TTP Chorley Inpatient Detox Unit

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1 Client Handbook TTP Chorley Inpatient Detox Unit

2 INDEX Welcome to TTP Chorley IPD 3 Aims & Objectives 3 TTP Mission Statement 3 Vision Statement 3 Core Values 3 Patient Group 4 The Staff Team 4 Facilities 4 Treatment Model & Programme 5 Support Programme 5 The Therapeutic sessions 5 Admission 6 Aftercare 7 Food & Diets 7 What you can expect from us 8 What we expect from you 9 Alcohol, Drugs and Tobacco 9 Personal Property 9 Post 10 Telephone Calls 10 Loans/Borrowing 10 Benefits 10 Leaving the service 12 Visitors 12 Nuisance and Harassment 13 Unsuitable use of the room or communal areas 13 Access to personal rooms 13 Intimate relationships 14 Pets 14 Reporting Repairs 14 Damage to Property & Charges 14 Health & Safety 14 Protecting Vulnerable Adults 15 Quality Assurance 16 Copy of Treatment Contract Agreement 16 Discharge Planned & Unplanned 17 Policies & Procedures 19 Confidentiality Policy 19 Complaints Procedure 19 Equal Opportunities Policy 20 2

3 Welcome to TTP Chorley IPD We hope that this handbook will give you the information you need to settle in and help you make the most of your stay with us. The first few days at a new place are always daunting, so please read this handbook carefully and make sure you talk to a member of staff if you have any questions. This 12 bed purpose-built inpatient detox unit was redeveloped in July 2011, to complement the existing Therapeutic Community at Withnell House. Aims & Objectives TTP aims to provide a safe, supportive environment where patients can safely complete a full physical withdrawal from drugs and/or alcohol, or stabilise their use, with medical support and within a specialist recovery setting. All patients participate in a treatment programme including individual care plan development and reviews, group work and social activities. The service operates on the basis of a client-centred approach and all interventions are based on individual need, circumstances and choices. TTP Mission Statement TTP s mission is to provide high quality, outcome focused drug and alcohol addiction recovery services nationwide. Vision Statement Every person and family suffering from drug and alcohol addiction has a free choice to fully recover from their addiction and achieve their potential. Core Values 1. We act with integrity and show respect 2. We are all accountable 3. We are passionate about our business, our service and our patients 4. We have the humility and hunger to learn 5. We love success 6. We strive for simplicity 3

4 Patient Group The Detox Centre is for those over the age of 18 who wish to participate in a full physical withdrawal from alcohol and/or drugs, or who have a medical need to be stabilised in their alcohol/drug use. Patients should be motivated for change and want detox for the right reasons. The project can accommodate those with limited mobility and wheelchair users, who are able to self care. We are usually unable to cater for those who are Category 1 offenders or those with a history of arson. Some serious mental health issues may also preclude admission. The Staff Team All our staff members are specifically trained for their work in the Centre. The centre has four nursing staff on duty 24/7, with a doctor on site most days. The centre manager, recovery coaches and support staff complete the team. A clinical psychiatrist is available in an advisory capacity. All staff receive regular supervision and support. Facilities TTP Chorley is a specialist recovery centre for people with drug and/or alcohol problems. The centre is situated on the outskirts of Chorley, within easy reach of two major motorways. Set in its own grounds, boasting a long sweeping driveway and ample parkland, TTP Chorley is a safe, restful and revitalising environment. The inpatient detox unit represents the east wing of Astley Hall in Chorley and comprises 12 en-suite individual bedrooms, a nursing station, doctors visiting room and a large living room and dining space. Although the detox unit is a self contained space, it is also part of a larger Therapeutic Community where clients engage in 12 week rehabilitation for drugs and alcohol misuse. The larger unit also boasts various lounges, quiet rooms, administrators office, managers office, staff sleeping quarters, single and double rooms accommodating 17 clients, a dining room, pool table, gym access and TV lounge. Entry into TTP Chorley IPD does not necessitate residency in the rehabilitation unit, although those patients who, during their detox or stabilisation, wish to benefit from the activities and company offered by the Therapeutic Community are welcome to do so if the nursing team assess it to be beneficial to do so. 4

5 TREATMENT MODEL & PROGRAMME Support Programme TTP will aim to provide continued support to help you complete your detox programme. It is strongly recommended that you participate in all the groups and activities that are available to you. Your care plan seeks to enable both you and us, to best address the needs that were identified through the referral and assessment process. If these change, please discuss this with staff through your reviews. The Therapeutic sessions The TTP Chorley IPD programme addresses the whole person - body, mind and spirit. You will experience a medically managed detoxification or stabilisation, but this will be alongside a wealth of sessions/ groups/ talks which will help you make the most of your stay into the future. Process Groups: These are provided to help you understand and overcome any particular difficulties you have during the withdrawal process. Lexercise : Gentle or light exercise designed to be fun and get your body active again. Exercise is a natural way of kick starting the natural chemical production of your body, which will often have been inhibited by your drug or alcohol use. Relaxation sessions Regular sessions take place to help patients learn to enjoy doing nothing at all. Workshops: Full timetables of workshops address all aspects of addiction. TTP Community Group: TTP Chorley values the opinions and experience of its service users, therefore, we offer this opportunity for you to have your say and influence the programme and how treatment the programme is delivered within TTP Chorley Detox. House Meetings: Daily meetings addressing day to day issues, informing you about the itinerary of the day and events happening within the Centre. ITEP (International Treatment Effectiveness Project) Workshops: Relapse Prevention: Workshops and assignments designed to help you understand the process of relapse. 5

6 Disease Concept: a model of addiction that provides an understanding of how and why some individuals develop alcohol and drug issues and more importantly why they cannot seem to stop. Blocks to Recovery: Similar to relapse prevention sessions but focuses on the blocks to attaining a happy and contented lifestyle, that supports ongoing recovery and abstinence. Harm Minimisation: How you can minimise any risks involved in your using. Admission On admission day you should arrive at TTP Chorley IPD at the pre-arranged time and report to the administration office. The admissions manager or another member of staff will greet you. You will immediately be taken into the detox unit where you will work through the induction and orientation process, informing you (and family members) of what you can expect from your time with us. You will have already completed an initial assessment but this will need to be expanded on and a full medical assessment will be conducted by nurses and doctors and a suitable detox regime agreed with you. We will make sure that everyone involved understands every aspect of the detox procedure and an agreement will be signed between the patient and the Centre. (See Treatment Contract.) You and your belongings will be searched as part of the admission procedure, so please make sure you do not bring any drugs (other than those prescribed for you), alcohol, mobile phone or valuables. A complete list of everything you need to bring and what you should not bring will have been sent to you before you arrived at the Centre. You will then be afforded the opportunity to spend some brief time with your family, loved ones or referrer before being shown to your bedroom and your treatment begins! If a patient arrives under the influence: In all cases the safety of the individual, peer group and staff within the Detoxification Centre is paramount. 6

7 A risk assessment will be carried out and a decision will be made whether to admit the patient or postpone the admission. If admission is agreed, the admissions criteria will be followed as usual, and the patient will be taken to their own room and allowed time to come round or sleep. Note: no detoxification medication can be given until a safe amount of time has elapsed. No patient will be allowed to engage in any part of the programme or mix with other patients whilst under the influence. The patient will be put under high observation criteria, to ensure their (and other patients ) safety. Aftercare Prior to admission patients must have an aftercare plan in place. This should be individually tailored and is usually arranged by the referring agency. There is a free aftercare group at the Centre every week, which can be accessed for up to 3 months after discharge. The most important factor is the patient s commitment to whatever aftercare is agreed upon. The Centre maintains close communication with the referring agency to ensure a smooth treatment journey and to help avoid relapse. Food & Diets TTP Chorley IPD is part of a therapeutic community, where the clients of the rehabilitation unit are responsible for all catering as part of their care plan, providing a varied nutritious diet for all, specially tailored to the needs of those experiencing detoxification. All religious, ethnic and cultural food needs are catered for, as well as special diets and care of those with allergies. Meal times: Breakfast (prepared by the patients themselves) 8.00 to 8.55 Lunch 1.00 to 1.45 pm Dinner (main meal) 6.00 to 6.30 pm Supper 9.00 pm to 9.30pm All meals will normally be taken in the IPD Dining Room, although patients can choose to eat within the Therapeutic Community if the nursing team assess it to be beneficial to do so. 7

8 What you can expect from us You have the right to: Receive the treatment which the Centre has undertaken to provide. This will be a supportive, professional and consistent service. Privacy and peaceful enjoyment of your accommodation and the right to control over your personal living area, as far as is possible. Respect at all times. Access information held about you by the organisation. If you would like to see the records we keep, please speak to a member of staff who will arrange an appointment for you to view them. You will not be allowed to take the file off the premises but you are welcome to have a copy of any of the documents that relate to you if you wish, for a small fee to cover the cost. Expect that this information be treated with confidentiality, within the limits of the confidentiality policy. A copy of this is at the back of this booklet. The maximum amount of choice possible in relation to the service provided, subject to treatment contract. A safe and secure environment and to be free from harassment, to be treated fairly and equally and for social, emotional, religious and cultural difference to be respected. The building is disability friendly, and interpreters of foreign languages can usually be accessed. A copy of our equality policy is at the back of this booklet. Make compliments, comments or complaints. TTP Chorley aims to provide its services efficiently and to a high standard. Where we are doing so we would like to hear about it, similarly if you feel that we have not provided you with the level of service you expected you could comment or make a complaint. The complaints procedure is printed at the end of this booklet. A service user representative is available to help you. Ask a member of staff to tell you who this is and how to get hold of them. Make suggestions as to how the service can be improved. We aim to ensure that the service is truly accountable to residents, through the provision of information about the services provided, consultation over any proposed changes to the service, and the opportunity to complain or comment about those services. There is a TTP Chorley Community Meeting held each week specifically to encourage patient suggestions as to how we can improve our service. In addition, you will be asked to complete an exit survey to help inform future developments. You are invited to use an advocate of your choice to speak on your behalf. A service user representative is available to help you. Ask a member of staff to tell you who this is and how to get hold of them. Have your views listened to. 8

9 What we expect from you In order to help you get the very best out of the service we need you to work with us and comply with the guidelines. On admission to the service a member of staff will explain the contents of this handbook and you will be asked to sign the Treatment Contract. Alcohol, Drugs and Tobacco TTP Chorley is an alcohol and drug free service. You and your visitors must not bring alcohol or non-prescribed and illicit drugs onto the premises. All use of prescribed drugs must be notified to staff on admission and agreed by our GP. You must not use alcohol or illegal drugs or abuse other drugs including prescribed drugs while at the Centre. Patients are required to agree to random and planned drug testing procedures. A positive drugs test may lead to discharge from the programme. TTP must adhere to the national smoking legislation and, therefore, patients and their visitors are not allowed to smoke in any area with the exception of the Courtyard (outside the Dining Room) where a shelter is provided. Personal Property We cannot accept responsibility for any personal property lost, mislaid, stolen or damaged, which is why you have been advised to bring the minimum amount of personal property with you. Patients are not allowed to use mobile phones, computers or games consoles while at the Centre so any brought in will be given to a carer to store in the safe until discharge. IPods and other MP3 players can only be used in bedrooms. You will be issued with a key to keep your room safe. Always lock it when you are away from it. Some money is required for the pay phone, but patients should refrain from bringing large amounts of cash and credit/debit cards with them if possible. All cash and credit cards/bank cards are handed in and kept in the safe. We recommend that you bring no more than 50 per week. Please be aware that aerosols are not permitted in the Centre and bring alternatives if required e.g. roll-on deodorant. You are asked to bring enough items with you for the duration of your stay. However, if necessary, there may be opportunity for cigarettes to be purchased for you from a local shop. 9

