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Bridge House Rehabilitation

Bridge House Rehabilitation
Last Updated: 27/03/14

Telephone: 01772 797 654

Address: (map)
1 St Lukes Place, Preston, Lancashire, PR1 5DE

Email: bridgehouse@adsolutions.org.uk

Website: www.adsolutions.org.uk

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What we do
Substance misuse: Drugs:   No    Alcohol:  
Female only project: No
Typical length of the first-stage programme 6
Typical length of the second-stage programme 3
Mandatory drug/alcohol testing: Randomly / On suspicion
Detoxification available
Detox length  
Alcohol: 0
Opiates: 0
Benzodiazepines: 0
Stimulants: 0
Support available
Supported housing and resettlement: No
Education, training & employment
Female only groups:
Philosophy/programme of care: Eclectic/integrated
Therapeutic community
Programme details:
The new ADS detoxification service is advertised separately, but is situated across the road from Bridge House.
The programme is based on giving as much responsibility to individuals as possible and works on person-centred principals. Counselling and practical 1: 1s are provided weekly and, if individuals so wish, joint sessions can additionally be offered with residents and their partner/family/friend.
Groups form the main focus of the programme – offering a mix of structured and unstructured sessions. These include single gender and topic-specific groups – e.g. exploring feelings, education/training/employment, life story, ITEP-focused workshops (relapse prevention, self-awareness, alcohol/drug education, health, etc), housing support, video discussion (on any related topic), life skills coaching, food hygiene, preparing for discharge, etc.
Holistic therapies include auricular acupuncture, relaxation and anxiety management.
Other sessions include an in-depth/focused peer review process and resident-lead community issues group.
Other details:
As well as the weekly activity group (learning to socialise and undertake fun activities without alcohol) there is a programme of social events throughout the year: Sponsored walk, summer fete, Halloween party, various Christmas events, etc. Additionally, there is an annual 3-day trip to the Lake District offering residents a wide variety of activities.
Bridge House embraces the Personalisation Agenda and strives to maximise opportunities for residents to maintain as much control over their treatment as possible. This is achieved through community groups and once a resident begins 2nd stage, they are provided with a virtual budget to choose which sessions they feel will best meet their goals/support plan.
Residents are involved in every aspect of the management of the home: service evaluation, interviewing/recruitment, staff appraisal and supervision, etc.
Family support services:
There is a bi-monthly evening support group for family/friends of residents who wish to invite them. The group focuses on substance misuse awareness/education and demystifies treatment.
If residents so wish, joint 1: 1 counselling sessions are also available.
Activities provided for children and families:
The project has a specialist Children & Family Project Worker, supporting residents with parenting issues and developing related skills through 1: 1 and specialist groups. This includes working with the child and parent pre/post and during treatment: developing as a parent, rebuilding relationships, court/core conference/social service support, etc.
A separate homely property is available to residents to have overnight/weekend time with their partners and children in privacy. Activities include toys/games and re-learning play with children as well as social events throughout the year.
Post treatment support:
Bridge House operates a 3rd stage for residents who are able to secure additional funding – after at least 6 months of treatment. The resident will live at home and choose, up to the value of their budget, options from within the available programme that they feel will assist them to meet their ongoing needs.
This after care enables individuals to be with their families/children, to continue to build those relationships, whilst accessing support.
Additionally, there is a weekly ex-residents’ support group and availability of 1: 1 sessions
Harm reduction policies for clients leaving the programme early:
Residents can attend the project (on the day following discharge for the above) for an emergency community meeting to ask for their place back. A decision is made by the staff team. Alternatively, clients can continue to access support, providing they remain abstinent. A full risk assessment is undertaken on unplanned discharge looking at medication and onward process. Clients are always discharged to a place of safety, ultimately, if home is not appropriate, to a local hotel, provided with a discharge information sheet.
Resettlement / after-care services:
Bridge House operates a 3rd stage for residents who are able to secure additional funding – after at least 6 months of treatment. The resident will live at home and choose, up to the value of their budget, options from within the available programme that they feel will assist them to meet their ongoing needs.
This after care enables individuals to be with their families/children, to continue to build those relationships, whilst accessing support.
Additionally, there is a weekly ex-residents’ support group and availability of 1: 1 sessions.
Prior to discharge, the project works very closely with local/other area agencies in assisting individuals with the vital aspect of resettlement. There are good links with housing, benefits, education and employment agencies.
Hours a client would typically spend on elements of the programme in a week:
One to one counselling and keyworking: 2
Group work: 18
Complementary therapies: 2
Education: 2
Domestic duties: 7
Other activities: 0
Other details:
Treatment completion rate (% clients discharged for)
Treatment complete 0 %
Service user transferred 0 %
Treatment incomplete :
   - client dropped out 0 %
   - treatment withdrawn by provider 0 %
Who we treat
Accepted clients Male / Female
Age range of clients 18 - 65
The following are accepted: Pregnant women
Criminal Justice referrals: Court reports provided
Accompanied court attendance
Child care options: Children can have day visits
Dual diagnosis clients accepted
How the programme is equipped for dual diagnosis or complex needs:
The project works closely with the registered GP surgery and supports residents with any ensuing mental health referral. Residents are further supported to attend external mental health appointments and staff work closely with mental health professionals.
In-house therapeutic sessions include basic mental health awareness, anxiety/anger management courses, bereavement counselling, self-awareness/confidence-building, etc.
All residents receive at least one counselling session per week from qualified staff.
Accepts client on the following prescribed psycho-active medication: Anti-depressants
Anti-psychotics
Exclusions and restrictions to admission:
Convictions: Schedule 1 or arson offences.
Severe or unstable mental health problems.
Facilities / vacancies
Bed vacancies : Please note this project runs a bed waiting list, please call the project for more details.
Number of Beds Registration Room
type
Detox Disabled
access
Gender Contract
4 Drug/alcohol (D/A) Single No Limited Both N/A
Total registered beds: 16
Ensuite rooms: 6
Shared rooms (3+): 0
Twin rooms: 0
Single rooms: 10
Female-only beds: 8
Male-only beds: 8
Beds for detox: 0
Detox programme details:
No details supplied
Level of wheelchair access: Full
No. bedrooms with full disabled access: 6
Sign language: No
Pets: No
Level of catering Partial
Domestic responsibilities Full
Complementary therapies:
Relaxation.
Acupuncture.
Anxiety management.
Other facilities (eg. languages spoken, dietary options, religions etc.): Religious holidays observed
Dietry requirements
Fees & other info
Gross weekly residential charge: Not yet supplied
Block contracts: No
Block contracts costs: Not yet supplied
Other cost-related services:
Third stage costs are available on request and are priced at individual activity level. Some assistance with travel expenses available. Toiletries supplied.
Detoxification service available from April 2011 (planned). Please contact Bridge House for costs and further information.











Detox additional weekly charge  
Alcohol: Not yet supplied
Opiates: Not yet supplied
Benzodiazepines: Not yet supplied
Stimulants: Not yet supplied
Admission and discharge information:
Assessment and admissions:
Self-referrals are accepted where clients are self-funding. Otherwise, referral must be made by a professional such as social worker, probation officer, SMS worker, etc.
Bridge House will strive to assess all individuals, but potential residents need to exhibit a level of motivation and cognitive ability to engage within a therapeutic setting. This is assessed at the assessment stage.
Assessment explores the following areas: personal history, history of alcohol/other substance misuse, health (physical and psychological), education, employment, family/childcare, housing, finance, client’s perception of their problem and awareness of needs. A risk assessment will also be undertaken. Wherever possible, clients are informed of outcomes and estimated waiting times on the day of assessment.
Potential clients are welcome to visit the project, by appointment, before the assessment stage.
Admission can be dated from discharge from inpatient detoxification.
Additional admission services:
The initial care plan is completed on the day of assessment. An admission date or approximate waiting time is given and a half-day visit is arranged. The client is given a copy of the Service User Guide.
Discharge policies:
In order for the therapeutic community to function effectively it is necessary to have in place several minor rules. Individuals are informed of these and given clear explanation at the visit, assessment and admission stage.
There are only 5 rules that could lead to an individual’s discharge: -
• Consumption of alcohol/illegal drugs/non-prescribed medication, or collusion with another resident in their consumption. This includes failure to participate in random drug/alcohol testing.
• Violence, or threats of violence, towards other residents, staff or visitors.
• Failure to pay or refusal to co-operate with staff in obtaining the weekly charge.
• Failure to behave as a satisfactory member of the house community. This includes breaking the law by smoking in non-designated areas.
• Residents must not become involved in intimate relationships with other residents.
Following unplanned discharge the staff will discuss an individual’s circumstances and may decide to offer a second change to that person. Where this occurs, the resident will be asked to re-attend the following day for further discussion.
The policy for planned discharge supports residents back into the community – especially around relapse prevention skills, housing and education/employment. Aftercare and ex-resident support extends this.
Registration:
Registration: Care home only
Registered with the National Drug Treatment Monitoring System (NDTMS):
Registered with the Care Quality Commission (CQC) - from October 2010:
Local Authorities using this project None yet selected
Local Care Quality Commission(CQC) office:
Region: North West
Local Authority area: Lancashire
Drug and Alcohol Team: Blackpool
Primary contact: No details supplied
Contact phone: 01772 797 654
Admission phone: 01772 797 654
Quality initiatives
The project has now incorporated the Personalisation Agenda,
The project has now incorporated the Personalisation Agenda, including Individualised Budgets, into its service – this has been described elsewhere.
Bridge House is currently setting up a 10-bed detox unit for alcohol detoxification. The planned establishment date is April 2011 and will include 10-day treatment as well as 3-day ‘Kick Starts’ as a way to support people who are safe to complete detox at home. Clients with Methodone prescriptions and low-level mental health issues will be accepted.
The project has a specialist Children and Family Worker whose role has been expanded to support the child as well as providing additional pre- and post-admission outreach.

