Enter and view: Step Forward Centre, Bradford

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Summary of report content

Healthwatch Bradford and District conducted an announced Enter and View visit to the Step Forward Centre on 24 May 2013. This visit was prompted by the opportunity to learn about a new rehabilitation mental health centre as an example of good practice for vulnerable adults. The Step Forward Centre is a purpose-built unit in the grounds of Lynfield Mount hospital in Bradford, providing a specialised rehabilitation service for 12 mental health patients (people aged 18 and over). It was opened in April 2012, and is managed by the Bradford District Care Trust. The purpose of this centre is to provide a bridge between acute services and care in the community, preparing clients to live supported but independently in their own accommodation. It is not a secure unit or an acute ward, in the sense that clients are free to come and go. There are weekly staff meetings where admissions that may need to be prioritised are discussed. The aim is for residents to stay for about 3 months, but this is flexible according to individual needs and progress. The centre practices the WRAP Model, the Wellness Recovery Action Plan, designed with the patient to help them develop tools necessary for managing their illness, from daily maintenance to crisis management. Regular Care Programme Approach (CPA) meetings are held, at least every two weeks, to keep the programme on track. CPA is a particular way of assessing, planning and reviewing someone’s mental health care needs. Staff are aware that focus can be lost if there is no meeting for a long time. The Enter and View Authorised Representatives observed that it appears to be a good service using enthusiastic and well trained staff. The atmosphere is good, although quiet at the time of the Enter and View visit, and there are a range of activities. The visiting team felt that the most important aspects were the improving outcomes as measured by the staff, and the positive responses of the clients they saw and spoke to. The team stated their opinion that these pointed to a service which was achieving its stated outcomes and providing a good service both to clients and the community which it serves. The one recommendation made was that the good practice observed on this visit should be publicised and shared throughout the Trust, in order that other services can learn from it. There was no response from the provider included in the report.

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General details

Report title 
Enter and view: Step Forward Centre, Bradford
Local Healthwatch 
Healthwatch Bradford
Date of publication 
Tuesday, 25 June, 2013
Date evidence capture began 
Friday, 24 May, 2013
Date evidence capture finished 
Friday, 24 May, 2013
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Consent to care and treatment
Continuity of care
Health promotion
Health protection
Holistic support
Integration of services
Lifestyle and wellbeing
Quality of care
Quality of treatment
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
Primary research method used 
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Not Known

Details of health and care services included in the report

Mental health services 
Community mental health team (CMHT)
Mental health recovery service
Community services 
Community based services for people with mental health needs

Details about conditions and diseases

Types of disabilities 
Mental health
Types of long term conditions 
Mental health condition
What type of pregnancy or maternity themes are included in the report 

Details of people who shared their views

Number of people who shared their views 
Mixed / multiple ethnic groups
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Does the information include staff's views? 
Types of health and care professionals engaged 
Service manager
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.