10 If you have any special requests please ask your visitors to bring them to you on Sunday visits. Alternatively, they can drop off items at reception during the week. Please note these items will be searched. Weapons and pornographic materials found at the Centre will always be confiscated and may be handed in to the police. You may be asked to submit any electrical appliances for safety inspection as requested in order for us to fulfil health and safety regulations. On completion of your programme, please take all your belongings with you, as we are unable to store personal property. You must not remove any property belonging to TTP Chorley or other patients. Post It is suggested that patients do not need to receive post for the short time they are in the Centre. Any that is received will be opened with the patient in the presence of a member of the staff team. Telephone Calls Patients are not allowed use of mobile phones or personal laptops while in the Centre, nor to receive calls. A phone is available in the Therapeutic Community for use at suitable times. For private calls of a sensitive nature patients should ask staff for access to an office land line. A member of staff will be present throughout the call. Loans/Borrowing You are requested not to borrow money from or to lend money to other patients. TTP Chorley is unable to lend money to patients. Benefits It is the patients responsibility to liaise with the DWP prior to admission to discuss arrangements for continued benefits payments or initiating new claims. Statements for fitness to work (formerly sick note ) It is the patients responsibility to liaise with their own GP prior to admission to with regards to statements for fitness to work and continued benefits payments or new claims. 10

11 For patients who are attending Chorley IPD as part of a rehabilitation programme at TTP Chorley Therapeutic Community ONLY: Further to signing the rules document and authorising Inward House /TTP to collect all DWP/ saves on your behalf please be advised of the following; 1. All DWP benefits will be transferred over to TTP Walter Lyon House Resident Bank Account. 2. Contributions as per Contribution Assessment which was carried out by your funder will be deducted from your benefit. 3. Remaining monies (Your personal allowance) will be made available to you on a weekly basis to purchase items from Tuck and any remaining money will be paid into your savings account, records of which are kept within the administration and finance department. 4. Any Social Loans or debts will be deducted from your personal allowance made each week. 5. To request money from your savings account you must do so 3 days prior to needing the funds with authorisation from your key worker and overall authorisation from the finance team. (Requests over 30 must be made 5 days prior and requests over 50, 2 weeks prior) You will be informed immediately if there are not enough funds in your savings account. 6. Upon completion or discharge from the House a full breakdown of all DWP monies collected and allocated will be made available to you and any overpay will be transferred into your savings account. 7. Upon leaving the House any monies in your savings account will be transferred into your Personal Bank Account within 2 weeks, If you do not have a Personal Bank Account a cheque will be posted to your forwarding address. Please ensure when leaving that your correct address is held. 8. Only 30 in cash will be available upon leaving the House. 11

12 Leaving the service You are asked to remain on site for the duration of your detox unless with the permission of, and being accompanied by, a member of staff. Discharge and aftercare plans will form part of your care plan and should be strictly adhered to in order to get the best from your stay here and to ensure the effects are long lasting. Your stay here will be flexible depending upon your needs. We will aim to support you with your moving-on arrangements. We will include other key parties such as your Care Co-ordinator (if you have one) with regards to these arrangements. Patients who are asked to leave because of disciplinary matters (see early discharge policy at end of this booklet) will be given necessary medication and advice and discharged into the care of their GP. Patients are strongly advised against leaving before the end of their detox as this could prove extremely dangerous. TTP Chorley cannot be held responsible for any patient who self-discharges. Visitors Staff encourage patients to maintain links with their family and friends whilst they complete their detox programme. Visitors are welcome to the Centre on Sunday afternoons, when there are also family/carer support groups. All patients are able to nominate two people who will be allowed to visit during detox. They should be over 18 and must not present at the centre under the influence of drugs or alcohol. They should also be totally supportive of the patient s detox. For the safety or our patients and the integrity of the service, TTP reserve the right to refuse entry to any visitors. This may be prior to the visit or on the day. Please note that no other adults will be allowed to visit. The only under 18s allowed to visit are the patient s own children. They must be named prior to admission and must be accompanied by a carer who will take responsibility for them while on site. 12

