Nottingham Community Housing Association’s Stephanie Lodge Resettlement Service provides support and accommodation to vulnerable adults with a diagnosed mental health disorder, who are inpatients on psychiatric wards and are being discharged and resettled into the community.
The service is designed to positively impact on the health and social wellbeing of service users, whilst reducing the strain on public health services.
Due to closures of psychiatric wards in the Nottingham City area, inpatients with a mental health diagnosis were making the transition from hospital to accommodation-based services without adequate support, leading to a higher risk of readmission. Due to the shortage of psychiatric bed spaces in Nottingham, this is placing a strain on public services.
Additionally, a shortage of supported housing units can delay discharges, therefore clogging up vital hospital bed spaces.
The outcome of the resettlement service is to equip individuals with the skills and confidence to reduce the risk of being re-admitted to hospital, and to move on to more independent living within a six month timescale.
Stephanie Lodge Resettlement Service is a piloted service commissioned by Nottingham City Council and NHS Nottingham City.
The service is designed to support individuals who have been diagnosed with a psychiatric disorder but are due to be discharged as an inpatient from hospital. After an initial referral and assessment, individuals will be offered a flat at Stephanie Lodge for a six month period, allowing them time to develop their confidence and independence levels prior to making the next step into independent accommodation.
The individual will live in self-contained accommodation, but work with support staff who are available from 7am – 10pm every day. Each property is fitted with emergency out of hours assistive technology.
Each service user will have a personalised support plan tailored to their individual needs based on on-going assessments.
Staff will work with service users in the following areas:
- access to benefits
- support in applying for work
- support in accessing further education
- life skills; cooking, cleaning, housework
- budgeting and financial skills
- maintaining their living environment
- At the end of the six month period the service user is supported to move either into further supported living accommodation or independent accommodation with continued support from NCHA staff for a period of 4-12 weeks.
Outcomes have been measured for the service throughout the three year pilot period which commenced in April 2013.
The latest figures collected in October 2015 suggest that following a six month stay in Stephanie Lodge the following outcomes were achieved:
- 43.3% of service users went on to successfully maintain a tenancy in supported housing or supported living accommodation.
- 18.9% of service users went on to successfully maintain a tenancy in independent accommodation
- 21.6% of service users were re-admitted to hospital
- 5.4% went on to live with their family
- 10.8% other
From this data it is evident that there has been a reduction in people being re-admitted to hospital, and a significant number of the user group have gone on to sustain suitable accommodation to meet their needs.
Stephanie Lodge work closely with NHS teams to identify individuals who would benefit from a referral to the service, from either psychiatric hospital wards or mental health teams.
Throughout the six month support period, staff will work alongside housing teams, benefits agencies and other external agencies to best support service users in moving forward.
Where a dual diagnosis is given, staff from Stephanie Lodge will work closely with partner agencies to ensure appropriate support and care is provided.
It is imperative to the success of the service to maintain and nurture the relationships upon which these partnerships depend.
Stephanie Lodge is a converted church building in a central urban area of Nottingham. The property is constituted by eleven one-bedroom self-contained units, each with a separate lounge, kitchen area, bedroom and bathroom.
Additional communal spaces are available for staff and service users to access.
The housing design of Stephanie Lodge is central to the progress of service users. The security of a supported living environment whilst maintaining a self-contained property allows a seamless transition from an inpatient environment to living independently, providing reassurance to service users whilst improving their confidence and life skills.
Our contribution to improving health
Stephanie lodge contributes to the following framework outcomes:
- reducing premature mortality in people with mental illness
- reducing time spent in hospital by people with long-term conditions
- enhancing quality of life for people with mental illness
- improving experience of healthcare for people with mental illness
- improving people’s experience of integrated care
Adult social care:
- proportion of adults in contact with secondary mental health services in paid employment
- proportion of adults in contact with secondary mental health services living independently, with or without support.