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Community Care

Accredo has developed a bespoke service to manage and support individuals with a Mental Disorder in their own community living setting.

We introduce Positive Risk Taking into the lives of service users to aid the transition to independent living, with the support of an experienced wrap-around clinical team to manage risk professionally.

With an increase in the number of Community Treatment Orders (CTO) and delays in discharge from hospitals into the community, the Accredo community teams aim to support both service users and care professionals in reintegrating individuals back into the community.

Accredo is a proud member of the Rehability UK family

A dual CQC registration allows Rehability UK to offer personalised care and treatment for those with disease, injury and illness. As a result we are able to offer a service from our specialist clinicians that is truly bespoke, managing risk to achieve the service user’s optimum level of functioning.

Our care team consists of:

  • Qualified support staff specifically selected for each service user
  • Registered Mental Nurses (inclusive of a 24-hour on-call service)
  • Cognitive behavioural therapy (CBT) and Dialectical behaviour therapy (DBT) experts
  • Occupational therapy (OT) carers

The Team provides:

  • Structured Clinical Assessments
  • Medication Management
  • Structured Monthly Reviews
  • Coping Skills Enhancement
Key Features
  • Reducing hospital length of stay and readmission rates
  • Collaborative working with current team to facilitate discharge
  • MDT & CMHT support
  • Development of skills and pathways to employment
  • Relapse prevention
  • Assistance with arranging tenancy in service user’s name
  • Choose your own property
  • Assistance with medicine management
  • Assistance with money management
  • Social inclusion
  • Measurable outcomes
  • Education access support (College & University)

One of Accredo’s experienced RMN assessors will complete a full clinical and risk assessment, identifying triggers and early warning signs to determine the appropriate levels of community input, ranging from support staff, psychological, occupational and RMN services. This enables the clinical team to determine the appropriateness of the service user based on a risk matrix, while a full report will outline any package proposed.

Who is suitable for the community package?

The service user may currently be in the following facilities:

  • Acute psychiatric units
  • Secure / forensic / rehab / specialist ABI Services
  • Within the NHS or Private Sector

Typically service users have been either long stay or ‘revolving door’ service users, aiming to return to the community. Accredo accepts service users with and/or on:

  • A Community Treatment Order (CTO)
  • Restriction Order
  • 117 aftercare or Informal
  • Guardianship

Service user profile

  • Male or female
  • Aged 18+
  • Primary diagnosis of mental disorder, including personality disorders
  • May have dual diagnosis or complex care needs

May also be overseen by:

  • National Offender Management Services
  • Ministry of Justice
  • Leaving Care Teams
The Process

An MDT discharge meeting will clarify the specifics of our package of care and agree contingency plans.

Sourcing a property

The Accredo Housing Pathway Team will work with the service users and clinicians to find appropriate accommodation in line with local authority allowances, that meet the service user’s needs – hence delivering mental health recovery in their own home.

  • Bespoke property selection based on environmental triggers, clinical needs, and/or forensic history
  • Property sourced through private landlords or housing associations to ensure a final destination gives greater choice and quality
  • Service user is involved in the property viewings to ensure personal choice and quality
  • Tenancy in service user’s name
  • Accredo Housing Pathway Team will arrange all aspects of relocation from hospital to their own home
  • Accredo can help furnish the property and apply for appropriate community care grants
  • All properties will have appropriate safety checks in line with the Landlords Act
Structured Programme of Care

Accredo works with service users to manage their lives and rediscover some of their skills lost during hospitalisation. An agreed plan of care is implemented in conjunction with the service user. We promote recovery and social inclusion by:

  • Medication management
  • Ensuring engagement via meaningful activity
  • Focus on ADL via morning structure
  • Increasing self-esteem and responsibility
  • Care of the home environment
  • Optimising working hours and sleep hygiene
Financial Management

Financial Management

Financial management is an essential skill required for independent living, ensuring responsibility and opportunity for positive lifestyle choices. Accredo uses a structured approach helping service users:

  • Optimise entitlement from DWP
  • Navigation through the benefits system
  • Creating an individual budget plan
  • Using high street banks
  • Taking responsibility for bill payments
  • Apprenticeship if required
  • Financial Goal Planning
Social Inclusion

Whether a service user is repatriated or living in a new area, their specifically recruited support staff will help them with:

  • Familiarising themselves to local amenities
  • Weekly shopping plan in local area
  • Understanding transport links
  • Using public transport
  • Road safety awareness
  • Service users can also feel secure knowing this new knowledge is worthwhile as Accredo helps to provide a final destination
Living Skills

Basic living skills are often taken for granted. Our comprehensive needs assessment ensures structured input fostering trust, hope, stability but also provides the key daily living skills in order to live independently. Some of the skills our structured OT provides:

  • Menu planning
  • Food preparation
  • Kitchen safety awareness
  • Laundry skills
  • Assessment Tool Used
  • MOHO Assessment
Employment and Responsibility

Service users are empowered to make informed choices which in turn promote positive relationships and personal responsibility. Accredo recognises that meaningful activities leading to potential employment opportunities sustain the recovery process and increase self-esteem.

  • Preparation of employment
  • Vocational courses, voluntary placements and paid employment
  • Local educational courses
  • IT Skills
Networking in their Society

Service users are empowered to make informed choices regarding various services and activities available to them locally. They are therefore assisted to access meaningful sustainable activities.

  • Local sports facilities
  • Individual and team pursuits
  • Re-establishing relationships
  • Social networking
Clear and measurable results

We promote clear and measurable results so that as the service user recovers, the package input will reduce, mirrored by a reduction in cost. The Recovery Star and Risk Matrix is commonly used to demonstrate rehabilitation progress.

For enquiries and availability, ring: 0116 272 1345 or email: