Staffing had been improved by the use of the safecare system, allowing shortfalls to be identified and covered. Patients had their risks assessed on admission and on an ongoing basis. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding We have our own dynamic resident centred activities programme and activities coordinator for general and therapeutic activities for all. There had been a review of the community matron service which identified the need for specialist Chronic Obstructive Pulmonary Disease (COPD) services and rapid access to care to prevent hospital admissions. Home Treatment Team - HSE.ie - Health Service Executive Issues were raised in relation to Red Books which were not always fully completed with names and address of the children and the Flimsys in the red books were inconsistently completed and we saw evidence of poor quality of scanning of these flimsys making them illegible. The team provides an alternative to hospital for older adults who have severe and sudden mental health needs. Complaints were received and investigated in a timely manner. For information about studying at Avondale or living on campus, contact Student Administration Services study@avondale.edu.au or call +61 2 4980 2377. We observed collaboration and communication amongst all members of the multidisciplinary team (MDT) to support the planning and delivery of care. The trust ensured that cost improvement plans did not compromise patient care. The service was not well led, and the governance processes did not ensure that ward procedures ran smoothly. The service provided safe care. There were safe working practices; staff worked to keep themselves and patients safe. Peoples physical health needs were considered alongside their mental health needs. Risk assessments included relapse triggers, behaviours and patient involvement regarding the management of risk. The governance systems in place for the oversight of the health-based places of safety and mental health decision units was not effective. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. This meant that staff were not aware if patients had consented to their medication. The trust had a protocol in place however this was not being followed consistently and was out of date. The South Westminster Home Treatment Team - Go4mentalhealth.com We will try to maintain continuity of three to five practitioners for core visits, but this may not always be possible (for example, if you are being supported with your medication at regular points in the day). Leaders within the service were aware about the issues the service was facing. This meant staff might have difficulty when reviewing the records, to locate and identify potential risks. Disclaimer. In a three month period 1 June 2016 to 31 August 2016, 25% of shifts had been short of substantive staff.