Staffing - Full Time Equivalents (FTEs)
Clinical: 0
Doctors/psychiatrists: 0
Nurses: 0
Dual-diagnosis workers: 0
General counsellors: 0
Other clinical: 0
Volunteers: 0
Support/non-clinical: 0
Resettlement workers: 0
Children's workers: 0
Service managers: 0
Training/education staff: 0
Other non-clinical: 0
Total FTE paid staff: 0
Staff qualifications:
Service Manager: Advanced Dip in Counselling and Casework Supervision. NVQ Registered Manager Award. Registered RGN.
Deputy Manager: DPSW. MA Applied Social Sciences.
Project Worker 1: Dip HE in Counselling. BA Hons Humanities.
Project Worker 2: DANOS.
Children and Family Project Worker: BA Applied Social Sciences.
Administrator: RSA 3. ECDL.
Cook: Food Hygiene Level 2.
Night cover: On-call
Reviews / videos
Video
Not available
Reviews
Service user reviews:
Residents review their treatment, support plan and goals and evaluate the service every three months. Independently managed reviews are additionally undertaken periodically. The following comments were made by ex-residents: -
• Bridge house gave me the time, patience and knowledge to become me again.
• I will always be thankful to the staff at Bridge House for the amount of time, work, help, experience and faith they shared with me. The programme has been a great inspiration for me.
• I would like to thank the staff for all they have taught me. For listening to me and helping me achieve my goals and most of all for giving me the chance to prove I could do this.
• You have all made a very big difference to my life as well as my family’s. I couldn’t have got this far without your support.
Professional reviews:
Community care managers review progress being made by the residents they have referred to this service. They are involved in the service evaluation process every three months. The following are comments made by external professionals: -
• Residents are fully involved in all decision-making, whether this is about themselves or the community.
• Bridge House has a group of staff that are highly valued by people staying at the home.
• The homely accommodation is arranged so that people are supported and felt safe and trusted the staff and each other.
• The atmosphere is open and welcoming and people staying at Bridge House know that their views and opinions are important.
Community care managers review progress being made by the residents they have referred to this service. They are involved in the service evaluation process every three months. The following are comments made by external professionals: -
• Residents are fully involved in all decision-making, whether this is about themselves or the community.
• Bridge House has a group of staff that are highly valued by people staying at the home.
• The homely accommodation is arranged so that people are supported and felt safe and trusted the staff and each other.
• The atmosphere is open and welcoming and people staying at Bridge House know that their views and opinions are important.

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