13 All visitors planning to come to a Sunday visiting session MUST register for that session by 4pm on the preceding Tuesday afternoon, to allow for staffing provision. Whilst we welcome guests into the service, please remember that TTP Chorley is responsible for all visitors whilst in attendance at the Centre. All visitors are asked to comply with the Centre s Treatment Contract, health and safety procedures and guidelines. Failure to comply with these guidelines will result in visitors being asked to leave. Visitors may be asked to leave at any time if staff members decide that is in the best interests of patients in the centre or of a child visitor (e.g. if the patient or child is upset, or if drugs or alcohol are believed to be present). Staff reserve the right to ask any visitor to leave the premises if this is deemed necessary. Under certain limited circumstances, individuals are able to negotiate visiting times outside these parameters. Nuisance and Harassment You must not carry out any action, which causes nuisance to other patients, staff or visitors to the Centre. You must not commit any harassment of, or aggression on the grounds of race, ethnic origin, nationality, gender, age, mental health, religion, sexual orientation or disability. Any such action will be seen as a serious breach of contract. Unsuitable use of the room or communal areas You must not use your room, or any other part of the Centre, for trading, business or professional, or for any illegal, immoral or improper purposes, or for any purpose which would reflect badly on TTP Chorley. Access to personal rooms We recognise that your room is your own personal space and staff will promote privacy and dignity. However, staff may gain access to your room if it is deemed necessary. Staff will knock before entering unless they have a good reason not to. Other residents and visitors are not allowed to enter your room under any circumstance. Please inform staff immediately if you feel at risk or vulnerable in your own room. 13

14 Intimate relationships Peer support and group camaraderie are essential aspects to a successful detoxification programme. However, we ask that you do not form intimate relationships while at TTP. This is deemed to be detrimental to your treatment. Other patients are not allowed in you bedroom under any circumstances. Pets Due to health and safety regulations, we are unable to allow you to bring pets into the Centre. Reporting Repairs If you need a repair to be carried out, please contact a member of staff. So that we may keep the property in good repair, it is important that you tell us about any repairs as soon as you can for health and safety reasons. Damage to Property & Charges The cost of repairing any damage to the property or fixtures and fittings that has been caused by you may be charged to you. Any resident who persistently causes damage to the property may be asked to leave. We treat persistent damage as a serious breach of contract. Health & Safety You must not knowingly carry out any action, which would harm the health and safety of yourself, or any other person within the service. Each individual has a responsibility to monitor and report any potential hazards, which may cause harm or be a risk to self and others. Fire safety and Evacuation Procedures will be explained to the patient on admission. The Fire Alarm will be tested at the beginning of each week. Patients will be notified before the test is carried out. If you have not been notified by a staff member that a test is taking place please treat the alarm as genuine and follow the evacuation procedure. If you discover a fire: - 1. Raise the alarm by operating the nearest alarm point 2. Leave the premises immediately by the nearest exit 3. Contact the Emergency Services. Ring 999 and ask for Fire Brigade 4. When telephone is answered say, FIRE AT TTP, Withnell House, Bury Lane Chorley, PR8 6BH 14

15 If you hear the fire alarm: - 1. Leave the premises by the nearest available exit 2. Close all doors behind you 3. Report to the person in charge at the assembly point. Your assembly point is in the middle of the main carpark DO NOT:- 1. Run or shout, this tends to cause panic 2. Re-enter the building until told to do so by the Fire Brigade 3. Put yourself at risk If you smell gas: Put out all cigarettes Do not use matches or naked flames Do not use electrical switches - either on or off Open doors and windows to get rid of the gas Contact a member of staff immediately Protecting Vulnerable Adults It is our responsibility to protect people from abuse whilst in our service. By abuse, we mean of a physical, sexual, psychological and financial nature. All staff are trained to deal with allegations which will be treated seriously. You can talk to a member of staff about this and a copy of our policy on Protection of Vulnerable Adults can be provided on request. If you suspect that another patient is being abused let a member of staff know as soon as you can. If you do not want to tell your key worker, tell the manager. You may prefer to speak to a member of TTP Chorley staff who does not work at the scheme. In this case, please contact the Operations Manager, TTP LUTON, 1 Telford Way, Luton, Beds, LU1 1HT. ( ) You may wish to contact someone who does not work fort TTP Chorley. You can contact the social services department, the police, the local PCT, the Care Quality Commission ( ) or the local authority. If the report is made against another patient, they may be offered other temporary accommodation whilst the report is investigated depending on the seriousness of the allegation. Your concerns will be addressed promptly and with sensitivity. 15

