for:-
    1. Assessment to maximise health to avoid unnecessary admission to hospital.
    2. advice regarding management of an acute condition or exacerbation of symptoms of a long term condition
    3. advice regarding specific issues e.g. diabetes, falls, mental health
    4. medication review

       
  2. Referrals Via SPA ( SIngle Point Access) 0300 300 2011 Direct referral when visiting care home.

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If you have a compliment, concern or complaint, please contact our Patient Advice and Liaison Service
 
 

Contact Information

Contact Management Admin Team
Phone 0300 300 2012
Fax 023 92 340240
E-mail snhs.TurnerCentre@nhs.net
Address Turner Centre, St James Hospital, Locksway Road, Portsmouth, Hampshire, PO4 8LD
 

Opening Hours

Monday 8:30 am - 5:00 pm
Tuesday 8:30 am - 5:00 pm
Wednesday 8:30 am - 5:00 pm
Thursday 8:30 am - 5:00 pm
Friday 8:30 am - 5:00 pm

Additional Information for Health Professional

Full service description

This service endeavours to provide support to care / nursing home residents to remain in their care / nursing home to avoid their being admitted to hospital unnecessarily. It responds to daily referrals and requests for assessment by care home staff and other professionals through Single Point of Access.

Residents at risk of deterioration are identified through referral from other professionals and also when the care home team are visiting care homes or nursing homes to conduct clinics.

 

The Care Home Team :-

  • liaise with members of the multi-disciplinary team to ensure those requiring expert specialist care receive it.
  • assist in the delivery of that care to deliver the best outcome for the patient.
  • work to facilitate the early discharge of patients with complex mental health needs from hospital settings
  • provide follow-up visits following initial assessment are provided as is full support to enable staff to manage residents’ care.
  • provide a role in reviewing and monitoring the effects of medication.
    • Support delivery of sound End of Life care in line with local and national guidance.
  • Carry out formal teaching, along with other specialist colleagues
  • Support Advanced Care Planning in conjunction with the patient, their family, the care home staff and other relevant health or social care professionals.
  • Support provision of sound Dementia care in line with local and national objectives.
  • Support and encourage staff to be confident in their work and to manage complex patient care
  • Working with individual patients during a period of acute illness, or with a trauma of some kind. Falls, pressure ulcer, etc.

    

  • Identifying patients with long term conditions and co-morbidities in order to manage the disease process

 

  • act as link to other services such as Specialist Palliative care, Tissue viability, Diabetes, Falls Prevention and Mental Health

Referral Criteria

Patients must be registered with a Portsmouth City GP and be resident within care homes / nursing homes within the local area

  1. Patients may be referred who need Community Care Home Team assessment for:-
    1. Assessment to maximise health to avoid unnecessary admission to hospital.
    2. advice regarding management of an acute condition or exacerbation of symptoms of a long term condition
    3. advice regarding specific issues e.g. diabetes, falls, mental health
    4. medication review

       
  2. Referrals Via SPA ( SIngle Point Access) 0300 300 2011 Direct referral when visiting care home.

Clinical Lead Contact Info

Clinical Lead Joanne Sealey
Clinical Lead Title Service Lead
Clinical Lead Phone 023 92 683460
Clinical Lead Address Management Team 3rd Floor Civic Offices Portsmouth
Clinical Lead Postcode PO1 2GJ
Clinical Lead e-mail joanne.sealey@solent.nhs.uk

Service Manager Contact Info

Service Manager Tim Hodgetts
Service Manager Title Operations Manager- Adult Services Ports
Service Manager Phone 023 92 683425
Service Manager Address Management Team 3rd Floor Civic Offices Portsmouth
Service Manager Postcode PO1 2GJ
Service Manager e-mail tim.hodgetts@solent.nhs.uk
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