Referral and Assessment
- Contact our dedicated Referrals Team who'll take a patient history and review their needs.
- Assessment with one of our Clinical Assessors or Home Managers, usually within 24-48 hours.
- 'Community fit' review with Home Manager.
- Formal assessment report and costing shared with funder.
Admission and placement
- Agree goals and timescales in a detailed personalised care plan.
- Review care plan after six weeks to ensure desired outcomes are on track.
- Review of progress against care plan every six months.
Discharge and pathway planning
- Review progress against expected outcome and plan discharge.
- Explore options including transition to OneCare services and discharge into the community.
- Working with service users, families and funders, agree a discharge and transition plan.