16 Should an allegation be made about a visitor, the person will be excluded from the project whilst it is investigated. Quality Assurance In April 2002 the Government introduced National Minimum Standards for Care Homes. They are core requirements, which apply to all care homes. They provide minimum standards below which no provider is expected to operate, and are designed to ensure the protection of residents and safeguard and promote their health, welfare and quality of life. The Care Quality Commission (formerly CSCI) is the body responsible for ensuring these standards are implemented. Copy of Treatment Contract (You will be given a separate copy to sign on admission) TREATMENT CONTRACT I,, (The patient) whilst attending and receiving treatment at TTP fully understand and agree to adhere to the following conditions of treatment: 1) To ensure that we may fully comply with our medical duty of care during detox, I, the patient, agree to take my medication as prescribed to me by our Doctors or authorised members of their medical team. 2) I agree to comply with the therapeutic programme and engage with the treatment offered at TTP. 3) To not discuss my individual detox medication with fellow patients. 4) To abstain from using any form of mind or mood alerting substance including alcohol. This includes medication that has not been prescribed or sanctioned by our Doctors or authorised members of their medical team or a senior member of the TTP Clinic team. 5) Not to mix, associate or spend time in the company of anyone who uses any form of mind or mood altering substance. 6) To not enter into any form of illegal activity or enter any establishments where illegal activity may take place. 7) To not enter any other bedroom at the centre, at any time, except for the bedroom allocated to me for my stay. 8) To be appropriately dressed at all times during my stay at TTP Detox. 9) To remain within the centre unless given by permission from, and being accompanied by, a designated member of TTP staff. 10) To refrain from using any form of violence or threatening behaviour to peers, staff, visitors, property or members of the community. Anyone who commits a violent act will be reported to the police and charges pursued. 11) To abide with the no smoking and out of limits areas. 12) To not discriminate against any person at TTP. This includes discrimination in relation to age, gender, sexuality, colour, creed, size, religion or social standing 13) To take part in random drug tests as and when requested to do so or as directed by the courts or probation services. A positive result and adulterated tests may result in instant discharge from treatment. Refusal to provide a sample may also lead to discharge from treatment. 16

17 14) To not form any exclusive relationships with fellow patients during my stay. 15) To treat each other in a respectful, tolerant and caring manner towards peers, TTP staff, neighbours, or the community at large. In order for every patient to benefit fully from our treatment programme, an atmosphere of safety, trust and respect must exist and it is essential that every group member respects the confidentiality of their peers. Any information presented or heard within the centre is strictly confidential and the identities of peers and group members must not be disclosed to anybody outside TTP. In order to provide the best possible care our team operates within a multi-disciplinary protocol and through this process we are able to maintain a constant understanding of every patient s personal requirements. Information given to one member of staff, including the clinical team, may be shared with other members of the team; this may include their personal and / or group supervisors; however each patient will remain anonymous at this level. If a counsellor feels that you are at risk to yourself or another person it may be necessary to extend this confidentiality but they will always use their best endeavours to discuss this with you first. Disciplinary procedures are taken seriously and are handled by the entire team; a breach of this contract may be dealt with by verbal warning, written warning or discharge from treatment. A decision to take disciplinary action will only take place after careful consideration. Visitors may be asked to leave at any time if staff members decide that is in the best interests of patients in the centre or of a child visitor (e.g. if the patient or child is upset, or if drugs or alcohol are believed to be present). Staff reserve the right to ask any visitor to leave the premises if this is deemed necessary. Should you feel cause to complain about the conduct of a member of staff, structure or delivery of our programme, medical supervision, condition of premises or feel aggrieved or concerned that the conduct of any individual or individuals within the centre may have undermined your physical or emotional well-being, you are at liberty and have the right to ask for a complaints form. You have the right, upon written request, to examine any information that is recorded about you by TTP. I understand that TTP Chorley has a policy of no refunds for incomplete treatment when patients self-discharge or are discharged because of breach of contract. In order to facilitate a safe and therapeutic environment for each individual patient that comes into treatment at TTP Bradford, this contract is designed to ensure a safe community. The contract has been explained to me fully and I understand and agree to comply with its contents. Discharge Planned & Unplanned Planned Discharge Definition A planned discharge is the successful completion of treatment goals and the initial phase of the care plan, detox or stabilisation regime. Aftercare requirements should be identified in and during initial assessment and referral. A planned discharge needs the input and agreement of all interested parties, and should agree with initial goals and criteria of the care plan. 17

18 A patient review meeting will be conducted in the final week of the patient placement, whether this is a ten day episode or longer. The patient, TTP Chorley IPD key worker and care co-ordinator should be present where patient s treatment episode, progress and aftercare provision are discussed with any further recommendations added to the care plan. All funders, referrers and care co-ordinators will be given a progress and discharge report. Unplanned Discharge Definition A pre-arranged discharge plan is to be completed during the intake and admission process. An unplanned discharge can be defined as a break in the care planned treatment episode and can be for two reasons. 1. Therapeutic discharge. This is usually through the non-compliance with the treatment contract or goals. All breaches of contract will firstly be addressed through a therapeutic team meeting, where discussion of all factors and particular circumstances will be taken into account. Agreement will then be made to the next course of action. All decisions will be made in line with all TTP Chorley policies and procedures. Non-compliance can also be defined by the patient not meeting or working towards their own identified care plan and not working within the therapeutic programme schedule (see treatment contract). 2. Self-discharge. A self-discharge is defined as a patient interrupting their own planned treatment episode for any reason. In such cases staff will use all resources available to them with a view to helping the patient complete their detox journey. Funders, the care co-ordinator and referrer s family members who are on the confidentiality waiver, will be immediately informed of the agreed course of action and may be asked to help the patient engage in the treatment process. If a discharge is deemed necessary then the pre-arranged discharge plan will be implemented. 18

19 POLICIES & PROCEDURES Confidentiality Policy The staff and directors of TTP Chorley believe that services should be provided in a confidential manner to encourage open communication and honesty. Users of the services at TTP Chorley will be given the opportunity to choose, as far as possible, what information about themselves and their circumstances is shared, when it is shared and with whom it is shared with, so that the most effective support can be provided. TTP will not give out information whether learned directly, indirectly or by inference, to a third party (other than staff within TTP) without the prior agreement and permission of the individual concerned. BUT, we will disclose information to other appropriate professionals if we believe there is a risk of harm to yourself or others. Where a confidentiality waiver has been signed by the patient, information may be shared with those named persons and organisations mentioned on the waiver. If you are party to information which you think may be an exception to the policy, or upsets you in any way, you are obliged to share this with a member of staff BEFORE you leave the building. Complaints Procedure The staff members of TTP Chorley IPD are committed to providing the best service possible. If you have a complaint you should speak to your key worker as soon as possible, telling them how you feel. If you are unable to do this you should put the complaint in writing (preferably using the form at the reception desk) and hand it to a member of staff, or ask the service user representative to help you. If your complaint is about a member of staff, and you have tried to resolve it with him/her, you should speak to the Manager (or, if it is about the Manager, another member of staff), and ask them to help resolve the problem. Before you make a complaint, it is important to think about what you want to happen as a result of your complaint, and to make this clear at the beginning. You may want: 19

20 an apology someone to explain what has happened some changes or improvements to be made to make sure people recognise their mistakes to make sure the same thing does not happen again You should normally complain within two weeks of the events happening, or within two weeks of becoming aware that you have something to complain about. We will keep all information you give us confidential. We aim to sort out your complaint quickly and you should expect a full response within 10 working days. If you have a complaint or need raise a concern and you for any reason feel you cannot take this directly to TTP Chorley IPD staff or management you have the right to complain directly to the regulatory body at: Care Quality Commission National Correspondence City Gate Newcastle Upon Tyne NE1 4PA Contact No: Equal Opportunities Policy TTP seeks to promote equal opportunities. TTP is committed to eliminating discrimination and promoting equal opportunity as it provides services to members of the community regardless of gender, race, religion, disability, sexuality, age, class, physical appearance or economic status within the bounds of its influence. In TTP Chorley practices, this commitment will influence all its actions. 20

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